针刺结合中药塌渍对神经根型颈椎病（血瘀气滞证）影响的临床研究

发布时间：2018-10-30 20:11

【摘要】：目的:通过与单纯应用针刺疗法或中药塌渍疗法疗效的比较,观察针刺结合中药塌渍疗法治疗神经根型颈椎病(血瘀气滞证)的临床疗效。材料与方法:收集2015年3月~2016年11月间辽宁省中医院骨一科病房的162例神经根型颈椎病(血瘀气滞证)患者,将患者按入院顺序用数字编号,应用SPSS软件随机分为3组,综合组采用针刺配合中药塌渍疗法治疗,针刺组采用针刺疗法,塌渍组采用中药塌渍疗法,疗程为2周。应用VAS评分、症状量化评定对治疗前、治疗2周后、疗程结束3个月后随访的的疗效进行统计学分析并评价。结果:入组患者中1例因皮肤过敏原因作为脱落病例剔除,2例应用其他药物脱落,3例因失访脱落,最终纳入统计学分析156例,综合组52例,针刺组50例,塌渍组54例。156例患者均完成治疗及随访,3组VAS评分、症状量化评定及疗效比较,综合组较针刺组和塌渍组效果明显(P0.05),结果有统计学意义。结论:采用针刺结合中药塌渍疗法治疗神经根型颈椎病,比单纯采用针刺或中药塌渍治疗具有更加显著的疗效。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with traditional Chinese medicine in treating cervical spondylopathy of nerve root type (blood stasis qi stagnation syndrome) by comparing the curative effect of acupuncture therapy and traditional Chinese medicine collapse stain therapy. Materials and methods: from March 2015 to November 2016, 162 patients with cervical spondylopathy of nerve root type (blood stasis and qi stagnation) were collected and randomly divided into 3 groups by SPSS software. The comprehensive group was treated with acupuncture combined with traditional Chinese medicine, the acupuncture group was treated with acupuncture, and the group with collapse of traditional Chinese medicine was treated for 2 weeks. VAS score and quantitative evaluation of symptoms were used to analyze and evaluate the effect of follow-up before treatment, 2 weeks after treatment and 3 months after treatment. Results: one case was eliminated because of skin allergy, 2 cases were dropped off by other drugs, and 3 cases were dropped off because of missing visit. Finally, 156 cases were included in statistical analysis, 52 cases in the comprehensive group and 50 cases in the acupuncture group. There were 54 cases in the collapse group. All the patients were treated and followed up. The VAS score, the quantitative evaluation of symptoms and the curative effect of the combined group were significantly better than those of the acupuncture group and the collapse group (P0.05), the results were statistically significant. Conclusion: it is more effective to treat cervical spondylopathy of nerve root type by acupuncture combined with traditional Chinese medicine.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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