平腕立指针法结合雀啄灸治疗颈型颈椎病的临床疗效研究

发布时间：2018-11-02 08:01

【摘要】：目的:观察平腕立指针法结合雀啄灸治疗颈型颈椎病的临床疗效。方法:根据颈型颈椎病纳入标准、排除标准收集病例72例,采用随机数字表分治疗组、对照组,治疗组应用平腕立指针法针刺结合雀啄灸治疗,对照组口服英太青,两组均治疗12次,观察治疗前后所有病例的NPQ颈痛量表积分、临床症状体征评分量表积分和痛阈(基础痛阈和第1、4、8、12次治疗后痛阈)变化情况,运用SPSS21.0对所得数据进行统计分析,评定疗效。结果:1.纳入病例72例,脱落7例,实际完成65例,治疗组33例,对照组32例。比较治疗前两组性别、年龄、病程、NPQ颈痛量表积分、各项临床症状体征积分、临床症状体征量表总积分、基础痛阈无显著性差异(P0.05)。2.比较治疗前后治疗组、对照组NPQ颈痛量表积分、各项临床症状体征积分、临床症状体征量表总积分、痛阈变化,两组差异有统计学意义(P0.01),说明两种疗法均有治疗效果。3.比较治疗后治疗组、对照组NPQ颈痛量表积分、各项临床症状体征积分、临床症状体征量表总积分,差异有统计学意义(P0.05),治疗组积分比对照组积分低,说明治疗组患者颈部不适等症状体征改善优于对照组。比较经第1次、第4次、第8次、第12次治疗后两组痛阈变化情况,第1次治疗后差异无统计学意义(P0.05),第4次、第8次、第12次治疗后差异有统计学意义(P0.05),治疗组痛阈提高优于对照组。4.比较治疗组、对照组治疗后总体疗效,治疗组总有效率87.88%,对照组总有效率78.13%,差异有统计学意义(P0.05),治疗组疗效优于对照组。结论:应用平腕立指针法针刺结合雀啄灸治疗与口服英太青治疗均能降低颈型颈椎病患者NPQ颈痛量表积分、改善临床症状体征、提高患者痛阈,均有治疗效应。平腕立指针法针刺结合雀啄灸治疗较口服英太青治疗更具显著的临床疗效。
[Abstract]:Objective: to observe the clinical effect of flat wrist and needle method combined with lark pecking moxibustion in the treatment of cervical spondylosis. Methods: according to the inclusion standard of cervical spondylopathy, 72 cases of cervical spondylopathy were excluded and randomly divided into treatment group and control group. The treatment group was treated with flat wrist standing needle acupuncture combined with lark pecking moxibustion, and the control group was treated with ingtaiqing orally. The changes of NPQ neck pain scale, clinical symptom and sign score and pain threshold (basic pain threshold and pain threshold after 12 treatments) in all patients were observed before and after treatment for 12 times in both groups. SPSS21.0 was used to analyze the data and evaluate the curative effect. The result is 1: 1. 72 cases were included, 7 cases were lost, 65 cases were actually completed, 33 cases were in the treatment group and 32 cases were in the control group. There was no significant difference in sex, age, course of disease, NPQ cervical pain scale, clinical symptom and sign score, total score of clinical symptom and sign scale and basic pain threshold between the two groups before treatment (P0.05). The scores of NPQ neck pain scale, clinical symptoms and signs, the total score of clinical symptom and signs scale, and the pain threshold were compared before and after treatment in the treatment group and control group. The difference between the two groups was statistically significant (P0.01). It shows that both treatments have therapeutic effect. 3. The scores of NPQ neck pain scale, all clinical symptoms and signs, the total scores of clinical symptom and signs scale in the treatment group and the control group were compared after treatment (P0.05), the scores of the treatment group were lower than that of the control group, and the scores of the treatment group were lower than those of the control group. The improvement of symptoms and signs such as neck discomfort in the treatment group was better than that in the control group. After the first, the fourth, the eighth, the twelfth time treatment, there was no significant difference in pain threshold between the two groups after the first treatment (P0.05), the fourth, the eighth, the second, the fourth, the eighth. After the 12th treatment, the difference was statistically significant (P0.05). The pain threshold in the treatment group was better than that in the control group (P 0.05). The total effective rate of the treatment group was 87.88 and the total effective rate of the control group was 78.13. The difference was statistically significant (P0.05). The curative effect of the treatment group was better than that of the control group. Conclusion: the application of flat wrist standing needle acupuncture combined with lark pecking moxibustion and oral Yingtai Qing treatment can reduce the score of NPQ cervical pain scale, improve the clinical symptoms and signs, and raise the pain threshold of patients with cervical spondylosis. All of them have therapeutic effects. Acupuncture combined with lark pecking moxibustion was more effective than the oral treatment.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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