發(fā)布時間：2017-12-27 15:21

  本文關(guān)鍵詞：臥位牽引聯(lián)合音樂電療法治療神經(jīng)根型頸椎病的臨床療效觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 臥位牽引 神經(jīng)根型頸椎病 音樂電療法

【摘要】：研究目的:神經(jīng)根型頸椎病發(fā)病緩慢,發(fā)病率高且較常見,已經(jīng)成為社會關(guān)注的問題,這種疾病給患者帶來不可忽視且嚴(yán)重的身體上的巨大折磨和精神上的巨大痛苦,嚴(yán)重影響了人們生活質(zhì)量和工作效率。本研究通過觀察分析臥位牽引療法聯(lián)合音樂電療法對神經(jīng)根型頸椎病的臨床療效,旨在探索其臨床療效及規(guī)律,為臨床治療該病提供一定的參考依據(jù)。研究方法:本研究中所有神經(jīng)根型頸椎病患者來源于2016年4月至2017年1月黑龍江中醫(yī)藥大學(xué)附屬二院門診就診患者。嚴(yán)格按照納入標(biāo)準(zhǔn),將符合要求神經(jīng)根型頸椎病患者,隨機地分為治療組(臥位牽引聯(lián)合音樂電療法)和對照組(單純臥位牽引治療),進(jìn)行為期15天的臨床治療,參考《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》所制定的頸椎病臨床療效標(biāo)準(zhǔn),并參閱簡化McGill疼痛量表(MPQ)、頸部殘障功能指數(shù)量表(NDI)和日本田中靖久癥狀量表20分法進(jìn)行臨床療效評估,上述量表的評估于入組第一天和療程結(jié)束后分別進(jìn)行評分,確保準(zhǔn)確性、完整性、及時性。研究結(jié)果:治療前,兩組患者資料在性別、年齡、病程分布以及癥狀量表評分方面無顯著性差異(P0.05),具有可比性。治療后,治療組有效率89.58%、對照組有效率77.08%,組間比較有顯著性差異(P0.05)。治療組McGill疼痛詢問量表評分,治療前為20.29 ± 6.47,治療后為8.10 ± 5.55,組內(nèi)前后統(tǒng)計比較有顯著性差異(P0.05);對照組McGill疼痛詢問量表評分,治療前為20.10±6.33,治療后為10.63±6.17,前后統(tǒng)計比較有顯著性差異(P0.05),且治療后組間比較,差異有顯著性(P0.05)。治療組頸部殘障功能指數(shù)量表評分,治療前為21.06± 6.16,治療后為7.63 ±5.11,組內(nèi)前后統(tǒng)計比較有顯著性差異(P0.05);對照組頸部殘障功能指數(shù)量表評分,治療前為21.04±6.03,治療后為10.02±6.01,組內(nèi)前后統(tǒng)計比較有顯著性差異(P0.05),且組間治療后比較有顯著性差異(P0.05)。治療組日本田中靖久癥狀量化表評分,治療前為10.25± 1.89,治療后為16.04±2.29,組內(nèi)前后統(tǒng)計比較有顯著性差異(P0.05);對照組日本田中靖久癥狀量化表評分,治療前為9.88 ±2.06,治療后為14.40 土 2.71,組內(nèi)前后統(tǒng)計比較有顯著性差異(P0.05),且組間治療后比較有顯著性差異(P0.05)。結(jié)論:臥位牽引聯(lián)合音樂電療法治療神經(jīng)根型頸椎病的療效顯著,能明顯地改善神經(jīng)根型頸椎病的臨床癥狀和體征,明顯優(yōu)于單純臥位牽引療法,操作簡便,患者易于接受,值得臨床上推廣使用。
[Abstract]:Objective: To study the pathogenesis of cervical spondylosis of nerve root type slow, high incidence and more common, has become a social concern, the disease has brought great pain and suffering great spirit can not be ignored and serious in the body to the patients, and seriously affect the quality of life and work efficiency of people. The purpose of this study is to observe and analyze the clinical effect of decubitus traction therapy combined with music electrotherapy on cervical spondylotic radicular disease, so as to explore its clinical efficacy and regularity, so as to provide certain reference for clinical treatment of this disease. Methods: all patients with cervical spondylosis of the nerve root type were from the outpatient department of the Second Affiliated Hospital of Heilongjiang University Of Chinese Medicine from April 2016 to January 2017. In strict accordance with the inclusion criteria, will meet the requirements of patients with nerve root type cervical spondylosis were randomly divided into treatment group (supine traction combined with music therapy) and control group (simple supine traction), clinical treatment for a period of 15 days, cervical spondylosis clinical criteria established by reference to the "standard" of TCM syndrome diagnosis the curative effect, and refer to the simplified McGill pain questionnaire (MPQ), neck disability index (NDI) and Japan Tanaka Yasushi long symptom scale 20 points method to evaluate the clinical curative effect, evaluation of the scale in the group and the first day after the end of treatment were scored, ensure the accuracy, completeness, timeliness. Results: before treatment, there was no significant difference in gender, age, course distribution and symptom scale score between the two groups (P0.05). After treatment, the effective rate of the treatment group was 89.58%, the effective rate of the control group was 77.08%, and there was a significant difference between the groups (P0.05). The treatment group McGill pain questionnaire score before treatment was 20.29 + 6.47, 8.10 + 5.55 after treatment, treatment and statistical difference (P0.05); control group McGill pain questionnaire score before treatment was 20.10 + 6.33, 10.63 + 6.17 after treatment, there was statistical comparison before and after (P0.05), and the difference between two groups after treatment, there were significant differences (P0.05). The treatment group the neck disability index score before treatment was 21.06 + 6.16, 7.63 + 5.11 after treatment, treatment and statistical significant difference (P0.05); control group, neck disability index score before treatment was 21.04 + 6.03, 10.02 + 6.01 after treatment, group before and after statistical significant difference (P0.05), and between group difference after treatment (P0.05). The treatment group of Japan Tanaka Yasushi long symptom scale, before treatment was 10.25 + 1.89, 16.04 + 2.29 after treatment, treatment and statistical difference (P0.05); the control group of Japan Tanaka Yasushi long symptom scale, before treatment was 9.88 + 2.06, after treatment was 14.40 + 2.71, group in the statistics before and after significant difference (P0.05), and between group difference after treatment (P0.05). Conclusion: lying position traction combined with music electrotherapy is effective in the treatment of cervical spondylotic radicular disease. It can significantly improve the clinical symptoms and signs of cervical spondylotic radicular disease, which is superior to the simple position traction therapy. It is easy to operate and easy to accept, and is worthy of clinical promotion.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R681.55

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