【摘要】：目的： 觀察溫針灸治療神經(jīng)根型頸椎病的療效和安全性,并初步探討其作用機(jī)理,為臨床探索一種療效確切易于操作的治療方法。方法： 將符合診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)的60例神經(jīng)根型頸椎病患者,按照隨機(jī)數(shù)字表法,隨機(jī)分為治療組和對(duì)照組。治療組30例以溫針灸治療,對(duì)照組30例以普通針刺治療,兩組取穴相同。兩組隔日治療1次,每周治療3次,共治療4周。兩組患者分別于治療前和治療后用Northwick Park頸痛量表(NPQ)和數(shù)字評(píng)價(jià)量表(Numerical rating scale, NRS)觀察療效。采用統(tǒng)計(jì)軟件SPSS17.0對(duì)所收集的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果： 1.在總體療效上,治療組總有效率是93.3%,對(duì)照組為80.0%,治療組與對(duì)照組比較差異有統(tǒng)計(jì)學(xué)意義(P＜0.05),說明治療組療效優(yōu)于對(duì)照組。 2.治療前兩組NPQ評(píng)分比較,差異無意義,兩組間具有可比性(P＞0.05)。兩組治療前與治療后NPQ評(píng)分比較,差異均有顯著性意義(P＜0.01)。治療后兩組之間NPQ評(píng)分差值比較,差異有意義(P＜0.05)。 3.治療前兩組NRS評(píng)分比較,差異無意義,兩組間具有可比性(P＞0.05)。治療組治療前、后NRS評(píng)分比較,差異有顯著性意義(P＜0.01)；對(duì)照組治療前、后NRS評(píng)分比較,差異有意義(P＜0.05)。治療后兩組之間NRS評(píng)分差值比較,差異有意義(P＜0.01)。 結(jié)論： 溫針灸能安全有效地改善神經(jīng)根型頸椎病的癥狀,其療效優(yōu)于普通針刺,是治療頸椎病的有效方法之一。
[Abstract]:Objective: to observe the efficacy and safety of warming acupuncture and moxibustion in the treatment of cervical spondylopathy of nerve root type and to explore its mechanism. Methods: 60 patients with cervical spondylopathy of nerve root type were randomly divided into treatment group and control group according to the method of random digital table. The treatment group (30 cases) were treated with warm acupuncture, the control group (30 cases) were treated with common acupuncture. The two groups were treated once every other day 3 times a week for 4 weeks. Before and after treatment, the patients in both groups were evaluated with Northwick Park neck pain scale (NPQ) and digital evaluation scale (Numerical rating scale, NRS). Statistical software SPSS17.0 was used to analyze the collected data. Results: 1. The total effective rate was 93.3g in the treatment group and 80.0g in the control group. There was significant difference between the treatment group and the control group (P < 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. 2. There was no significant difference in NPQ score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There was significant difference in NPQ score between the two groups before and after treatment (P < 0. 01). There was significant difference in NPQ scores between the two groups after treatment (P < 0. 05). 3. There was no significant difference in NRS score between the two groups before treatment, and there was comparability between the two groups (P > 0. 05). There were significant differences in NRS scores before and after treatment in the treatment group and in the control group before and after treatment (P < 0. 05). There was significant difference in NRS scores between the two groups after treatment (P < 0. 01). Conclusion: warming acupuncture and moxibustion can improve the symptom of cervical spondylopathy of nerve root type safely and effectively, its curative effect is superior to that of common acupuncture, it is one of the effective methods to treat cervical spondylosis.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.9

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