本文關(guān)鍵詞：平衡針結(jié)合頸夾脊穴治療神經(jīng)根型頸椎病的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:研究觀察平衡針結(jié)合頸夾脊穴治療神經(jīng)根型頸椎病的臨床療效,比較平衡針結(jié)合頸夾脊穴與常規(guī)取穴結(jié)合頸夾脊穴治療神經(jīng)根型頸椎病的療效;并尋求更有效治療神經(jīng)根型頸椎病的方法。方法:本研究共納入60例符合標(biāo)準(zhǔn)的患者,采用簡(jiǎn)單隨機(jī)劃分組的形式,分為治療組和對(duì)照組各30例。其中,治療組為運(yùn)用平衡針結(jié)合頸夾脊穴進(jìn)行針刺治療,對(duì)照組則為針刺頸夾脊穴結(jié)合常規(guī)取穴(曲池、后溪)(取穴參考中國(guó)中醫(yī)藥出版社出版,普通高等教育"十二五"國(guó)家級(jí)規(guī)劃教材,由石學(xué)敏主編的《針灸學(xué)》教材),隔天1次,2星期為一個(gè)療程,共1個(gè)療程。對(duì)兩組治療前后應(yīng)用簡(jiǎn)易McGi11疼痛問卷表、神經(jīng)根型頸椎病的20分法量表及總體療效進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:1、基線資料評(píng)價(jià):經(jīng)T檢驗(yàn)和卡方檢驗(yàn)分析,治療前兩組病例一般資料(性別、年齡、辨證分型)具有可比性(P0.05)2、臨床療效評(píng)價(jià):治療組顯效7例,有效20例,無效2例,總有效率93.10%;而對(duì)照組中,顯效3例,有效20例,無效7例,總有效率76.67%。經(jīng)卡方檢驗(yàn),兩組差異顯著(P0.05),說明平衡針結(jié)合頸夾脊穴針刺組在改善神經(jīng)根型頸椎病的臨床療效優(yōu)于頸夾脊穴結(jié)合常規(guī)取穴(曲池、后溪)針刺組。3、通過McGi1l疼痛問卷表中各項(xiàng)指標(biāo)及總分的觀察,治療前兩組間具有可比性(P0.05),治療前后兩組組內(nèi)及治療后兩組間比較,均差異顯著(P0.05)。說明兩組均對(duì)治療神經(jīng)根型頸椎病有效,但平衡針結(jié)合頸夾脊穴針刺組較頸夾脊穴結(jié)合常規(guī)取穴(曲池、后溪)針刺組改善更為顯著。4、通過對(duì)《神經(jīng)根型頸椎病的20分法量表(田中靖久)》中各項(xiàng)指標(biāo)及總分的觀察,治療前兩組間具有可比性(P0.05),治療前后兩組組內(nèi)比較,均差異顯著(P0.05)。兩組治療后相比較,其癥狀、體征、工作、生活能力與總分,均差異顯著(P0.05),說明兩組均對(duì)神經(jīng)根型頸椎病癥狀、體征、工作生活能力有效,但平衡針結(jié)合頸夾脊穴針刺組較頸夾脊穴結(jié)合常規(guī)取穴(曲池、后溪)針刺組各項(xiàng)指標(biāo)改善更為顯著。另一方面,兩組治療后在改善手的功能恢復(fù)程度方面無明顯差異(P0.05)。結(jié)論:綜上所述,平衡針結(jié)合頸夾脊穴針刺和頸夾脊穴結(jié)合常規(guī)取穴(曲池、后溪)針刺療法都能改善神經(jīng)根型頸椎病的癥狀體征。在緩解疼痛方面,平衡針結(jié)合頸夾脊穴針刺療法明顯優(yōu)于頸夾脊穴結(jié)合常規(guī)取穴針刺組,平衡針結(jié)合頸夾脊穴針刺療法在治療神經(jīng)根型頸椎病的顯效率方面明顯優(yōu)于頸夾脊穴結(jié)合常規(guī)取穴針刺組。平衡針結(jié)合頸夾脊穴針刺療法是臨床治療神經(jīng)根型頸椎病較好的組合療法,值得臨床推廣應(yīng)用。
[Abstract]:Objective: To observe the clinical curative effect of combined Cervical Jiaji points for the treatment of cervical spondylosis of nerve root type balance needle, balance needle combined with neck clip ridge cave and the efficacy of conventional acupuncture combined with Cervical Jiaji points for the treatment of nerve root type cervical spondylosis; and to seek more effective methods for the treatment of nerve root type cervical spondylosis. Methods: This study a total of 60 patients with standard, using simple random divided groups, divided into treatment group and control group with 30 cases in each group. The treatment group for the use of balance acupuncture combined with Jiaji acupuncture treatment, control group for acupuncture Jiaji combined with conventional acupuncture (Quchi, Hou XI) (reference points Chinese Publishing House of Chinese medicine, the ordinary higher education "in 12th Five-Year" national planning textbook, edited by Shi Xuemin "acupuncturology > materials), 1 day, 2 week for a course of treatment, a total of 1 courses of the two groups before and after treatment using simple McGi11 pain questionnaire, 紲炵粡鏍瑰瀷棰堟鐥呯殑20鍒嗘硶閲忚〃鍙?qiáng)妫?

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