本文關(guān)鍵詞：三維五法治療神經(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

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【摘要】：目的:觀察三維五法治療神經(jīng)根型頸椎病的臨床療效,為臨床應(yīng)用中醫(yī)綜合療法治療本病提供客觀依據(jù)。方法:將60例神經(jīng)根型頸椎病患者按隨機數(shù)字表法隨機分為治療組30例和對照組30例,治療組采用三維五法進行治療,治療方法包括刮痧、拔罐、針刺、艾灸和中藥,腧穴選取風(fēng)池、天柱、頸夾脊穴(病變節(jié)段及其上下節(jié)段兩側(cè)的3對夾脊穴)、肩井、曲池、外關(guān)、合谷、后溪,經(jīng)脈取手、足太陽經(jīng)和足少陽經(jīng)為主,經(jīng)筋取手、足太陽經(jīng)和足少陽之經(jīng)筋;對照組則給予普通針刺治療。分別在治療前后對比兩組患者的VAS疼痛評分、《田中靖久癥狀量表》評分、肌電圖F波出現(xiàn)頻率,并對兩組患者在治療前后的臨床效果進行對比評判。結(jié)果:1.兩組患者治療1周后VAS疼痛評分比較P0.05,差異有統(tǒng)計學(xué)意義;治療2周后VAS疼痛評分比較P0.05,差異有統(tǒng)計學(xué)意義,治療組優(yōu)于對照組。2.兩組患者治療1周后《田中靖久癥狀量表》評分比較P0.05,差異有統(tǒng)計學(xué)意義;治療2周后《田中靖久癥狀量表》評分比較P0.05,差異有統(tǒng)計學(xué)意義,治療組優(yōu)于對照組。3.兩組患者治療后正中神經(jīng)和尺神經(jīng)F波出現(xiàn)率組內(nèi)比較,P0.05,提示三維五法和普通針刺治療神經(jīng)根型頸椎病都有效;治療后兩組正中神經(jīng)和尺神經(jīng)F波出現(xiàn)率組間比較,P0.01,差異具明顯統(tǒng)計學(xué)意義,提示三維五法治療神經(jīng)根型頸椎病在修復(fù)受損神經(jīng)效果上優(yōu)于普通針刺療法。4.三維五法治療組總有效率為96.67%,對照組總療效為90.00%,差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.三維五法和普通針刺治療神經(jīng)根型頸椎病都有療效,三維五法緩解癥狀更明顯。2.三維五法治療神經(jīng)根型頸椎病比普通針刺療效更顯著。3.三維五法治療神經(jīng)根型頸椎病在修復(fù)受損神經(jīng)效果上優(yōu)于普通針刺療法。
[Abstract]:Objective: to observe the clinical effect of three dimensional five methods in the treatment of cervical spondylopathy of nerve root type. Methods: 60 cases of cervical Spondylotic radiculopathy were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with three dimensional five methods, including scraping, cupping, acupuncture, moxibustion and traditional Chinese medicine. The acupoints were selected as Fengchi, Tianzhu and Jiaji points (3 pairs of Jiaji points on both sides of the lesion segment and the upper and lower segments). Shoulder well, Quchi, Waiguan, Hegu, Houxi, Meridian to take hand, foot Sun Meridian and foot Shaoyang Meridian, Meridian take hand, foot Sun Meridian and foot Shaoyang Meridian; The control group was treated with common acupuncture. The VAS pain scores of the two groups were compared before and after treatment, < Tanzhong Jingjiu symptom scale > score, and the frequency of F-wave of electromyography. The clinical effects of the two groups before and after treatment were compared and evaluated. Results the VAS pain score of the two groups was significantly higher than that of P0.05 after one week of treatment. After 2 weeks of treatment, the VAS pain score was significantly higher than that of the control group (P0.05), and the treatment group was better than the control group (P0.05.) after 1 week of treatment, the scores were compared with the Tianzhong Jingjiu symptom scale (P0.05). The difference was statistically significant. After 2 weeks of treatment, the score of "Tianzhong Jingjiu symptom scale" was significantly higher than that of control group (P0.05). The F-wave occurrence rate of median nerve and ulnar nerve in the treatment group was better than that in the control group. P0.05 suggests that the three dimensional five method and common acupuncture are effective in the treatment of cervical spondylopathy of nerve root type. After treatment, the incidence of F-wave of median nerve and ulnar nerve in the two groups was significantly higher than that in the control group (P 0.01). It is suggested that the treatment of nerve root type cervical spondylosis by three dimensional five method is superior to that of common acupuncture therapy in repairing the injured nerve. The total effective rate of the treatment group is 96.677.The total curative effect of the control group is 90.00%. The difference was statistically significant (P 0.05). Conclusion 1. Three-dimensional five methods and common acupuncture are effective in the treatment of cervical spondylopathy of nerve root type. Three-dimensional five-method is more effective than common acupuncture in the treatment of cervical spondylosis of nerve root type. 3. Three-dimensional five-method treatment of cervical spondylosis of nerve root type is superior to that of common acupuncture in repairing damaged nerve. Law.
【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】：R246.9

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