本文關(guān)鍵詞：巨刺法配合電針治療神經(jīng)根型頸椎病的臨床療效觀察　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 神經(jīng)根型頸椎病 巨刺法 電針 療效觀察

【摘要】：目的:觀察巨刺法配合電針治療神經(jīng)根型頸椎病的臨床療效,探討該療法治療神經(jīng)根型頸椎病的臨床應(yīng)用價(jià)值。方法:在廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸科門(mén)診及病房和廣州醫(yī)科大學(xué)附屬第三醫(yī)院中醫(yī)科門(mén)診,選擇符合診斷及納入標(biāo)準(zhǔn)的60例神經(jīng)根型頸椎病患者,采用簡(jiǎn)單隨機(jī)分組的方法分為治療組和對(duì)照組,每組各30例。治療組采用巨刺法配合電針療法,主穴選取頸夾脊穴、大椎、風(fēng)池、完骨、天柱、大抒,配穴選肩井、肩毭、曲池、手三里、外關(guān)、合谷、后溪、阿是穴。主穴選雙側(cè)穴位加大椎穴,配穴選健側(cè),針刺得氣后連接鑫升牌G6805-I型電針治療儀,用疏密波,電針頻率4/20Hz,強(qiáng)度以患者能耐受為度,留針30分鐘后出針;對(duì)照組采取常規(guī)針?lè)ㄅ浜想娽槸煼?選穴方面主穴同治療組,配穴選患側(cè)。兩組患者均隔日治療1次,每周3次,2周為一個(gè)療程,共治療4周2個(gè)療程。采用視覺(jué)疼痛模擬評(píng)分表(Visual Analog Scales,VAS)、田中靖久頸椎病癥狀量表20分法及頸椎功能障礙指數(shù)(the Neck Disability Index,NDI)調(diào)查問(wèn)卷分別在治療前、治療1個(gè)療程即2周、治療2個(gè)療程即4周后對(duì)納入病例進(jìn)行評(píng)分,記錄得分,評(píng)價(jià)患者癥狀改善程度及兩種療法的臨床療效等。成果:1.治療組和對(duì)照組在性別構(gòu)成、年齡大小和治療前各個(gè)量表評(píng)分差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明兩組患者基線(xiàn)一致,有可比性。2.兩組患者治療1個(gè)療程(2周)、2個(gè)療程(4周)后視覺(jué)疼痛模擬評(píng)分表、田中靖久頸椎病癥狀量表20分法及頸椎功能障礙指數(shù)的得分均有不等程度的改善,同治療前比較各量表在治療1個(gè)療程(2周)、2個(gè)療程(4周)后得分差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明兩組治療方案均可有效緩解神經(jīng)根型頸椎病的臨床癥狀。3.兩組患者治療前在視覺(jué)疼痛模擬評(píng)分量表評(píng)分、田中靖久頸椎病癥狀體征量化積分及功能障礙指數(shù)問(wèn)卷積分差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);治療1個(gè)療程(2周)、2個(gè)療程(4周)后田中靖久癥狀體征量表積分及功能障礙指數(shù)問(wèn)卷積分比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)且兩量表在治療2個(gè)療程(4周)后前后差值比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明治療組在改善神經(jīng)根型頸椎病患者總體癥狀、體征以及日常生活質(zhì)量等方面與對(duì)照組療效相當(dāng);治療1個(gè)療程(2周)、2個(gè)療程(4周)后視覺(jué)疼痛模擬評(píng)分量表評(píng)分比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)且在2個(gè)療程(4周)后該量表治療前后評(píng)分差值比較有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明在緩解患者自覺(jué)疼痛程度方面,治療組優(yōu)于對(duì)照組。結(jié)論:巨刺法配合電針治療神經(jīng)根型頸椎病療效理想,在改善患者疼痛方面,臨床療效優(yōu)于常規(guī)針刺加電針組,且安全性高,可考慮在臨床進(jìn)一步推廣應(yīng)用。
[Abstract]:Objective: To observe the effect of opposing needling with electroacupuncture in treating cervical spondylotic radiculopathy, explore the therapeutic value of clinical application of the treatment of nerve root type of cervical spondylosis. Methods: in the third hospital outpatient and ward of acupuncture and moxibustion Department of the First Affiliated Hospital of Guangzhou University of Chinese Medicine and Guangzhou Medical University affiliated outpatient department of traditional Chinese medicine, the choice conforms to the diagnosis and the inclusion criteria of 60 cases of nerve the root type of cervical spondylosis, the method is simple and randomly divided into treatment group and control group, 30 cases in each group. The treatment group with needling method combined with electro acupuncture therapy, the main acupoints selected Jiaji, Dazhui and Fengchi, Wanggu, Tianzhu, Dazhu, acupoints selected shoulder, shoulder Dou, Quchi three, hand, Waiguan, Hegu, Hou Xi, Ashi points. Main points bilateral acupoints and acupoints selected Tachui, contralateral, acupunctureat connection Xin Sheng brand G6805-I type electro acupuncture, electroacupuncture with dilatational wave, frequency of 4/20Hz, strength in patients with Neng Nai By degrees, the needle for 30 minutes after the needle; the control group adopted conventional acupuncture and electro acupuncture therapy, acupoint selection on the main points of the same treatment group. The acupoints selected affected side. Two groups of patients were treated 1 times every other day, 3 times a week, 2 weeks for a course of treatment, a total of 2 treatment course. By 4 weeks visual analogue score table (Visual Analog Scales, VAS), Tanaka Yasushi long cervical spondylosis symptoms scale 20 score and neck disability index (the Neck Disability Index, NDI) questionnaire respectively before treatment, 1 course of treatment is 2 weeks, 2 course of treatment is 4 weeks after the inclusion of score, score, symptom improvement and evaluation of patients with clinical curative effect of two kinds of therapy. Results: 1. treatment group and control group in gender, age and the size of each scale score before treatment showed no significant difference (P0.05), two groups of patients at baseline, can be compared with.2. in the two groups treatment of 1 patients A course of treatment (2 weeks), 2 courses (4 weeks) after the visual analogue scale, Tanaka Yasushi long cervical spondylosis symptoms scale 20 score and neck disability index scores ranging from improved compared with before treatment, the scale in the 1 course of treatment (2 weeks), 2 courses (4 weeks) were statistically significant differences in scores (P0.05), showed that treatment two groups can effectively alleviate the nerve root type cervical spondylosis clinical symptoms of.3. patients in the two groups before treatment in the visual analogue scale score, no significant Tanaka Yasushi long cervical spondylosis symptoms index and function disorder questionnaire quantitative integral integral difference (P0.05); 1 courses of treatment (2 weeks), 2 courses (4 weeks) after Tanaka Yasushi long symptoms scale scores and disability index questionnaire score no significant difference (P0.05) and the two scale in the 2 course of treatment (4 weeks) before and after no statistical difference Significance (P0.05), indicating that the treatment group in improving the nerve root type of cervical spondylosis patients overall symptoms, signs and the quality of daily life and other aspects of the same effect as the control group; 1 courses of treatment (2 weeks), 2 courses (4 weeks) after the visual analogue scale score difference was statistically significant (P0.05) and in 2 courses (4 weeks) after the scale before and after treatment score difference was statistically significant (P0.05), that in alleviating the pain degree of patients in the treatment group than the control group. Conclusion: needling method with ideal curative effect on cervical spondylosis of nerve root type in Electroacupuncture treatment, improve pain, the clinical efficacy is superior to conventional acupuncture and electro acupuncture group, and high safety, can consider further clinical application.

【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】：2017
【分類(lèi)號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李榮清;王秉君;孫麗香;莘紅宇;張有祿;劉躍生;;穴位埋線(xiàn)治療神經(jīng)根型頸椎病療效觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2015年33期

2 席世珍;李海婷;岳瑞亭;;小重量持續(xù)牽引緩解神經(jīng)根型頸椎病夜間疼痛所致睡眠障礙效果觀察[J];中醫(yī)藥臨床雜志;2015年09期

3 崔哲剛;宋利雙;郭春芳;;針刺治療神經(jīng)根型頸椎病100例療效觀察[J];大家健康(學(xué)術(shù)版);2015年11期

4 陳開(kāi)珍;洪昆達(dá);張國(guó)豪;;間歇拔伸合巨刺法治療神經(jīng)根型頸椎病60例[J];福建中醫(yī)藥;2015年02期

5 王家祥;杜念念;;巨刺法對(duì)神經(jīng)根型頸椎病疼痛及白介素-6的影響[J];河南中醫(yī);2014年12期

6 葛瑞英;李新洲;;功能性磁刺激治療神經(jīng)根型頸椎病臨床體會(huì)[J];醫(yī)藥論壇雜志;2014年11期

7 范圣登;袁巖;張永俊;何曉峰;;椎旁神經(jīng)阻滯治療神經(jīng)根型頸椎病療效觀察[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2014年21期

8 侯獻(xiàn)兵;劉英莉;王美英;郝有志;李曉峰;賈春生;;耳針沿皮透穴刺法結(jié)合排針刺法治療神經(jīng)根型頸椎病61例[J];中國(guó)針灸;2014年07期

9 王冠;;理筋正骨手法治療神經(jīng)根型頸椎病的療效觀察[J];醫(yī)學(xué)理論與實(shí)踐;2013年13期

10 譚桂珍;陳平;曾亮;;中藥外治神經(jīng)根型頸椎病效果觀察及護(hù)理[J];現(xiàn)代臨床護(hù)理;2013年06期

相關(guān)碩士學(xué)位論文 前3條

1 金大山;電針治療神經(jīng)根型頸椎病的臨床觀察[D];南京中醫(yī)藥大學(xué);2013年

2 金載皓;電針頸夾脊穴治療神經(jīng)根型頸椎病臨床療效觀察[D];南京中醫(yī)藥大學(xué);2011年

3 何麗;火針治療神經(jīng)根型頸椎病臨床觀察[D];廣州中醫(yī)藥大學(xué);2006年

，

本文編號(hào)：1400965