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  本文關(guān)鍵詞：定點復(fù)位法結(jié)合針刺治療神經(jīng)根型頸椎病的療效觀察　出處：《廣州中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 定點復(fù)位法 針刺 神經(jīng)根型頸椎病

【摘要】：目的：本研究采用臨床小樣本隨機對照試驗,以符合診斷標準、納入標準和排除標準的神經(jīng)根型頸椎病病人為研究對象,采用定點復(fù)位法結(jié)合針刺治療該病證,并與單純針刺組進行比較,探討定點復(fù)位法結(jié)合針刺在治療該疾病上的可行性、有效性和優(yōu)越性,為定點復(fù)位法結(jié)合針刺治療神經(jīng)根型頸椎病提供臨床參考依據(jù)。方法：根據(jù)診斷標準、納入標準和排除標準篩選病例,將入選的60病例隨機分為30例治療組和30例對照組,治療組采用定點復(fù)位法結(jié)合針刺治療,對照組采用單純針刺治療。定點復(fù)位法每周治療1次,針刺治療每周3次,共治療4周：觀察指標參考田中靖久確定的“頸部神經(jīng)根癥治療成績判定基準”所制訂的32分積分表,觀察比較治療前后的癥狀及體征變化。所得數(shù)據(jù)用SPSS19.0軟件進行比較分析。成果：治療組與對照組對于治療神經(jīng)根型頸椎病均有明顯療效,治療組總有效率為96.67%；對照組總有效率為86.67%,且治療組的總有效率高于對照組,兩組差異比較有統(tǒng)計學意義(P0.05),表明治療組療效優(yōu)于對照組。從總評分來看,兩組患者在治療后評分差值比較,治療組明顯高于于對照組,經(jīng)統(tǒng)計學處理,有明顯統(tǒng)計學差異(P＜0.05),表明治療組在改善癥狀及體征方面優(yōu)于對照組。在改善率方面,治療組改善率高于對照組,經(jīng)統(tǒng)計學分析,P＜0.05,表明治療組在改善癥狀方面優(yōu)于對照組。從單個癥狀及體征來看,兩組治療后評分與治療前相比均有明顯降低,差異有統(tǒng)計學意義(P＜0.05),表明兩組治療均有效果；治療組治療后在頸肩疼痛、上肢麻木和頸部壓痛評分差值高于對照組,差異具有統(tǒng)計學意義(P＜0.05),表明治療組在改善頸肩疼痛、上肢麻木和頸部壓痛方面優(yōu)于對照組。結(jié)論：定點復(fù)位法結(jié)合針刺治療神經(jīng)根型頸椎病跟單純針刺相比,療效較為明顯,且在改善患者頸肩疼痛、上肢麻木和頸部壓痛等臨床癥狀及體征方面更明顯。因此,定點復(fù)位法結(jié)合針刺綜合了復(fù)位和針刺的兩種功效,在治療神經(jīng)根型頸椎病時,是一種療效確切的綜合療法。
[Abstract]:Objective: the purpose of this study was to use a randomized controlled trial of small clinical samples to treat cervical spondylopathy with nerve root type, which met the diagnostic criteria, included criteria and excluded criteria, and used fixed point reduction combined with acupuncture to treat the syndrome. Compared with simple acupuncture group, the feasibility, effectiveness and superiority of fixed-point reduction combined with acupuncture in the treatment of the disease were discussed. Methods: according to diagnostic criteria, inclusion criteria and exclusion criteria to screen cases. The selected 60 cases were randomly divided into 30 treatment group and 30 control group. The treatment group was treated with fixed point reduction combined with acupuncture, while the control group was treated with simple acupuncture once a week. Acupuncture treatment 3 times a week for a total of 4 weeks: the observation index reference Tian Zhongjingjiu determined the "cervical nerve root disease treatment achievement criteria" developed 32 points integral table. To observe and compare the changes of symptoms and signs before and after treatment. The data were compared and analyzed by SPSS19.0 software. Results: the treatment group and the control group have obvious curative effect on the treatment of cervical spondylopathy of nerve root type. The total effective rate in the treatment group was 96.67. The total effective rate of the control group was 86.67 and the total effective rate of the treatment group was higher than that of the control group. The difference between the two groups was statistically significant (P 0.05), which indicated that the curative effect of the treatment group was better than that of the control group. The difference between the two groups after treatment, the treatment group was significantly higher than the control group, after statistical treatment, there was significant statistical difference (P < 0.05). The results showed that the treatment group was superior to the control group in improving symptoms and signs, and the improvement rate in the treatment group was higher than that in the control group (P < 0.05). The results showed that the treatment group was superior to the control group in improving symptoms. From the single symptoms and signs, the scores of the two groups after treatment were significantly lower than before treatment, the difference was statistically significant (P < 0.05). The results showed that both groups were effective. The difference of neck and shoulder pain, upper limb numbness and neck tenderness in the treatment group was higher than that in the control group (P < 0.05), indicating that the treatment group was improving the neck and shoulder pain. Conclusion: the treatment of cervical spondylosis of nerve root type by fixed reduction combined with acupuncture is more effective than simple acupuncture, and it can improve the pain of neck and shoulder of patients. The clinical symptoms and signs of upper limb numbness and cervical tenderness are more obvious. Therefore, the fixed point reduction method combined with acupuncture synthesis of the two effects of reduction and acupuncture in the treatment of cervical spondylosis of nerve root type. It is an effective combination therapy.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.9

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