本文關(guān)鍵詞： 神經(jīng)根型頸椎病 血瘀氣滯 針灸 中醫(yī)臨床療效評(píng)定　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討王秀華教授自擬方配合針灸治療血瘀氣滯型CSR的臨床療效觀察。材料與方法:根據(jù)納入、排除以及剔除標(biāo)準(zhǔn),選擇于2013年9月至2016年1月間在遼寧中醫(yī)藥大學(xué)附屬醫(yī)院骨傷門診治療的96例,診斷為血瘀氣滯型CSR患者,均符合納入標(biāo)準(zhǔn)。所有患者隨機(jī)平均分成治療組與對照組,其中治療組48例采用口服自擬方合針灸治療的方法,對照組48例采用骨筋丸膠囊配合針灸治療的方法。所有患者均有完整的資料并獲得有效隨訪均達(dá)到3個(gè)月。結(jié)果:1.中醫(yī)臨床療效評(píng)定中,治療組總有效率為93.4%,對照組總有效率為89.6%。治療組與對照組比較有明顯差異(P0.01)。2.觀察兩組患者的VAS評(píng)分,治療前治療組與對照組比較(P0.05)無統(tǒng)計(jì)學(xué)意義;組內(nèi)治療前、后評(píng)分比較,均有顯著的統(tǒng)計(jì)學(xué)意義(P0.05);治療后治療組與對照組相比較,有統(tǒng)計(jì)學(xué)意義(P0.05)。3.觀察兩組患者的麻木癥狀評(píng)分,治療前兩組比較(P0.05)無統(tǒng)計(jì)學(xué)意義;兩組組內(nèi)治療前、后評(píng)分比較,均有顯著的統(tǒng)計(jì)學(xué)意義(P0.05);治療后,治療組與對照組相比較,有統(tǒng)計(jì)學(xué)意義(P0.05)。4.比較兩組患者的ALT、BUN、CR指標(biāo);治療后治療組與對照組比較(P0.05)無統(tǒng)計(jì)學(xué)意義;對比組內(nèi)治療前、后,結(jié)果顯示均無統(tǒng)計(jì)學(xué)意義(P0.05)。5.比較治療后到兩組疼痛、麻木開始緩解時(shí)間,有統(tǒng)計(jì)學(xué)意義(P0.01),且治療組優(yōu)明顯于對照組。結(jié)論:使用王秀華教授自擬方配合針灸治療血瘀氣滯型CSR效果比骨筋丸膠囊配合針灸治療效果更好。
[Abstract]:Objective: to investigate the clinical curative effect of Professor Wang Xiuhua's prescription combined with acupuncture in treating CSR with blood stasis and qi stagnation. Materials and methods: according to the criteria of inclusion, exclusion and elimination, From September 2013 to January 2016, 96 patients who were diagnosed as CSR with blood stasis and qi stagnation were selected from the outpatient department of bone injury of affiliated Hospital of Liaoning University of traditional Chinese Medicine. All the patients were randomly divided into treatment group and control group. Among them, 48 cases in the treatment group were treated by oral self-prescription combined with acupuncture and moxibustion. In the control group, 48 cases were treated with Gujin Pill capsule combined with acupuncture and moxibustion. All the patients had complete data and were followed up effectively for 3 months. Results: 1. In the evaluation of clinical efficacy of traditional Chinese medicine, The total effective rate of the treatment group was 93.4 and the total effective rate of the control group was 89.6.There was a significant difference between the treatment group and the control group. The VAS score of the two groups was observed, and that of the treatment group was higher than that of the control group (P 0.05), the scores before and after treatment in the treatment group were compared with those in the control group. Compared with the control group, there was significant difference between the treatment group and the control group. The scores of numbness symptoms in the two groups were observed, and there was no significant difference between the two groups before and after the treatment (P 0.05), there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups before and after treatment, and there was no significant difference between the two groups before and after treatment. After treatment, compared with the control group, the treatment group had statistical significance (P 0.05), compared with the control group, compared with the control group, compared with the control group, compared with the control group, there was no significant difference between the treatment group and the control group before and after treatment, and compared with the control group before and after treatment, there was no significant difference between the treatment group and the control group before and after treatment, and compared with the control group, there was no significant difference between the treatment group and the control group before and after treatment. The results showed that there was no significant difference between the two groups in terms of pain and numbness. Conclusion: professor Wang Xiuhua's self-made prescription combined with acupuncture and moxibustion is more effective than Gujin Pill capsule in treating CSR with blood stasis and qi stagnation.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R249;R274.9

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