本文選題：針刺　切入點：腹部腧穴　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本課題通過觀察針刺腹部腧穴為主治療神經(jīng)根型頸椎病的臨床療效,旨在為臨床治療該病尋求更優(yōu)化的針灸診治思路與方法。方法：將符合標(biāo)準(zhǔn)且自愿參加本次試驗的65例神經(jīng)根型頸椎病患者(剔除5例)為研究對象,隨機分為治療組與對照組,每組各30例。治療組以腹部腧穴為主的治療處方(上脘、中脘、建里、石關(guān)、天樞、氣海、足三里、內(nèi)關(guān))治療；對照組以常規(guī)處方(大椎、天柱、頸椎夾脊、后溪、曲池、合谷、外關(guān))治療。治療手段均選用毫針針刺法。并以田中晉久20分法量化表、頸椎病臨床評價量表作為療效觀測指標(biāo),進行兩組組間和組內(nèi)治療前、治療后田中晉久20分法量表評分的評分,以及治療后兩組的頸椎病臨床評價量表的療效等級劃分的對照研究。結(jié)果：研究顯示,治療前兩組性別、年齡、病程方面無明顯差異(P0.05),兩者具有可比性。組間比較中,治療前兩組田中晉久量表總分,經(jīng)統(tǒng)計P=0.869(P0.05),無統(tǒng)計學(xué)意義,可以進行比較。治療后兩組的田中晉久20分法量表總分,經(jīng)統(tǒng)計P=0.035(P0.05),兩者有統(tǒng)計學(xué)意義,說明兩組治療后的總分有差別,療效有差異,可進行比較。就兩組治療后的頸椎病臨床評價量表療效等級的比較,P=0.029(P0.05)兩者比較具有統(tǒng)計學(xué)意義,治療組有效率為86.67%,對照組有效率為76.67%,故治療組療效高于對照組。組內(nèi)比較中,治療組和對照組治療前后總分統(tǒng)計比較,P=0.00,具有統(tǒng)計學(xué)意義,說明兩組的治療方法對神經(jīng)根型頸椎病都是有效的。結(jié)論：兩種針刺方法均能改善根型頸椎病的臨床癥狀及一些特定體征,但治療組有明顯的療效優(yōu)勢。
[Abstract]:Objective: to observe the clinical effect of acupuncture on cervical spondylosis of nerve root type by acupuncture of abdominal acupoints. Methods: 65 patients with cervical spondylopathy of nerve root type (5 cases) who met the criteria and volunteered to participate in the trial were selected as the study objects. The treatment group was randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with abdominal acupoints (Shangwan, Zhongwan, Jianli, Shiguan, Tianshu, Qihai, Zusanli, Neiguan), while the control group was treated with routine prescriptions (Dazhui, Tianzhu, Tianzhu). Cervical spine clamp, Houxi, Quchi, Hegu, Waiguan) treatment. All the treatment methods were treated by the method of needle acupuncture. The quantitative table of Tianzhong Jinjiu 20's method and the clinical evaluation scale of cervical spondylopathy were used as the therapeutic observation indexes before the treatment between the two groups and within the group. A comparative study on the scores of 20 points of the Tianzhong Jinjiu 20 method after treatment and the clinical evaluation scale of cervical spondylopathy in the two groups after treatment. Results: the study showed that the two groups had sex, age, and age before treatment. There was no significant difference in the course of the disease between the two groups. The total score of Tianzhong Jinjiu scale before treatment in the two groups was not statistically significant, but there was no statistical significance between the two groups. After treatment, the total score of the Tianzhong Jinjiou-20 method scale in the two groups could be compared. There were significant differences in the total score and curative effect between the two groups after treatment. The comparison of the clinical evaluation scale for cervical spondylosis between the two groups was statistically significant. The effective rate was 86.67 in the treatment group and 76.67 in the control group, so the curative effect in the treatment group was higher than that in the control group. Conclusion: the two acupuncture methods can improve the clinical symptoms and some specific signs of cervical spondylopathy of root type, but the treatment group has obvious curative effect advantage.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9

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