發(fā)布時(shí)間：2018-03-30 20:18

  本文選題：頸型頸椎病　切入點(diǎn)：浮針　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過對(duì)浮針和普通針刺治療頸型頸椎病進(jìn)行對(duì)比,觀察兩種療法的即刻鎮(zhèn)痛效應(yīng)及臨床療效的差異,為臨床提供一種起效快、療效肯定且容易被患者接受的治療方案。方法：通過四川省中醫(yī)院針灸科門診招募及成都中醫(yī)藥大學(xué)校內(nèi)招募符合條件的受試者68例,按招募順序隨機(jī)納入試驗(yàn)組或?qū)φ战M,每組各34例。試驗(yàn)組采用浮針療法,每隔1天治療1次,6次為1個(gè)療程；對(duì)照組進(jìn)行普通針刺治療,每天治療1次,10次為1個(gè)療程。兩組均每治療5天間隔2天,2周為1個(gè)療程。分別于治療前、治療1個(gè)療程后,進(jìn)行簡(jiǎn)化McGill疼痛問卷評(píng)分,頸痛量表(NPQ)評(píng)分及癥狀體征評(píng)分,以判定綜合療效；并于首次治療后進(jìn)行VAS評(píng)分,以觀察兩種療法的即刻鎮(zhèn)痛效應(yīng)。結(jié)果：1.兩組在性別、年齡、中醫(yī)證型分布、病程及病情方面基線一致,具有可比性。2.兩組治療前與首次治療后組內(nèi)比較：視覺模擬評(píng)分(VAS)差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。3.兩組首次治療后組間比較：視覺模擬評(píng)分(VAS)結(jié)果顯示兩組差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。4.兩組治療前與治療一個(gè)療程后組內(nèi)比較：疼痛評(píng)級(jí)指數(shù)(PRI)感覺項(xiàng)及情感項(xiàng)、視覺模擬評(píng)分(VAS)、現(xiàn)有疼痛強(qiáng)度評(píng)分(PPI)、頸痛量表評(píng)分(NPQ)、癥狀體征評(píng)分差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。5.兩組治療一個(gè)療程后組間比較：疼痛評(píng)級(jí)指數(shù)(PRI)感覺項(xiàng)、視覺模擬評(píng)分(VAS)、現(xiàn)有疼痛強(qiáng)度評(píng)分(PPI)、頸痛量表評(píng)分(NPQ)、癥狀體征評(píng)分結(jié)果均顯示兩組差異無統(tǒng)計(jì)學(xué)意義(P0.05)；疼痛評(píng)級(jí)指數(shù)(PRI)情感項(xiàng)結(jié)果顯示兩組差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。6.療效評(píng)定：治療組總有效率93.94%,對(duì)照組總有效率90.62%,兩組結(jié)果顯示差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：浮針療法在即刻鎮(zhèn)痛效應(yīng)方面有一定優(yōu)勢(shì),且所需治療次數(shù)較常規(guī)針刺療法少,能有效改善患者疼痛及治療相關(guān)的負(fù)面情緒,是一種安全、有效的治療方法。
[Abstract]:Objective: to observe the difference of immediate analgesic effect and clinical effect between floating acupuncture and common acupuncture in the treatment of cervical spondylosis. Methods: 68 eligible subjects were recruited by the Department of Acupuncture and moxibustion Department of Sichuan traditional Chinese Medicine Hospital and Chengdu University of traditional Chinese Medicine and randomly enrolled in the trial group or the control group according to the order of recruitment. There were 34 cases in each group. The experimental group was treated with floating acupuncture, 6 times every one day as a course of treatment, while the control group was treated with common acupuncture. One course of treatment was given once a day, 10 times a day, and the two groups were treated every 5 days, 2 days and 2 weeks as a course of treatment. Before and after one course of treatment, simplified McGill pain scale score, neck pain scale score and symptom and sign score were performed. In order to judge the comprehensive curative effect and to evaluate the immediate analgesic effect of the two treatments by VAS score after the first treatment, the two groups had the same baseline in sex, age, distribution of TCM syndromes, course of disease and disease condition, respectively, in terms of sex, age, distribution of TCM syndromes, course of disease and severity of disease. Comparison between the two groups before and after the first treatment: visual analogue score (VAS) was statistically significant (P 0.05) .3.The comparison between the two groups after the first treatment: visual analogue score (VASS) showed that the difference between the two groups was uniform. Before treatment and after a course of treatment, the pain rating index (PRII) and the feeling item and emotion item were compared between the two groups before treatment and after one course of treatment. Visual analogue score (VASA), pain intensity score (PPI), neck pain scale (NPQ), symptom and sign score (P < 0.05) were statistically significant. Comparison between the two groups after one course of treatment: pain rating index (PRI) sensory item. Visual analogue score (VASA), pain intensity score (PPI), neck pain scale (NPQ), symptom and sign score (SPSS) showed no significant difference between the two groups (P 0.05), and pain rating index (P < 0.05) and emotion score (P < 0.05) showed significant difference between the two groups. Evaluation of curative effect: the total effective rate of the treatment group was 93.94, the total effective rate of the control group was 90.622.There was no significant difference between the two groups. Conclusion: the floating acupuncture therapy has some advantages in the immediate analgesic effect. The frequency of treatment needed is less than that of conventional acupuncture therapy, which can effectively improve the pain and related negative emotions of patients. It is a safe and effective treatment method.
【學(xué)位授予單位】：成都中醫(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)】：R246.9

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