本文選題：經(jīng)筋刺血療法 + 頸型頸椎病　； 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：隨著人們勞動(dòng)方式及生活方式的不斷改變,頸型頸椎病的發(fā)病率呈不斷上升和呈年輕化的趨勢(shì),給人們的生活和工作造成極大的困擾,因此開(kāi)展對(duì)頸型頸椎病的防治有著重要的現(xiàn)實(shí)意義。本課題運(yùn)用臨床科研方法和數(shù)據(jù)統(tǒng)計(jì)方法,采用視覺(jué)模擬評(píng)分法(VAS)評(píng)分、簡(jiǎn)化McGill量表調(diào)查問(wèn)卷及頸椎功能障礙指數(shù)(NDI)調(diào)查問(wèn)卷等量表及其指標(biāo)對(duì)其進(jìn)行臨床療效評(píng)價(jià)。觀察經(jīng)筋刺血療法治療頸型頸椎病的臨床療效,并客觀評(píng)價(jià)經(jīng)筋刺血療法在改善頸型頸椎病患者疼痛及臨床癥狀,體征及日常生活動(dòng)作方面的影響,以求科學(xué)的評(píng)價(jià)經(jīng)筋刺血療法治療頸型頸椎病的科學(xué)性和有效性,為治療頸型頸椎病的提供一種方便而有效的治療方案。方法：本研究的受試患者來(lái)自于2015年1月份至2016年1月份的廣東省第二中醫(yī)院針灸康復(fù)科門(mén)診及住院部的頸型頸椎病患者60例,符合納入標(biāo)準(zhǔn),采用隨機(jī)對(duì)照的臨床研究方案。按就診順序分為治療組(采用經(jīng)筋刺血療法)和對(duì)照組(采用常規(guī)針刺療法),每組各30例。兩組都是每周治療3次,隔日1次,2周后評(píng)定療效。兩組在治療前及1次治療后用視覺(jué)模擬評(píng)分法(VAS)評(píng)定療效,療程結(jié)束后采用視覺(jué)模擬評(píng)分法(VAS)、簡(jiǎn)化McGill量表及頸椎功能障礙指數(shù)(NDI)調(diào)查問(wèn)卷進(jìn)行療效評(píng)價(jià)。結(jié)果：1.治療前,治療組與對(duì)照組性別、年齡、病程、VAS評(píng)分、簡(jiǎn)化McGill疼痛問(wèn)卷表評(píng)分及頸椎功能障礙指數(shù)(NDI)調(diào)查問(wèn)卷評(píng)分比較,兩組差異都無(wú)統(tǒng)計(jì)意義(P0.05),說(shuō)明治療組和對(duì)照組兩組的患者基線特征是具有可比性。2、兩組患者1次治療后視覺(jué)模擬評(píng)分法(VAS)評(píng)分與治療前組內(nèi)相比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01,P0.05)。說(shuō)明兩種療法均具有良好的即時(shí)鎮(zhèn)痛效應(yīng),但筋經(jīng)刺血療法組優(yōu)于常規(guī)針刺組。全部治療結(jié)束后,兩組VAS評(píng)分、簡(jiǎn)化McGill疼痛問(wèn)卷表及頸椎功能障礙指數(shù)(NDI)調(diào)查問(wèn)卷評(píng)分與治療前組內(nèi)比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01,P0.05)。治療后兩組VAS評(píng)分、簡(jiǎn)化McGill疼痛問(wèn)卷表及頸椎功能障礙指數(shù)(NDI)調(diào)查問(wèn)卷評(píng)分組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01,P0.05)。提示經(jīng)筋刺血療法和普通針刺療法均能有效的緩解型頸椎病患者癥狀、體征及日常生活動(dòng)作,且經(jīng)筋刺血療法優(yōu)于常規(guī)針刺法。3、治療后,經(jīng)筋刺血療法組治愈22例,好轉(zhuǎn)7例,未愈1例�？傆行蕿�96.6%；常規(guī)針刺組治愈16例,好轉(zhuǎn)10例,未愈4例,總有效率為86.6%；在總有效率上,經(jīng)秩和檢驗(yàn),P0.05,有統(tǒng)計(jì)學(xué)意義,說(shuō)明經(jīng)筋刺血療法組臨床療效優(yōu)于常規(guī)針刺組。結(jié)論：經(jīng)筋刺血療法和常規(guī)針刺療法都能很好的改善頸型頸椎病患者的癥狀、體征及日常生活動(dòng)作,且經(jīng)筋刺血療法在即時(shí)鎮(zhèn)痛效應(yīng)及總體療效方面優(yōu)于常規(guī)針刺療法。
[Abstract]:Objective: with the change of people's working style and life style, the incidence rate of cervical spondylosis is rising and younger, which causes great trouble to people's life and work.Therefore, the prevention and treatment of cervical spondylosis has important practical significance.In this paper, the clinical scientific research method and data statistic method were used to evaluate the clinical efficacy of McGill scale and cervical spine dysfunction index (NDI) by using visual analogue score (VAS) and visual analogue score (VAS).To observe the clinical effect of blood acupuncture therapy on cervical spondylopathy, and to evaluate objectively the effect of blood acupuncture therapy on the improvement of pain, clinical symptoms, physical signs and daily life movements in patients with cervical spondylosis.In order to scientifically evaluate the scientific and effective treatment of cervical spondylopathy with blood puncture of meridians, a convenient and effective treatment scheme was provided for the treatment of cervical spondylosis of cervical type.Methods: from January 2015 to January 2016, 60 patients with cervical cervical spondylosis from the Department of Acupuncture and Rehabilitation, Department of Acupuncture and Rehabilitation, second Hospital of Guangdong Province, were enrolled in the study.The patients were divided into two groups according to the order of visit: the treatment group (treated with blood acupuncture) and the control group (30 cases in each group).Both groups were treated 3 times a week and evaluated after 2 weeks of treatment every other day.Visual analogue score (VAS) was used to evaluate the efficacy of the two groups before and after treatment. After the course of treatment, visual analogue score (VAS) was used to simplify the McGill scale and the cervical spine dysfunction index (NDI) questionnaire to evaluate the efficacy.The result is 1: 1.Before treatment, the scores of sex, age, course of disease and VAS, simplified McGill pain questionnaire and cervical spine dysfunction index were compared between the treatment group and the control group.There was no statistical significance between the two groups, indicating that the baseline characteristics of the patients in the treatment group and the control group were comparable. The visual analogue score (VAS) score of the two groups was significantly higher than that of the pre-treatment group.The results showed that both of them had good immediate analgesic effect, but the treatment group was superior to the routine acupuncture group.After all treatment, the VAS score, simplified McGill pain scale and cervical spine dysfunction index were compared with those before treatment. The difference was statistically significant (P 0.01) and P 0.05 (P < 0.05).After treatment, there were significant differences in VAS score, simplified McGill pain scale and cervical spine dysfunction index between the two groups.It is suggested that both meridian pricking blood therapy and common acupuncture therapy can effectively relieve symptoms, signs and daily life movements of patients with cervical spondylosis, and the meridian needling blood therapy is superior to conventional acupuncture therapy .3.After treatment, 22 cases are cured and 7 cases are improved in the meridian needling blood therapy group.There was no recovery in 1 case.The total effective rate was 96.6in the routine acupuncture group, 16 cases were cured, 10 cases were improved, 4 cases were not recovered, the total effective rate was 86.6%, and the total effective rate was significantly higher than that in the routine acupuncture group by rank sum test (P0.05), which indicated that the clinical efficacy of the treatment group was better than that of the routine acupuncture group.Conclusion: both meridian pricking blood therapy and routine acupuncture therapy can improve the symptoms, physical signs and daily life movements of patients with cervical spondylosis, and the acupuncture therapy is superior to the routine acupuncture therapy in terms of immediate analgesic effect and overall curative effect.
【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】：2016
【分類(lèi)號(hào)】：R246.9

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