本文選題：王氏頸椎調(diào)整術(shù) + 頸椎病��； 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究立足臨床實踐,選取神經(jīng)根型頸椎病患者為研究對象,運用兩組隨機對照試驗的方法,觀察王氏頸椎調(diào)整術(shù)治療組與傳統(tǒng)手法對照組患者在接受治療前后頸椎活動度及臨床癥狀、工作和生活能力、體癥的變化及生存質(zhì)量的改變,以此評價王氏頸椎調(diào)整術(shù)治療神經(jīng)根型頸椎病的療效及安全性,尤其在頸椎活動度方面的改善,并且整理出較完善的技術(shù)規(guī)范,為推拿治療神經(jīng)根型頸椎病的活動受限提供新思路。方法:本研究所采用病例選取在2015年4月至2016年3月范圍內(nèi)在河南中醫(yī)學(xué)院第三附屬醫(yī)院推拿科門診就診的患者,并且符合神經(jīng)根型頸椎病的典型癥狀,能夠接受推拿手法治療與相關(guān)檢查的患者。一共納入研究的病例為60例。將納入研究的病例按照試驗設(shè)計隨機分配為治療組和對照組,每組各30例。治療組患者采用王氏頸椎調(diào)整術(shù)療法,對照組患者采用傳統(tǒng)推拿療法。兩組患者的治療均為隔日1次,每周治療3次,10次為一個療程,一個療程后再進行療效統(tǒng)計。研究數(shù)據(jù)統(tǒng)一使用SPSS18.0統(tǒng)計軟件進行分析。結(jié)果:1.在改善神經(jīng)根型頸椎病活動活動受限方面,王氏頸椎調(diào)整術(shù)和傳統(tǒng)推拿手法均有明顯的效果,經(jīng)過秩和檢驗均顯示,P0.05,但是,王氏頸椎調(diào)整術(shù)在改善頸椎后伸、側(cè)彎和旋轉(zhuǎn)活動度方向上,其活動度數(shù)值改善是明顯高于傳統(tǒng)手法組。2.神經(jīng)根型頸椎病在關(guān)于田中靖久量表的評分中,和整體療效評價上,經(jīng)統(tǒng)計學(xué)分析,王氏頸椎調(diào)整術(shù)組和傳統(tǒng)手法組在治療上均有良好的效果,其中王氏頸椎調(diào)整術(shù)的總有效率是100%,傳統(tǒng)手法治療的總有效率是92.86%,說明王氏頸椎調(diào)整術(shù)是優(yōu)于傳統(tǒng)手法。結(jié)論:王氏頸椎調(diào)整術(shù)治療神經(jīng)根型頸椎病要優(yōu)于傳統(tǒng)推拿手法,能顯著改善患者因頸椎病而引起的活動受限以及工作和生活能力,并且該手法在操作過程中病人可接受強,安全性高,療效好,還具有可復(fù)制性,能夠顯著的改善病人活動受限的程度,提高病人的生存質(zhì)量,為神經(jīng)根型頸椎病的治療提供了新方法。
[Abstract]:Objective: based on clinical practice, this study selected patients with cervical spondylopathy of nerve root type as research objects, and used two groups of randomized controlled trials. To observe the changes of cervical movement, clinical symptoms, work and life ability, body disease and quality of life of the patients in the Wang's cervical spine adjustment treatment group and the traditional manipulation control group before and after the treatment. To evaluate the efficacy and safety of Wang's cervical spine adjustment in the treatment of radicular cervical spondylopathy, especially the improvement of cervical mobility, and to sort out more perfect technical specifications. To provide a new idea for massage treatment of nerve root cervical spondylopathy. Methods: the patients selected from April 2015 to March 2016 in the Department of Tuina of the third affiliated Hospital of Henan Institute of traditional Chinese Medicine were selected, and the patients were in accordance with the typical symptoms of cervical spondylosis of nerve root type. The patient who can accept massage manipulation treatment and related examination. A total of 60 cases were included in the study. The patients in the study were randomly assigned to the treatment group and the control group with 30 cases in each group according to the experimental design. The patients in the treatment group were treated with Wang's cervical spine adjustment and the patients in the control group were treated with traditional massage therapy. Two groups of patients were treated once every other day, 3 times a week for 10 times as a course of treatment, one course of treatment and then the curative effect statistics. The data were analyzed by SPSS 18.0 statistical software. The result is 1: 1. Wang's cervical vertebra adjustment and traditional massage have obvious effects on improving the limited activity of cervical spondylopathy of nerve root type. The rank sum test shows that P0.05. however, Wang's cervical spine adjustment can improve the posterior extension of cervical vertebrae. In the direction of lateral bend and rotation activity, the value improvement of the range of motion is obviously higher than that of the traditional manipulation group. 2. According to the score of Tianzhong Jingjiu scale and the evaluation of the overall curative effect of cervical spondylopathy of nerve root type, by statistical analysis, the group of Wang's cervical vertebra adjustment and the group of traditional manipulation have good effect on treatment. The total effective rate of Wang's cervical vertebra adjustment is 100 and that of traditional manipulation is 92.86, which indicates that Wang's cervical spine adjustment is superior to traditional manipulation. Conclusion: Wang's cervical spine adjustment is superior to traditional massage in the treatment of radicular cervical spondylosis. It can significantly improve the limited activity and work and life ability of the patients caused by cervical spondylosis, and the manipulation can be well accepted by the patients during the operation. It has the advantages of high safety, good curative effect and replicability. It can significantly improve the degree of limited activity and improve the quality of life of patients. It provides a new method for the treatment of cervical spondylosis of nerve root type.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R249;R274.9

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