本文選題：頸型頸椎病 + 美式整脊手法��； 參考：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:研究探索美式拇指矯正法結(jié)合龍氏仰臥推正法,治療頸型頸椎病的臨床療效;以及該方法輔以頸三針針刺治療時,療效是否具有差異。在確保療效的基礎(chǔ)上,探索更加簡便、有效的治療方法并推廣應(yīng)用。方法:從廣州黃陂醫(yī)院理療科門診收集60例符合本次研究診斷標準的頸型頸椎病患者。將60名患者隨機分為治療組與對照組,每組均30例。治療組采用美式拇指矯正法結(jié)合龍氏仰臥推正法的整脊手法治療頸型頸椎病,對照組采用與治療組相同的整脊手法結(jié)合頸三針進行治療。整脊治療與頸三針針刺治療用時均大約為30min每次,隔1～2天治療一次,共治療三次,共一個療程,在一周內(nèi)完成。收集治療前、后的觀察指標,包括一般資料,癥狀體征積分及頸椎功能障礙指數(shù)評分(NDI),最后使用SPSS整理并分析觀察指標數(shù)據(jù)。結(jié)果:治療組顯效29例,痊愈1例;對照組顯效28例,痊愈2例。兩組的總有效率均為100%。秩和檢驗對比組間療效差異,結(jié)果P0.05,差異無統(tǒng)計學意義。t檢驗分別對比治療組與對照組的癥狀體征積分與NDI評分在治療前后的差異,結(jié)果均為P0.05,兩組治療后的評分均低于治療前的評分,差異具有統(tǒng)計學意義。治療后癥狀體征積分與NDI評分的降低幅度以百分比(治療前評分-治療后評分/治療前評分*100%)表示;治療組癥狀體征積分與NDI評分降低幅度對應(yīng)分別為86.58%、78.86%,對照組的降低幅度分別為87.72%、75.58%;組間對比癥狀體征積分與NDI評分降低幅度,結(jié)果P0.05,差異無統(tǒng)計學意義。結(jié)論:美式整脊療法與美式整脊結(jié)合頸三針療法治療頸型頸椎病(NTCS)均取得了顯著效果。兩種療法在解除疼痛不適,改善提高頸椎功能方面表現(xiàn)優(yōu)秀。美式整脊療法與美式整脊結(jié)合頸三針無論是在療效上,或是改善頸椎功能和緩解疼痛的效果上,均無顯著差異。本次研究中沒有出現(xiàn)不良事件,說明美式整脊手法操作的安全性高。且所選用的手法操作簡單,易上手,即使臨床未久的年輕醫(yī)師,稍加訓練后也能取得良好療效,為患者解除病痛提供了更多的選擇。
[Abstract]:Objective: to explore the clinical effect of American thumb correction method combined with Longshi supine and orthopedic method in treating cervical spondylosis and whether there are differences in curative effect between this method and three-needle acupuncture therapy. On the basis of ensuring curative effect, a more simple and effective treatment method is explored and popularized. Methods: sixty patients with cervical spondylosis were collected from physiotherapy department of Huangpi Hospital in Guangzhou. 60 patients were randomly divided into treatment group and control group, 30 cases in each group. The treatment group treated cervical spondylosis with the American thumb correction method combined with Longshi supine pushing and orthodontic manipulation, while the control group was treated with the same ridge manipulation combined with three cervical needles as the treatment group. The whole ridge treatment and the cervical three acupuncture treatment time were about 30min every time, once every 2 days, a total of three times, a course of treatment, completed in one week. The observation indexes before and after treatment were collected, including general data, symptom and sign scores and cervical spine dysfunction index scores. Finally, SPSS was used to collate and analyze the observation data. Results: 29 cases were cured in the treatment group and 2 cases in the control group. The total effective rate of both groups was 100. Results there was no significant difference between treatment group and control group in symptom and sign score and NDI score before and after treatment by rank sum test (P 0.05). The results were all P 0.05. The scores of the two groups after treatment were lower than those before treatment, and the difference was statistically significant. The decrease of symptom and sign score and NDI score after treatment was expressed as a percentage (pre-treatment score-post-treatment score / pre-treatment score 100). The decrease range of symptom and sign score and NDI score in the treatment group was 86.58 and 78.86, respectively, while that in the control group was 87.72 and 75.58 respectively, and the difference between the symptom and sign score and the NDI score was not statistically significant (P 0.05). Conclusion: both American chiropractic therapy and American spinal therapy combined with cervical three-needle therapy have achieved remarkable results in the treatment of cervical Spondylotic spondylosis. The two treatments perform well in relieving pain and discomfort and improving cervical vertebra function. There was no significant difference between American chiropractic and American spine combined with cervical three needles in terms of curative effect, improvement of cervical vertebra function and relief of pain. There were no adverse events in this study, indicating the high safety of American ridge manipulation. And the operation is simple and easy to use. Even young doctors who have not been treated for a long time can get good results after a little training, which provides more options for patients to relieve the pain.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9
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本文編號：2013666