發(fā)布時間：2018-07-11 09:57

  本文選題：神經(jīng)根型頸椎病 + 溫針灸�。� 參考：《湖北中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:探討溫針灸結(jié)合中藥離子導(dǎo)入治療神經(jīng)根型頸椎病患者的臨床療效。方法:收集2014年6月-2015年6月間在深圳市福田區(qū)中醫(yī)院住院治療的符合納入標(biāo)準(zhǔn)60例神經(jīng)根型頸椎病患者,按照首次來診先后順序,用隨機(jī)數(shù)字表方法,將所選取的病例隨機(jī)分為兩組,每組各30例。其中治療A組予溫針灸結(jié)合中藥離子導(dǎo)入組治療,對照B組采用針刺結(jié)合中藥離子導(dǎo)入治療。上述治療時間每次均為30分鐘,每日一次,6日為一療程,3個療程后觀察兩組神經(jīng)根型頸椎病患者的相關(guān)指標(biāo),對兩組患者進(jìn)行療效比較。應(yīng)用SPSS 19.0統(tǒng)計學(xué)軟件進(jìn)行統(tǒng)計學(xué)分析,對比兩組患者的治療效果。評價溫針灸結(jié)合中藥離子導(dǎo)入治療神經(jīng)根型頸椎病的效果,為臨床治療神經(jīng)根型頸椎病提供優(yōu)選方案。結(jié)果:1.兩組患者治療后臨床療效顯示:治療A組(溫針灸結(jié)合中藥離子導(dǎo)入組)痊愈16例(占53.3%),顯效9例(占30.0%),有效4例(占13.3%),無效1例(占3.3%),總有效率達(dá)96.7%;對照B組(針刺結(jié)合中藥離子導(dǎo)入組)痊愈13例(占43.3%),顯效7例(占23.3%),有效3例(占10.0%),無效7例(占23.3%),總有效率達(dá)76.7%。兩組組數(shù)據(jù)經(jīng)統(tǒng)計分析,治療組與各對照組臨床療效相比,差異均具有統(tǒng)計學(xué)意義(P0.05),表明治療組臨床療效顯著,明顯優(yōu)于對照組。2.兩組患者治療前后癥狀、體征和功能狀態(tài)評價指標(biāo)比較結(jié)果顯示:治療前治療組與對照組積分組間比較,差異無統(tǒng)計學(xué)意義,(P0.05);治療后治療組癥狀、體征和功能狀態(tài)積分,明顯低于對照組,P0.05。3.兩組患者治療前后PRI總分、VAS評分、PPI評分比較結(jié)果顯示:治療前各組在三種評分上基本一致,差異無統(tǒng)計學(xué)意義(P0.05);治療后,治療組A組在PRI總分、VAS評分、PPI評分方面均明顯低于治療前,差異均具有統(tǒng)計學(xué)意義(P0.05);對照組B組在PRI總分、VAS評分方面優(yōu)于治療前(P0.05),但在PPI評分方面,對照B組治療后則與治療前均無明顯差異(P0.05);治療組A組在積分差值上結(jié)論:溫針灸結(jié)合中藥離子導(dǎo)入法能顯著提高神經(jīng)根型頸椎病患者的臨床治愈率,可以較好的降低神經(jīng)根型頸椎病患者的疼痛程度,能夠作為神經(jīng)根型頸椎病患者治療的一種新的方案,且安全有效的方法。溫針灸配合中藥離子導(dǎo)入法與對照組治療方案相比,對神經(jīng)根型頸椎病患者的臨床療效及一般情況改善具有更好的臨床療效,治療組的總有效率高達(dá)96.7%。溫針灸結(jié)合中藥離子導(dǎo)入組患者的癥狀、體征和功能狀態(tài)的評價指標(biāo)均較針刺結(jié)合中藥離子導(dǎo)入組得到了明顯的改善,疼痛評價指標(biāo)比較結(jié)果亦表明溫針灸配合中藥離子導(dǎo)入療法在改善神經(jīng)根型頸椎病患者的臨床癥狀和體征以及緩解患者的疼痛狀況更具有治療優(yōu)勢,值得臨床中進(jìn)一步研究及推廣。
[Abstract]:Objective: to investigate the clinical effect of warming acupuncture combined with iontophoresis of traditional Chinese medicine for the treatment of cervical spondylosis of nerve root type. Methods: from June 2014 to June 2015, 60 patients with cervical spondylopathy of nerve root type who were hospitalized in Shenzhen Futian District traditional Chinese Medicine Hospital were collected. The selected cases were randomly divided into two groups, 30 cases in each group. Group A was treated with warm acupuncture combined with iontophoresis of traditional Chinese medicine, and group B was treated with acupuncture combined with iontophoresis of traditional Chinese medicine. The above treatment time was 30 minutes, once a day, 6 days as a course of treatment. After 3 courses of treatment, the related indexes of two groups of patients with cervical spondylosis of nerve root type were observed, and the curative effect was compared between the two groups. SPSS 19.0 statistical software was used for statistical analysis to compare the therapeutic effect between the two groups. To evaluate the effect of warming acupuncture combined with iontophoresis of traditional Chinese medicine for the treatment of cervical spondylopathy of nerve root type, and to provide an excellent scheme for clinical treatment of cervical spondylosis of nerve root type. The result is 1: 1. After treatment, 16 cases (53.3%) were cured, 9 cases (30.0%) were markedly effective, 4 cases (13.3%) were effective, 1 case (3.3%) was ineffective, and the total effective rate was 96.7% in group A (warm acupuncture and moxibustion combined with iontophoresis of traditional Chinese medicine). 13 cases (43.3%) were cured, 7 cases (23.3%) were markedly effective, 3 cases (10.0%) were effective, 7 cases (23.3%) were ineffective, and the total effective rate was 76.7%. Two groups of data after statistical analysis, the treatment group and each control group compared with the clinical efficacy, the difference was statistically significant (P0.05), indicating that the clinical efficacy of the treatment group is significantly better than that of the control group. 2. The comparison of symptoms, signs and functional state between the two groups before and after treatment showed that there was no significant difference between the treatment group and the control group before and after treatment (P0.05); after treatment, the symptoms, signs and functional state scores of the treatment group, It was significantly lower than that of the control group (P 0.05.3). The comparison of PRI total score and VAS score and PPI score before and after treatment showed that the three scores were basically the same in each group before and after treatment, the difference was not statistically significant (P0.05); after treatment, In treatment group A, the total PRI score and VAS score and PPI score were significantly lower than those before treatment (P0.05), while in control group B the total PRI score and VAS score were better than those before treatment (P0.05), but in PPI score, PPI scores were higher in group A than before treatment (P0.05). There was no significant difference between control group B and before treatment (P0.05). Conclusion: warm acupuncture combined with traditional Chinese medicine ion introduction method can significantly improve the clinical cure rate of cervical spondylopathy of nerve root type. It can reduce the degree of pain in patients with cervical spondylopathy of nerve root type. It can be used as a new method for the treatment of cervical spondylopathy of nerve root type, and it is a safe and effective method. Compared with the control group, warming acupuncture and traditional Chinese medicine iontophoresis has better clinical effect on the patients with cervical spondylopathy of nerve root type. The total effective rate of the treatment group is as high as 96.7%. The evaluation indexes of symptoms, signs and functional status of patients in the group of warm acupuncture combined with traditional Chinese medicine iontophoresis were significantly improved compared with the group of acupuncture combined with traditional Chinese medicine iontophoresis. The results of pain evaluation also showed that warming acupuncture combined with iontophoresis of traditional Chinese medicine can improve the clinical symptoms and signs of patients with cervical spondylopathy of nerve root type and alleviate the pain status of patients with cervical spondylosis. It is worthy of further study and popularization in clinic.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 曹玉華;尹旭輝;;火針結(jié)合拔罐治療神經(jīng)根型頸椎病療效分析[J];河北中醫(yī)藥學(xué)報;2015年03期

2 李云華;劉穎;;耳穴針刺治療神經(jīng)根型頸椎病23例[J];浙江中醫(yī)雜志;2015年08期

3 李冠豪;曹淑;;熱敏灸治療神經(jīng)根型頸椎病療效觀察[J];四川中醫(yī);2015年07期

4 蔡國偉;李靜;陳玉婷;吳熳;李鵬飛;薛遠(yuǎn)志;李剛;;熱敏灸熱敏化大椎穴治療神經(jīng)根型頸椎病臨床觀察[J];上海針灸雜志;2015年06期

5 王海超;;觀察益氣養(yǎng)血、活血祛瘀類中藥治療神經(jīng)根型頸椎病的臨床療效[J];中國醫(yī)藥指南;2015年11期

6 廉杰;趙明宇;吳丹;;軟傷外洗方配合優(yōu)值牽引法治療神經(jīng)根型頸椎病36例[J];陜西中醫(yī);2015年01期

7 陳曉英;但小紅;李明波;楊強(qiáng);陳弘嚴(yán);王科闖;景洪帥;;針刺“下頸夾脊穴”治療神經(jīng)根型頸椎病的臨床觀察[J];中國醫(yī)藥導(dǎo)報;2014年36期

8 胡追成;朱軼;張峻峰;口鎖堂;吳耀持;;電針治療神經(jīng)根型頸椎病參數(shù)量化的研究[J];上海針灸雜志;2014年09期

9 李明;徐天舒;阮建國;;針刺頸夾脊結(jié)合推拿治療神經(jīng)根型頸椎病臨床觀察[J];針灸臨床雜志;2014年09期

10 趙凡平;汪崇淼;章奕飛;周綺;;推拿結(jié)合保健操治療頸型、神經(jīng)根型頸椎病[J];吉林中醫(yī)藥;2014年09期

相關(guān)博士學(xué)位論文 前1條

1 趙明廣;輸穴結(jié)合夾脊穴治療神經(jīng)根型頸椎病的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

相關(guān)碩士學(xué)位論文 前4條

1 鄂遠(yuǎn);神經(jīng)根型頸椎病的證候分型及中醫(yī)治療方案構(gòu)建的研究[D];南京中醫(yī)藥大學(xué);2014年

2 陳冰;深刺大椎治療神經(jīng)根型頸椎病臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2014年

3 孫士飛;葛根湯加減治療神經(jīng)根型頸椎�。L(fēng)寒濕型）的臨床研究[D];長春中醫(yī)藥大學(xué);2013年

4 陳麒仲;神經(jīng)根型頸椎病的治療方法探討[D];北京中醫(yī)藥大學(xué);2012年

，

本文編號：2114727