不同頻率電針治療神經(jīng)根型頸椎病的臨床研究
發(fā)布時間：2018-08-12 10:38
【摘要】：目的：研究不同頻率的電針對于神經(jīng)根型頸椎病的臨床療效,分析不同頻率電針對于疼痛緩解的速度和程度,并分析可能的作用機(jī)制,優(yōu)選適用于該類疾病的電針頻率。在臨床運用中,提供客觀、規(guī)范的量化治療標(biāo)準(zhǔn),便于在臨床上運用和推廣方法：南通市中醫(yī)院針灸科門診確診的患者60例,按照數(shù)字隨機(jī)法,分為低頻治療組和高頻對照組,每組各30例,選取肌筋膜觸發(fā)點(根據(jù)患者情況,選取4-5個治療點),直刺,得氣后連接電針,低頻治療組電針頻率為2Hz,高頻對照組電針頻率為100Hz,1次/日,共治療十次,觀察患者疼痛綜合評分、癥狀改善評分、綜合療效以及不良反應(yīng)等,評價兩組總體療效,疼痛積分、疼痛評分、癥狀改善積分及安全性情況。結(jié)果：1、兩組患者在接受治療前評價了兩組間年齡、病程、性別的均衡性,結(jié)果顯示兩組患者在年齡、病程、性別方面無統(tǒng)計學(xué)意義(P0.05),具有可比性。2、兩組總體療效比較：低頻治療組總體有效率為80%,高頻對照組總體有效率為93%,兩組比較有統(tǒng)計學(xué)意義(p0.05),說明高頻對照組的總體療效較低頻治療組更好,臨床控制效果更佳。3、兩組疼痛評分結(jié)果比較：治療前,兩組患者的MPQ總積分中PPI、PRI、VAS積分進(jìn)行了對比,無統(tǒng)計學(xué)意義(均為P0.05),說明兩組間疼痛程度相當(dāng),具有可比性。4、治療后,分別比較治療后低頻治療組和高頻對照組的MPQ總積分與治療前的改變情況,結(jié)果顯示：兩組治療前后PPI、PRI、VAS積分進(jìn)行了對比,有顯著統(tǒng)計學(xué)意義(均為P0.001),說明不管是低頻電針還是高頻電針,均能有效緩解患者臨床癥狀。5、兩組組間治療后MPQ總積分比較,結(jié)果顯示：兩組治療后PPI、VAS積分進(jìn)行了對比,有統(tǒng)計學(xué)意義(均為P0.05),說明高頻電針在癥狀改善方面均較低頻低頻電針組療效更佳,兩組治療后PRI積分進(jìn)行了對比,有顯著統(tǒng)計學(xué)意義((p0.001)),亦可說明高頻電針在PRI積分改善方面較低頻低頻電針組療效顯著。6、病人癥狀改善評分結(jié)果比較：治療前,比較兩組癥狀評分,低頻治療組與高頻對照組治療前相比無統(tǒng)計學(xué)意義(P0.05),具有可比性：治療后,兩組癥狀改善評分,低頻治療組與高頻對照組治療前相比有統(tǒng)計學(xué)意義(P0.05),說明低頻電針與高頻電針相比,高頻電針改善神經(jīng)根型頸椎病癥狀的效果更佳。結(jié)論：電針治療神經(jīng)根型頸椎病療效顯著,1 00Hz電針療效更佳。
[Abstract]:Objective: to study the clinical effect of electroacupuncture with different frequency on cervical spondylopathy of nerve root type, to analyze the speed and degree of pain relief of electroacupuncture with different frequency, and to analyze the possible mechanism, and to select the frequency of electroacupuncture suitable for this kind of disease. In clinical application, the objective and standardized quantitative treatment standard is provided to facilitate the clinical application and popularization of the methods: 60 patients diagnosed in the Department of Acupuncture and moxibustion Department of Nantong traditional Chinese Medicine Hospital were randomly divided into low-frequency treatment group and high-frequency control group according to the digital random method. There were 30 cases in each group. The trigger point of myofascial (4-5 treatment points according to the patient's condition) was selected. The electroacupuncture frequency of the low-frequency treatment group was 2Hz. the frequency of electroacupuncture in the low-frequency treatment group was 2Hz, and the frequency of electroacupuncture in the high-frequency control group was 100Hz per day. The comprehensive score of pain, symptom improvement score, comprehensive curative effect and adverse reaction were observed, and the overall curative effect, pain score, symptom improvement score and safety of the two groups were evaluated. Results: 1. Before receiving treatment, the two groups of patients evaluated the equilibrium of age, course of disease and sex between the two groups. The results showed that the two groups of patients were in age, course of disease, There was no statistical significance in sex (P0.05), which was comparable. 2. Comparison of the total curative effect between the two groups: the total effective rate of the low-frequency treatment group was 80, the total effective rate of the high-frequency control group was 933, the comparison between the two groups was statistically significant (p0.05), indicating the total effective rate of the high-frequency control group (p0.05). The body effect was better than that in the low frequency treatment group. Comparison of pain score between the two groups: before treatment, there was no significant difference between the two groups in the total MPQ score (P0.05), indicating that the pain degree of the two groups was comparable and comparable .4.After the treatment, there was no significant difference between the two groups in the total MPQ score, and there was no significant difference between the two groups (P0.05), which indicated that the pain degree between the two groups was comparable. After treatment, the total MPQ scores in the low-frequency treatment group and the high-frequency control group were compared with those before and after treatment. The results showed that the two groups were compared with each other before and after treatment. There was significant statistical significance (P0. 001), indicating that both low frequency electroacupuncture and high frequency electroacupuncture could effectively relieve the clinical symptoms of the patients. The total scores of MPQ after treatment were compared between the two groups. There was statistical significance (P0.05), which showed that the effect of high frequency electroacupuncture was better than that of low frequency electroacupuncture group. The PRI score of the two groups after treatment was compared. There was significant statistical significance (p0. 001), also showed that the improvement of PRI score in high frequency electroacupuncture group was significantly better than that in low frequency electroacupuncture group. There was no significant difference between the low-frequency treatment group and the high-frequency control group before treatment (P0.05), which was comparable: after treatment, the symptom improvement scores of the two groups were improved, There was significant difference between the low frequency treatment group and the high frequency control group before treatment (P0.05), which indicated that the effect of high frequency electroacupuncture on improving the symptoms of cervical spondylopathy of nerve root type was better than that of high frequency electroacupuncture. Conclusion: the curative effect of electroacupuncture on cervical spondylosis of nerve root type is better than that of 1 00Hz.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9
[Abstract]:Objective: to study the clinical effect of electroacupuncture with different frequency on cervical spondylopathy of nerve root type, to analyze the speed and degree of pain relief of electroacupuncture with different frequency, and to analyze the possible mechanism, and to select the frequency of electroacupuncture suitable for this kind of disease. In clinical application, the objective and standardized quantitative treatment standard is provided to facilitate the clinical application and popularization of the methods: 60 patients diagnosed in the Department of Acupuncture and moxibustion Department of Nantong traditional Chinese Medicine Hospital were randomly divided into low-frequency treatment group and high-frequency control group according to the digital random method. There were 30 cases in each group. The trigger point of myofascial (4-5 treatment points according to the patient's condition) was selected. The electroacupuncture frequency of the low-frequency treatment group was 2Hz. the frequency of electroacupuncture in the low-frequency treatment group was 2Hz, and the frequency of electroacupuncture in the high-frequency control group was 100Hz per day. The comprehensive score of pain, symptom improvement score, comprehensive curative effect and adverse reaction were observed, and the overall curative effect, pain score, symptom improvement score and safety of the two groups were evaluated. Results: 1. Before receiving treatment, the two groups of patients evaluated the equilibrium of age, course of disease and sex between the two groups. The results showed that the two groups of patients were in age, course of disease, There was no statistical significance in sex (P0.05), which was comparable. 2. Comparison of the total curative effect between the two groups: the total effective rate of the low-frequency treatment group was 80, the total effective rate of the high-frequency control group was 933, the comparison between the two groups was statistically significant (p0.05), indicating the total effective rate of the high-frequency control group (p0.05). The body effect was better than that in the low frequency treatment group. Comparison of pain score between the two groups: before treatment, there was no significant difference between the two groups in the total MPQ score (P0.05), indicating that the pain degree of the two groups was comparable and comparable .4.After the treatment, there was no significant difference between the two groups in the total MPQ score, and there was no significant difference between the two groups (P0.05), which indicated that the pain degree between the two groups was comparable. After treatment, the total MPQ scores in the low-frequency treatment group and the high-frequency control group were compared with those before and after treatment. The results showed that the two groups were compared with each other before and after treatment. There was significant statistical significance (P0. 001), indicating that both low frequency electroacupuncture and high frequency electroacupuncture could effectively relieve the clinical symptoms of the patients. The total scores of MPQ after treatment were compared between the two groups. There was statistical significance (P0.05), which showed that the effect of high frequency electroacupuncture was better than that of low frequency electroacupuncture group. The PRI score of the two groups after treatment was compared. There was significant statistical significance (p0. 001), also showed that the improvement of PRI score in high frequency electroacupuncture group was significantly better than that in low frequency electroacupuncture group. There was no significant difference between the low-frequency treatment group and the high-frequency control group before treatment (P0.05), which was comparable: after treatment, the symptom improvement scores of the two groups were improved, There was significant difference between the low frequency treatment group and the high frequency control group before treatment (P0.05), which indicated that the effect of high frequency electroacupuncture on improving the symptoms of cervical spondylopathy of nerve root type was better than that of high frequency electroacupuncture. Conclusion: the curative effect of electroacupuncture on cervical spondylosis of nerve root type is better than that of 1 00Hz.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9
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