側(cè)頭搖正法治療神經(jīng)根型頸椎病的臨床研究
發(fā)布時(shí)間：2019-04-21 16:30
【摘要】：目的：通過(guò)觀察側(cè)頭搖正法治療神經(jīng)根型頸椎病所取得的效果,再根據(jù)其臨床療效,分析并歸納其機(jī)理,為臨床治療本病提供一種新的思路,為龍氏正骨手法在臨床上的普遍運(yùn)用樹(shù)立了根基。方法：60例符合神經(jīng)根型頸椎病診斷標(biāo)準(zhǔn)的受試者來(lái)自于廣東省第二中醫(yī)院針灸康復(fù)科五區(qū)的住院部患者,嚴(yán)格按照研究方案的規(guī)定,將60例受試者隨機(jī)平均分為治療組、對(duì)照組,單組30人。治療組采用側(cè)頭搖正法,而傳統(tǒng)手法施加于對(duì)照組。兩組均治療12次,1日1次,周日休息,連續(xù)進(jìn)行兩星期,即完成一個(gè)療程,并進(jìn)行臨床觀察。在治療前、后,觀察兩組的患者的癥狀、體征及疼痛程度并以神經(jīng)根型頸椎病JOA量表、VAS量表進(jìn)行客觀評(píng)價(jià),并對(duì)所獲得的數(shù)據(jù)使用SPSS19.0統(tǒng)計(jì)軟件分析。結(jié)果：1、臨床療效評(píng)價(jià)方面：總有效率：治療組96.7%,對(duì)照組90.0%,經(jīng)分析,P0.05,還不能表明兩組的總有效率有臨床差異。療效愈顯率：治療組87.5%、對(duì)照組75.3%,經(jīng)統(tǒng)計(jì)分析,P0.05,在臨床上,具有顯著意義,可表明治療組的愈顯療效比對(duì)照組局。2、VAS疼痛程度評(píng)分方面：在治療前兩組進(jìn)行比較,P0.05,兩組的疼痛程度具有可比性；在治療后,兩組疼痛評(píng)分分別與治療前相比較,P0.05,差別有顯著意義,表明兩組的治療均具有效果,兩組治療后評(píng)分比較,P0.05,差別具有顯著意義,兩組差值評(píng)分進(jìn)行比較,P0.05,表明治療組的療效比對(duì)照組優(yōu)。3、JOA神經(jīng)根型頸椎病的臨床癥狀、體征、整體臨床表現(xiàn)評(píng)分方面：在治療前,對(duì)兩組的JOA整體積分、單項(xiàng)癥狀、單項(xiàng)體征進(jìn)行比較評(píng)分,經(jīng)數(shù)據(jù)分析,結(jié)果示：兩組在三組評(píng)分表格上,均具有可比性(P0.05)。在治療后,兩組在癥狀評(píng)分上進(jìn)行組內(nèi)比較,結(jié)果示：差別都有顯著意義(P0.05),說(shuō)明在改善臨床癥狀方面,兩組都有效果。在體征評(píng)分方面,兩組治療前后評(píng)分比較,結(jié)果示治療組的前后對(duì)比評(píng)分結(jié)果具有統(tǒng)計(jì)學(xué)意義(P0.05),而對(duì)照組,無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),表明在改善體征上,治療組具有療效,但還不能說(shuō)明兩組在臨床體征評(píng)分上存在差別；在JOA總體評(píng)分上,兩組進(jìn)行治療前后比較,P0.05,兩組均有療效,兩組總體評(píng)分治療前后差值變化比較,P0.05,總體上說(shuō)明在改善神經(jīng)根型頸椎病的臨床癥狀、體征、整體臨床表現(xiàn)評(píng)分方面,治療組比對(duì)照組療效佳。結(jié)論：側(cè)頭搖正法治療神經(jīng)根型頸椎病在改善臨床癥狀、體征及整體臨床表現(xiàn)方面具有更明顯的療效,且操作簡(jiǎn)單,具有穩(wěn)準(zhǔn)、安全、輕巧、準(zhǔn)確定位的特點(diǎn),值得臨床進(jìn)一步推廣。
[Abstract]:Objective: to observe the effect of the treatment of cervical spondylosis of nerve root type by shaking the head of the lateral head, analyze and conclude its mechanism according to its clinical curative effect, so as to provide a new way of thinking for the clinical treatment of cervical spondylosis of nerve root type. It lays a foundation for the universal use of Dragon's bone manipulation in clinical practice. Methods: 60 patients with cervical spondylosis of nerve root type were randomly divided into the treatment group and the treatment group according to the research plan strictly according to the stipulation of the research plan, 60 cases of cervical spondylosis came from the inpatient department of the acupuncture and moxibustion rehabilitation department of the second traditional Chinese medicine hospital of Guangdong province. Control group (n = 30). The patients in the treatment group were treated with the lateral head swing correction method, while the traditional manipulation was applied to the control group. The patients in both groups were treated 12 times, 1 day, rest on Sunday for two weeks, that is to say, one course of treatment was completed, and the clinical observation was carried out. Before and after treatment, the symptoms, signs and pain degree of the two groups were observed and evaluated objectively by JOA scale and VAS scale. The data were analyzed by SPSS19.0 software. Results: 1. Clinical efficacy evaluation: the total effective rate: the treatment group 96.7%, the control group 90.0%, the analysis, P0.05, can not show the total effective rate of the two groups have clinical differences. The effective rate was 87.5% in the treatment group and 75.3% in the control group. According to statistical analysis, P 0.05 had significant clinical significance, which could show that the treatment group was more effective than that in the control group. VAS pain score: compared with the two groups before treatment, P0.05, the pain degree of the two groups is comparable; After treatment, the pain scores of the two groups were significantly different from those before treatment (P 0.05), indicating that the treatment of both groups was effective, and there was significant difference between the two groups in the scores after treatment, P 0.05, P 0.05. The difference score between the two groups, P 0.05, showed that the therapeutic effect of the treatment group was better than that of the control group. 3. The clinical symptoms, signs and overall clinical manifestations of cervical spondylosis of JOA nerve root type: before treatment, the JOA integral of the two groups was overall. The results showed that the two groups were comparable on the scoring form of three groups (P0.05). After treatment, the symptom scores of the two groups were compared within the group. The results showed that the difference was significant (P0.05), indicating that the two groups were effective in the improvement of clinical symptoms. In the physical sign score, the two groups before and after treatment score comparison, the results showed that the treatment group before and after the comparison score results were statistically significant (P0.05), but the control group, there was no statistical significance (P0.05), indicating in the improvement of physical signs. The treatment group had curative effect, but it could not explain the difference in clinical sign score between the two groups. In the overall JOA score, the two groups were compared before and after treatment, P0.05, the two groups had curative effect, the difference between the two groups before and after treatment, P0.05, which generally showed that in improving the clinical symptoms and signs of cervical spondylosis of nerve root type, Overall clinical performance score, the treatment group is better than the control group. Conclusion: the treatment of cervical spondylosis with lateral head swing has more obvious curative effect in improving clinical symptoms, signs and overall clinical manifestations, and it has the characteristics of simple operation, stable accuracy, safety, lightness and accurate localization. It is worthy of further promotion in clinical practice.
【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)】：R244.1
本文編號(hào)：2462366
[Abstract]:Objective: to observe the effect of the treatment of cervical spondylosis of nerve root type by shaking the head of the lateral head, analyze and conclude its mechanism according to its clinical curative effect, so as to provide a new way of thinking for the clinical treatment of cervical spondylosis of nerve root type. It lays a foundation for the universal use of Dragon's bone manipulation in clinical practice. Methods: 60 patients with cervical spondylosis of nerve root type were randomly divided into the treatment group and the treatment group according to the research plan strictly according to the stipulation of the research plan, 60 cases of cervical spondylosis came from the inpatient department of the acupuncture and moxibustion rehabilitation department of the second traditional Chinese medicine hospital of Guangdong province. Control group (n = 30). The patients in the treatment group were treated with the lateral head swing correction method, while the traditional manipulation was applied to the control group. The patients in both groups were treated 12 times, 1 day, rest on Sunday for two weeks, that is to say, one course of treatment was completed, and the clinical observation was carried out. Before and after treatment, the symptoms, signs and pain degree of the two groups were observed and evaluated objectively by JOA scale and VAS scale. The data were analyzed by SPSS19.0 software. Results: 1. Clinical efficacy evaluation: the total effective rate: the treatment group 96.7%, the control group 90.0%, the analysis, P0.05, can not show the total effective rate of the two groups have clinical differences. The effective rate was 87.5% in the treatment group and 75.3% in the control group. According to statistical analysis, P 0.05 had significant clinical significance, which could show that the treatment group was more effective than that in the control group. VAS pain score: compared with the two groups before treatment, P0.05, the pain degree of the two groups is comparable; After treatment, the pain scores of the two groups were significantly different from those before treatment (P 0.05), indicating that the treatment of both groups was effective, and there was significant difference between the two groups in the scores after treatment, P 0.05, P 0.05. The difference score between the two groups, P 0.05, showed that the therapeutic effect of the treatment group was better than that of the control group. 3. The clinical symptoms, signs and overall clinical manifestations of cervical spondylosis of JOA nerve root type: before treatment, the JOA integral of the two groups was overall. The results showed that the two groups were comparable on the scoring form of three groups (P0.05). After treatment, the symptom scores of the two groups were compared within the group. The results showed that the difference was significant (P0.05), indicating that the two groups were effective in the improvement of clinical symptoms. In the physical sign score, the two groups before and after treatment score comparison, the results showed that the treatment group before and after the comparison score results were statistically significant (P0.05), but the control group, there was no statistical significance (P0.05), indicating in the improvement of physical signs. The treatment group had curative effect, but it could not explain the difference in clinical sign score between the two groups. In the overall JOA score, the two groups were compared before and after treatment, P0.05, the two groups had curative effect, the difference between the two groups before and after treatment, P0.05, which generally showed that in improving the clinical symptoms and signs of cervical spondylosis of nerve root type, Overall clinical performance score, the treatment group is better than the control group. Conclusion: the treatment of cervical spondylosis with lateral head swing has more obvious curative effect in improving clinical symptoms, signs and overall clinical manifestations, and it has the characteristics of simple operation, stable accuracy, safety, lightness and accurate localization. It is worthy of further promotion in clinical practice.
【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)】：R244.1
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