本文關(guān)鍵詞：CT定位輸刺法治療神經(jīng)根型頸椎病臨床觀察　出處：《廣西中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本研究采用CT對病位進(jìn)行定位并行輸刺手法治療神經(jīng)根型頸椎病,探討《靈樞·官針》里“五刺”中的輸刺法治療神經(jīng)根型頸椎病的臨床療效,并初步研究該輸刺法治療神經(jīng)根型頸椎病的作用機(jī)理,從而為針灸治療神經(jīng)根型頸椎病在臨床上提供一種新的治療思路。方法:研究對象來源于桂林市中醫(yī)醫(yī)院針灸科門診,選擇60例符合納入標(biāo)準(zhǔn)的神經(jīng)根型頸椎病患者,按1:1的比例隨機(jī)分為觀察組和對照組,每組各30例。觀察組運(yùn)用CT定位輸刺法治療神經(jīng)根型頸椎病,對照組運(yùn)用常規(guī)針刺療法治療。兩組均連續(xù)治療3個療程后,觀察兩組患者臨床療效。對治療前后和治療過程中觀察組與對照組的疼痛緩解程度、主要癥狀體征的改善情況分別采用國際公認(rèn)的簡化Mc Gill量表及日本田中靖久研究的神經(jīng)根型頸椎病癥狀20分法量表進(jìn)行積分評價,數(shù)據(jù)結(jié)果懫用統(tǒng)計軟件SPSS17.0進(jìn)行統(tǒng)計分析與描述。結(jié)果:1、兩組病例的性別、年齡、病情輕重程度以及治療前量表積分等資料相比較,均無顯著差異(P0.05),存在可比性。2、兩組患者治療3個療程后,總有效率比較:觀察組的有效率為93.33%,對照組的有效率為80.00%,兩組療效比較差異有統(tǒng)計學(xué)意義(p0.05),說明觀察組療效優(yōu)于對照組。3、簡化Mc Gill量表比較(MPQ):治療后兩組之間的簡化MPQ評分比較,觀察組的各項參數(shù)優(yōu)于對照組,差異有統(tǒng)計學(xué)意義(p0.05),說明CT定位輸刺法的應(yīng)用作用于神經(jīng)根型頸椎病患者的疼痛的緩解具有良好的療效。4、20分法量表:治療后兩組患者的20分法量表的分值都有不同程度的提高,但觀察組提高幅度明顯大于對照組,其差異有統(tǒng)計學(xué)意義(P0.05),說明CT定位輸刺法的應(yīng)用作用于神經(jīng)根型頸椎病在癥狀改善方面具有良好的療效。結(jié)論:CT定位下采用輸刺法治療神經(jīng)根型頸椎病療效顯著,明顯優(yōu)于常規(guī)針刺手法,且在課題研究過程中,全部納入病例依從性良好,未出現(xiàn)剔除及脫落病例現(xiàn)象,也無明顯不良反應(yīng),證明了本課題所采用CT定位輸刺法治療神經(jīng)根型頸椎病療效確切,是臨床上治療神經(jīng)根型頸椎病的一種安全、行之有效的方法,適宜在臨床推廣使用。
[Abstract]:Objective: the purpose of this study was to study the clinical effect of CT in the treatment of cervical Spondylotic radiculopathy (CSM) with CT localization and acupuncture manipulation, and to explore the clinical effect of "five prickles" in the treatment of cervical spondylosis of nerve root type. And the mechanism of the treatment of cervical spondylopathy of nerve root type was studied preliminarily. In order to provide a new way of treatment for cervical spondylopathy of nerve root type in clinic. Methods: the object of study is from the Department of Acupuncture and moxibustion outpatient of Guilin traditional Chinese Medicine Hospital. Sixty patients with cervical spondylopathy of nerve root type were selected and randomly divided into observation group and control group according to the proportion of 1: 1. There were 30 cases in each group. The patients in the control group were treated with routine acupuncture therapy. After three consecutive courses of treatment, the clinical efficacy of the two groups was observed. The pain relief of the observation group and the control group before and after treatment and during the course of treatment were observed. The improvement of the main symptoms and signs were evaluated by the simplified Mc Gill scale and the 20 points symptom scale of radicular cervical spondylopathy studied by Yasuhiro Tanaka, Japan. The data were analyzed and described by statistical software SPSS17.0. Results the sex, age, severity of illness and scores of pre-treatment scale were compared between the two groups. There was no significant difference between the two groups (P 0.05), there was comparability. 2. After three courses of treatment, the total effective rate of the two groups was 93.33%. The effective rate of the control group was 80.00.The difference between the two groups was statistically significant (p0.05), which indicated that the observation group was better than the control group (.3). Comparison of simplified Mc Gill scale: the comparison of simplified MPQ scores between the two groups after treatment showed that the parameters of the observation group were better than those of the control group, and the difference was statistically significant (p 0.05). It is concluded that the application of CT localization and acupuncture has a good curative effect on pain relief of patients with cervical spondylopathy of nerve root type. 20 method scale: after treatment, the scores of 20 points of the two groups were improved to some extent, but the improvement range of the observation group was significantly larger than that of the control group, and the difference was statistically significant (P 0.05). The results showed that the application of CT localization and acupuncture had good effect on the improvement of symptoms of cervical spondylosis of nerve root type. Conclusion the effect of puncture therapy on cervical spondylosis of nerve root type is remarkable under the orientation of CT. Obviously superior to the conventional acupuncture manipulation, and in the course of the study, all cases included in the case compliance is good, there is no elimination and shedding of cases, there is no obvious adverse reactions. It is proved that this method is a safe and effective method for the treatment of cervical spondylopathy of nerve root type, which is suitable for clinical application.
【學(xué)位授予單位】：廣西中醫(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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