本文選題：頸型頸椎病 + 針刺治療�。� 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：研究目的:通過簡(jiǎn)單隨機(jī)對(duì)照的研究方法,采用標(biāo)準(zhǔn)化的頸痛量表和視覺疼痛量表作為評(píng)價(jià)指標(biāo),用以比較解結(jié)針法和標(biāo)準(zhǔn)的普通針刺治療,科學(xué)評(píng)價(jià)解結(jié)針法治療頸型頸椎病的療效,為臨床優(yōu)選一種有效、安全的針刺治療方案。研究方法:本研究采用簡(jiǎn)單隨機(jī)對(duì)照的研究方法,利用JMTJFX簡(jiǎn)明統(tǒng)計(jì)分析軟件產(chǎn)生隨機(jī)數(shù)字,制成隨機(jī)分配卡,按照患者被納入的順序所對(duì)應(yīng)的隨機(jī)數(shù)字決定分組。納入研究的患者分入實(shí)驗(yàn)組(解結(jié)針法組)、對(duì)照組(普通針刺組),每組各35例病人。兩組實(shí)驗(yàn)計(jì)劃一個(gè)月完成治療,共計(jì)2個(gè)療程(每周治療3次,2周為1療程)。分別比較兩組患者在治療前、1療程結(jié)束后,總治療結(jié)束后的NPQ頸痛量表、VAS量表的的評(píng)分變化,以及治療結(jié)束1個(gè)月后隨訪的評(píng)分,對(duì)比觀察解結(jié)針法治療頸型頸椎病的臨床療效。采用統(tǒng)計(jì)軟件SPSS22.0對(duì)所收集數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。研究結(jié)果:實(shí)驗(yàn)組在研究過程中,1例患者因工作原因不能完成治療,最終脫落;對(duì)照組35例患者完成治療。最后,實(shí)驗(yàn)組34例和對(duì)照組35例納入統(tǒng)計(jì)。(1)兩組治療前基線情況比較無明顯差異,具有可比性。(2)兩組治療前后的NPQ、VAS評(píng)分組內(nèi)比較都有意義(P0.05),表明兩組治療方案對(duì)改善頸型頸椎病都有確切的療效。解結(jié)針法組NPQ、VAS評(píng)分經(jīng)治療后均呈下降趨勢(shì),在2療程治療結(jié)束后降至最低;對(duì)照組NPQ、VAS評(píng)分在普通針刺治療后,也呈下降趨勢(shì),在2療程治療結(jié)束后呈最低。結(jié)論證明兩組治療方法均能降低頸型頸椎病的NPQ、VAS評(píng)分,具有確切的治療作用。(3)治療后兩組組間比較,在各個(gè)觀察時(shí)點(diǎn),實(shí)驗(yàn)組的NPQ、VAS評(píng)分均高于對(duì)照組。NPQ評(píng)分方面:經(jīng)過2周治療,解結(jié)針法組NPQ評(píng)分為32.12±9.66,對(duì)照組為25.23± 11.81,兩組間比較P0.05,有統(tǒng)計(jì)學(xué)意義。2療程治療結(jié)束后,解結(jié)針法組NPQ評(píng)分為22.12±11.21,對(duì)照組為14.54±11.36,兩組間比較P0.05,有統(tǒng)計(jì)學(xué)意義。隨訪后解結(jié)針法組NPQ評(píng)分為21.44±11.03,對(duì)照組為12.74±9.04,兩組間比較P0.05,有統(tǒng)計(jì)學(xué)意義。以上結(jié)果說明各觀察時(shí)間節(jié)點(diǎn),實(shí)驗(yàn)組NPQ評(píng)分均高于對(duì)照組。VAS評(píng)分方面:2周治療后,解結(jié)針法組VAS評(píng)分為3.50± 1.26,對(duì)照組為2.89± 1.21,組間比較P0.05,有統(tǒng)計(jì)學(xué)意義�？偗煶探Y(jié)束后,解結(jié)針法組VAS評(píng)分為2.56±1.42,對(duì)照組為1.54±1.29,組間比較P0.05,有統(tǒng)計(jì)學(xué)意義。隨訪后解結(jié)針法組VAS評(píng)分為1.97±1.09,對(duì)照組為1.14±0.94,組間比較P0.05,有統(tǒng)計(jì)學(xué)意義。以上數(shù)據(jù)說明,在各觀察時(shí)間節(jié)點(diǎn),實(shí)驗(yàn)組VAS評(píng)分均高于對(duì)照組。綜上,觀察時(shí)間點(diǎn),普通針刺治療頸型頸椎病的療效優(yōu)于解結(jié)針法組。(4)兩組療效比較,根據(jù)NPQ及VAS評(píng)分,1療程結(jié)束后,實(shí)驗(yàn)組的總有效率為64.7%/64.7%,對(duì)照組的總有效率為82.8%/88.5%總治療結(jié)束后,實(shí)驗(yàn)組的總有效率為82.4%/82.4%,對(duì)照組的總有效率為88.6%/91.4%。隨訪時(shí)實(shí)驗(yàn)組的有效率為82.4%/79.5%,對(duì)照組的總有效率為88.6%/88.6%。以上統(tǒng)計(jì)數(shù)據(jù)表明,各觀察時(shí)間節(jié)點(diǎn),對(duì)照組的療效高于實(shí)驗(yàn)組。(5)解結(jié)針法組操作安全可靠,未發(fā)生安全方面的問題。結(jié)論:(1)解結(jié)針法是的臨床療效得到肯定,是治療頸型頸椎病的有效方法。(2)解結(jié)針法與普通針刺療法對(duì)比,對(duì)頸型頸椎病的治療作用無明顯優(yōu)勢(shì),具體原因及遠(yuǎn)期效果有待進(jìn)一步研究。(3)解結(jié)針法操作簡(jiǎn)便、安全、療效確切,可以作為普通針刺方法的輔助方法,以提高臨床針刺治療頸型頸椎病的療效。
[Abstract]:Objective: through a simple and randomized controlled study, a standardized neck pain scale and a visual pain scale are used as evaluation indexes. The curative effect of cervical spondylosis of cervical spondylosis is evaluated scientifically by comparing the needling method and standard acupuncture treatment, and a safe and effective acupuncture treatment scheme is selected for clinical study. Methods: a randomized controlled study was used in this study. Random numbers were produced by using JMTJFX simple statistical analysis software to produce random numbers, and randomly assigned cards were made according to the random numbers that the patients were included in. The patients included in the study were divided into the experimental group (the solution group) and the control group (common acupuncture group), each group of 35 patients. Two groups of experimental plans were completed one month to complete the treatment, a total of 2 courses (3 times per week, 2 weeks for 1 courses). The two groups were compared before the treatment, after the 1 course of treatment, after the end of the total treatment, the NPQ neck pain scale, the VAS scale change, and the score of the follow-up after the end of the treatment for 1 months, compared with the treatment of cervical spondylosis of the neck type. Statistical software SPSS22.0 was used to analyze the data collected by the statistical software. The results were as follows: during the study, 1 patients were unable to complete the treatment for the cause of work and finally fell off; 35 patients in the control group were treated. Finally, 34 cases in the experimental group and 35 cases in the control group were included in the statistics. (1) the baseline comparison of the two groups before treatment was compared. There was no obvious difference. (2) the comparison of the NPQ and VAS scores before and after treatment in the two groups was significant (P0.05), indicating that the two groups had a definite effect on the cervical spondylosis. The treatment group NPQ, the VAS score decreased after the treatment, and decreased to the lowest after the end of the treatment; the control group was NPQ, and the VAS score was common. After the acupuncture treatment, also showed a downward trend, the lowest after the end of the 2 course of treatment. Conclusion two groups of treatment methods can reduce the NPQ, VAS score of cervical spondylosis, and have the exact therapeutic effect. (3) after treatment, the two groups were compared in each observation time point, the NPQ, VAS score of the experimental group was higher than the control group.NPQ score: after 2 weeks treatment. The NPQ score of the solution group was 32.12 + 9.66, the control group was 25.23 + 11.81, and the two groups were compared with P0.05. The statistical significance of.2 treatment was statistically significant. The NPQ score of the solution group was 22.12 + 11.21, the control group was 14.54 + 11.36, and the two groups were P0.05, with a statistically significant difference. The NPQ score of the solution group was statistically significant, and the control group was 1. 2.74 + 9.04, the comparison between the two groups was statistically significant. The above results showed that each observation time node was higher than the.VAS score in the control group: after 2 weeks of treatment, the VAS score of the solution group was 3.50 + 1.26, the control group was 2.89 + 1.21 and the group was P0.05, with statistical significance. After the end of the total course of treatment, the VAS evaluation of the solution group was evaluated. The score was 2.56 + 1.42, the control group was 1.54 + 1.29, and P0.05 was statistically significant between the groups. The VAS score of the solution group was 1.97 + 1.09, the control group was 1.14 + 0.94, and the comparison between the groups was P0.05, with statistical significance. The above data showed that in the observation time nodes, the experimental group was higher than the control group. To sum up, observe the time point, ordinary needle. The curative effect of prickly cervical spondylosis was better than that in the solution group. (4) compared with the two groups, according to the NPQ and VAS scores, the total effective rate of the experimental group was 64.7%/64.7% after the end of the 1 course. The total effective rate of the control group was the end of the total 82.8%/88.5% treatment, the total effective rate of the experimental group was 82.4%/82.4%, and the total effective rate of the control group was followed up when 88.6%/91.4%. was followed up. The effective rate of the experimental group was 82.4%/79.5%, and the total effective rate of the control group was above 88.6%/88.6%.. The effect of each observation time node and the control group was higher than that of the experimental group. (5) the operation of the solution group was safe and reliable, and there was no safety problem. Conclusion: (1) the clinical effect of the needling method is affirmative, and it is the treatment of cervical cervical vertebra The effective method of the disease (2) the comparison between the needling method and the common acupuncture therapy has no obvious advantage on the treatment of cervical spondylosis, the specific reasons and the long-term effect need to be further studied. (3) the solution of the needle method is simple, safe and effective. It can be used as an auxiliary method of common acupuncture method to improve the clinical acupuncture treatment of cervical spondylosis. Curative effect.

【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】：2017
【分類號(hào)】：R246.9
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本文編號(hào)：1778742