颈夹脊穴论文：电针颈夹脊穴治疗神经根型颈椎病临床疗效观察

1、颈夹脊穴论文：电针颈夹脊穴治疗神经根型颈椎病临床疗效观察【中文摘要】通过观察电针颈夹脊穴与单纯牵引治疗神经根型颈椎病的临床疗效,确定电针颈夹脊穴治疗对神经根型颈椎病的疗效情况,为临床更广泛地运用针灸治疗神经根型颈椎病提供理论依据及临床参考价值。方法：参照中华人民共和国国家食品药品监督管理局2002年颁发中药新药治疗颈椎病临床研究指导原则中神经根型颈椎病的诊断标准和1992年在青岛举行的第二届颈椎病专家座谈会拟定的神经根型颈椎病的诊断及分型标准,将符合诊断标准的神经根型颈椎病患者40例随机分为治疗组和对照组,其中治疗组19例、对照组21例,其治疗组以电针颈夹脊穴治疗为主,对照组以单纯牵引治疗为主

2、。电针颈夹脊穴治疗组使用XS-998B光电治疗仪,夹脊电针采用每侧接一组,选用疏密波,频率为2Hz,每次30分钟,隔日1次,每周3次,共计3周。单纯牵引治疗对照组每次治疗时间20分钟,隔日1次,每周3次,共计3周。各组患者治疗前、治疗后第3日、1周、3周后症状体征量化评分(采用日本学者田中靖久提出的神经根型颈椎病20分法量表进行评定,制定神经根型颈椎病的疗效综合评定方法表,并以简式McGill疼痛问卷评分(SFMPQ检测各组患者的疼痛改善情况。结果：治疗组19例,治愈11例,显效4例,有效3例,愈显率为78.90%,总有效率为94.7%,对照组21例,治愈5例,显效7例,有效6例,愈显率为57

3、.10%,总有效率为85.70%,两组总有效率及愈显率无显著性差异(P>0.05,两组痊愈率有显著性差异(P<0.05。两组患者治疗前后疼痛积分差值的比较有显著性差异(P<0.05。两组患者治疗前后症候积分的比较有显著性差异(P<0.05。结论：电针颈夹脊穴与单纯牵引疗法都是治疗神经根型颈稚病有效的方法；电针颈夹脊穴治疗较之单纯牵引疗法对神经根型颈椎病的治疗效果起效更快,疗效更显著；电针颈夹脊穴治疗是一种安全而无副作用的治疗方案,且疗效确切,具有较高的临床实用价值。【英文摘要】:to observe cupping neck clip ridge hole with s

4、imple traction to treat cervicalspondy-lotic radiculopathy, determine the clinical curative effect of carotid cupping therapy for hole clamp ridge cervicalspondy-lotic radiculopathy for clinical curative effect of the situation, more widely used acupuncture treat cervicalspondy-lotic radiculopathy p

5、rovide the theoretic basis and clinical reference value.Methods:refers to the Peoples Republic of China by the state food and drug administration in 2002 issued “Chinese herbal drugs for the treatment of cervical syndrome clinical research guiding principle of cervicalspondy-lotic radiculopathy diag

6、nostic criteria and 1992 held in Qingdaos second cervical spondylosis experts forum quasisteady cervicalspondy-lotic radiculopathy of diagnosis and classification standards, will meet diagnostic standard cervicalspondy-lotic radiculopathy patients in 40 cases were randomly divided into treatment gro

7、up and control group, including 19 cases in treatment group and control group, the treatment of 21 cases with cupping neck clip ridge acupuncture point is given priority to, the control group with simple treatment traction treatment primarily. Cupping neck clip ridge hole treatment used XS-998B phot

8、oelectric instrument, clip-ridge by each side pick a cupping group, choose density wave, frequency for 2Hz, every time 30 minutes, four weeks, every week 3, totaling about 3 weeks. Pure traction treatment group per treatment time 20 minutes, four weeks, every week 3. totaling about 3 weeks. Each pat

9、ient treatment before and after the treatment of the first 3 and 1 week, three weeks after symptoms and signs quantification score (use Japanese scholars TianZhongJing long proposed cervicalspondy-lotic radiculopathy 20 points method to assess, formulate scale cervicalspondy-lotic radiculopathy comp

10、rehensive evaluation method of curative effect in table, short form McGill pain questionnaire score (SFMPQ test each patient pair ameliorated. Results:The treatment group (19 cases, cure for 11 cases, powerfully 4 cases, effective 3 cases, greater; the total effective rate of 78.90% 94.7% 21 cases,

11、cure and control in 5 cases, powerfully in 7 cases, effective in 6, and greater 57.10%, with the total effective rate of for 85.70%, two group total effectiveness and greater rate no significant difference (P>0.05, two groups of recovery rate was significant difference (P<0.05. Two groups of p

12、atients before and after the treatment of pain points difference value with significant difference (P<0.05. Two groups of patients before and after the treatment of symptomatic integral with significant difference (P<0.05.Conclusion:cupping neck clip ridge hole with simple traction are treatme

13、nt radiculopathic type cervical disease effective methods; dah Cupping neck clip ridge acupuncture point than pure traction to treat cervicalspondy-lotic radiculopathy therapeutic effect of the effect-acting faster, more remarkable curative effect, Cupping neck clip ridge acupuncture point therapy i

14、s a safe and no side effect of the treatment, and definite effect, have a high clinical practical value.【关键词】颈夹脊穴 电针 神经根型颈椎病 临床观察【英文关键词】Jiaji points electro-acupuncture Cervical Spondylotic Radiculopathy Clinical observation【目录】电针颈夹脊穴治疗神经根型颈椎病临床疗效观察中文摘要8-9Abstract9-10前言11-12缩略词表12-13第一部分 文献综述13-231

15、传统医学对神经根型颈椎病的认识13-181.1 病因病机13-141.2 治疗14-182 现代医学对神经根型颈椎病的认识18-212.1 发病机制与病因19-202.2 西医治疗神经根型颈椎病概况20-213 总结21-23第二部分 临床研究23-311 临床资料23-251.1 一般资料231.2 诊断标准231.3 纳入标准23-241.4 排除标准241.5 试验病例的终止241.6 病例的脱落与处理241.7 病例的剔除24-252 研究方法252.1 病例分组方法252.2 治疗方案252.3 治疗器材253 研究观察指标与疗效评定标准25-263.1 观察指标25-263.2 疗效评价标准264 统计学分析26-304.1 一般资料分析26-274.2 基础病情资料分析27-284.3 研究结果及分析28-305 不良