断面九针加红外线照射治疗神经根型颈椎病的临床研究-针灸专业论文.docxVIP

中文摘要 目的：观察断面九针加红外线照射治疗神经根型颈椎病的疗效。 方法：采用随机、对照、单盲的研究方法。将符合纳入标准的 64 例病人随 机分成两组，每组 32 例。治疗组采用断面九针加红外线照射治疗，对照组采用 常规针刺治疗。两组均每次治疗 30 分钟，每周治疗 5 次，休息 2 天，共治疗四 周。治疗后借助临床症状体征量化表、中医症候分级量化表、简化的 McGill 疼 痛调查表等评定两组之间的临床疗效，中医症候疗效，症状、体征、疼痛等指标 变化。 结果：64 例病人中，59 例完成整个研究过程，脱失病例 5 例。两组基线均 衡，具有可比性（P＞0.05）。治疗组临床疗效总有效率为 90.00%，对照组临床 疗效总有效率为 82.76%，治疗组临床疗效优于对照组（P＜0.05）。治疗组中医 症候疗效总有效率为 93.33%，对照组中医症候疗效总有效率为 86.21%，治疗组 中医症候疗效优于对照组（P＜0.05）。治疗后两组患者的临床症状体征、中医症 候、颈肩部疼痛、上肢痛及麻木、手指麻木及疼痛、疼痛等指标，各组治疗前后 自身比较差异有统计学意义（ P＜0.05）；治疗后组间比较，各项指标均显示治疗 组优于对照组（P＜0.05）。 结论：断面九针加红外线照射治疗神经根型颈椎病疗效显著。 关键词：断面九针；红外线照射；常规针刺；神经根型颈椎病  ABSTRACT Objective: To observe the curative effect of nine- needle around the injury layer therapy with ultrared radiation for CSR. Methods: With the randomization,controlled and single-blind research method,a total of 64 patients were divided into two groups.Each group is 32 cases.The treatment group was treated by nine-needle around the injury layer therapy with ultrared radiation,and the contrast group by routine acupuncture.Both group were treated 30 minutes per day and five times each week.For Saturday and Sunday, the patients would have a rest.The total period of treatment lasted fo r 4 weeks.The clinical efficacy, the efficacy of the TCM symptoms,the symptoms,the physical sign and the pain between the two groups were evaluated by means of the assessment scale of the clinical symptom-sign and the TCM symptoms and SF-MPQ-2. Results: Among 64 cases，59 patients finished the study whereas 5 lost . There was no statistical difference in baseline data between two groups(P＞0.05).The total rate about clinical efficacy of treatment group was 90.00% and 82.76% of the contrast group,this shows that the treatment group is more excellent than contrast group in clinical efficacy(P＜0.05).The total rate with the efficacy of the TCM symptoms of treatment group was 93.33%,which was higher than contrast group(86.21%);there was a statiscally significant difference between t