整合复曲调衡手法治疗神经根型颈椎病临床疗效评价的-研究.pdfVIP

目 录 中文摘要 ··················································3 英文摘要 ···················································4 引 言 ····················································6 正 文 ····················································7 1研究对象和方法 ········································7 1.1研究对象 ··············································7 1.2 研究方法 ·············································9 2.观察结果 ···············································16 2.1 人口资料分析 ·······································16 2.2 基线比较 ············································16 2.3 有效性评价 ···········································17 3.小结 ···················································18 4.讨论 ···················································19 4.1 中医学对神经根型颈椎病的认识 ·····················19 4.2 中医学对神经根型颈椎病的治疗方法 ················21 4.3 西医学对神经根型颈椎病的认识 ···························23 4.4 西医学手术治疗神经根型颈椎病 ···························28 4.5 神经根型颈椎病的疗效判定。······························29 4.6 整合复曲调衡手法治疗神经根型颈椎病的机理讨论 ···········34 结 论 ·················································40 参考文献 ··················································41 附 录 ·················································45 致 谢 ··················································48 攻读学位期间发表的学术论文目录 ·······················48 作者声明 ··················································49 - 1 - 个人简历 ·················································50 - 2 - 中 文 摘 要 目 的：评价整合复曲调衡手法治疗神经根型颈椎病的疗效，提高 手法治疗神经根型颈椎病的安全性。 方 法：本课题基于循证医学科研思路设计，对整合复曲调衡手法治 疗神经根型颈椎病的疗效、不良反应以及安全性进行系统研究，观察治 疗前后临床症状、颈曲、肌电图变化. 结 果：本研究中，男 74 例（51% ），女71 例（49% ），共145 例。 平均年龄 39.9±11.2 岁。血压，心率，脉搏，呼吸，在三次记录中并 无明显差异，无统计学意义。本课题病例纳入标准为神经根型颈椎病， 而神经根型颈椎病主要以放射痛，感觉障碍等症状为主，因此治疗前后 基本生命体征变化不明显。椎动脉型及交感神经型颈椎病在治疗前后血 压，呼吸等生命体征一般会有显著改变，这从侧面证明本课题病例选入 严格遵守神经根型颈椎病的诊断标准，所选病例