【作者】 姜鹏勇；

【导师】 王道全；

【作者基本信息】 山东中医药大学 ， 针灸推拿学， 2009， 硕士

【摘要】 目的:观察补肾调肝推拿法治疗神经根型颈椎病(Ⅲ、Ⅳ级)的临床疗效并探讨其作用机理。方法:选择神经根型颈椎病(Ⅲ、Ⅳ级)55例,随机分为治疗组28例及对照组27例。其中治疗组行补肾调肝推拿法治疗,对照组行中药乌透酊离子导入法治疗。结果:两组患者治疗前后疼痛积分自身比较有明显差异(p<0.01),治疗后疼痛积分组间比较有明显差异(p<0.01);两组患者治疗前后中医证候自身比较有明显差异(p<0.01),治疗后中医相关证候组间比较无明显差异(p>0.05);两组患者治疗前后临床症状积分自身比较有明显差异(p<0.01),治疗后临床积分组间比较有明显差异(p<0.01);总有效率比较:治疗组为92.9%,对照组为81.5%,两组间比较经Ridit分析,p<0.01,说明补肾调肝推拿法组疗效明显优于中药乌透酊离子导入法组。结论:补肾调肝推拿法和中药乌透酊离子导入法治疗神经根型颈椎病(Ⅲ、Ⅳ级),均可改善疼痛症状,改善中医症候,改善临床症状体征。补肾调肝推拿法疗效优于中药乌透酊离子导入法,但对中医症候改善,两种治疗方法效果无明显区别。补肾调肝推拿法具有操作简单,见效快,无毒副作用,复发率低,治疗费用相对较低,易于被患者接受等特点,可以作为神经根型颈椎病(Ⅲ、Ⅳ级)患者的较好治疗方法,值得大力推广。更多还原

【Abstract】 Objective: To observe the clinical efficacy and explore the mechanism of Tuina Manipulation of supplementing the kidney and regulating the liver treating cervical spondylotic radiculopathy (Ⅲ,Ⅳlevel).Methods:28 cervical spondylotic adiculopathy (Ⅲ,Ⅳlevel) sufferers were randomly divided into treatment group of 28 cases and control group of 27 cases.The treatment group treated by tuina method of supplementing the kidney and regulating the liver while the control group with Ukraine iontophoresis treatment. Results: It is significant differences in the pain points obtained through self-comparison after the treatment of the two groups (p <0.01).And the pain scores have significant differences between the two groups (p<0.01);there were significant differences in TCM syndrome of self-comparison(p<0.01) while comparison of the two groups has no significant differences (p>0.05); there were significant differences in clinical symptom points of self-comparison after the treatment (p<0.01) and the clinical scores after treatment have significant differences also (p<0.01); the total effective rate showed that the treatment group was 92.9% while 81.5% of the control group. Comparison between the two groups by statistical analysis, p <0.01, which indicats that the curative effect of tuina group was superior to that of Ukraine iontophoresis group. Conclusion: The tuina method of supplementing the kidney and regulating the liver and Chinese medicine Ukraine iontophoresis treatment can both relieve the pain, ameliorate Chinese medicine syndrome and clinical signs and symptoms of cervical spondylotic radiculopathy (Ⅲ,Ⅳlevel). Tuina therapy is more curative than iontophoresis Ukraine therapy, however, it made no differences in ameliorating Chinese medicine symptoms. Tuina method has the characteristics of simpler, quicker-effected ,within non-toxic and side effects, lower recurrence rate, cheap and so on.So it is easier to be accepted, which can be widely popularized in the treatment of cervical spondylotic radiculopathy (Ⅲ,Ⅳlevel).更多还原