【作者】 曾正仁；

【导师】 赖新生；

【作者基本信息】 广州中医药大学 ， 针灸推拿学， 2010， 博士

【摘要】 研究目的探讨针刺颈夹脊穴治疗神经根型颈椎病的临床疗效。研究方法本研究以2009年1月至2010年2月在台北惠众中医诊所就诊的神经根型颈椎病患者为研究对象,采用随机分组方法分为夹脊针刺治疗组30例和西药对照组30例,治疗组采用夹脊针刺疗法,取颈部夹脊穴。常规针刺,每日一次,每次30分钟,10次为一个疗程。西药对照组30例采用口服吲哚美辛和VitB6,吲哚美辛每次25mg,每日3次,饭后服用；VitB6每次20mg,每日3次,连续治疗10天为1疗程。以治疗前后的症状、体征、功能改善、疼痛综以及患者生存质量评估综合评定为指标,进行组间与组内,疗前与疗后的对比观察,来研究夹脊针刺疗法治疗神经根型颈椎病的临床疗效。结果1.治疗组与对照组临床症状、体征积分治疗前与治疗后差值比较,差异具有显著性(P<0.05)。2.治疗后两组患者疼痛积分值比较差异具有显著性(P<0.05)。3.治疗后两组血浆粘度值(mPas)、红细胞压积(L／L)、全血高切还原粘度、全血低切还原粘度、红细胞聚集指数比较差异具有显著性(P<0.05)。4.治疗后,治疗组痊愈7例,显效10例,有效11例,无效1例,总有效率96.6%,对照组痊愈4例,显效6例,有效14例,无效5例,总有效率75.8%,两组的总体疗效经统计学处理,差异具有显著性(P<0.05)。5.两组治疗前与治疗后比较,MOS SF-36量表各维度(生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康)积分均增加显著,经统计学处理,差异具有显著性(P<0.01),治疗后一般健康状况、精力、社会功能、情感职能、精神健康两组间比较差异具有显著性(P<0.05)。结论夹脊针刺疗法治疗神经根型颈椎病的疗效显著,能明显改变神经根型颈椎病的临床症状和体征,对疼痛有很好的治疗作用,优于西药疗法。且能有效提高患者的生存质量。更多还原

【Abstract】 ObjectiveTo assess the efficacy of acupuncture Jiaji therapy to nerve root cervical spondylosis.MethodsThis research treats Cervical Spondylosis of Nerve root type, employing the draw-lots methods to divide 60 patients in to two groups randomly. The treatment group of acupuncture Jiaji therapy uses acupuncture therapy methods on Jiaji. A period of treatment consists of 10 days. The control group takes oral administration of indomethacin and vitamin B6, Indomethacin per 25mg, 3 times daily after meals, VitB6 per 20mg,3 times a day. A period of treatment consists of 10 days. Taking the pre-therapy and post-therapy is observed, aiming to carry out study on the clinical curative effect of acupuncture Jiaji therapy to nerve root cervical spondylosis.Results1. Compared with the control group, the Clinical symptoms and signs points were significantly higher (P＜0.05)2. After treatment, the value of pain scores was significant difference (P＜0.05)3. After treatment, plasma viscosity (mPas), hematocrit (L/L), high-shear reduced viscosity of whole blood, whole blood low-shear reduced viscosity, erythrocyte aggregation index were significant differences (P< 0.05)4. After the treatment, the effective rate was 96.6% in the treatment group and 75.8% in the control group, there was significant differences between two groups (P< 0.05). 5.The scores of MOS SF-36 questionnaire (physiological function, physiological authority, body ache, general health status, vim, social function, emotion function, emotional health) were much higher than the pretreatment in two groups, there were significant differences between the pretreatment score and the 12th week score (P<0.01), but there were no significant difference between the two groups. At the 12th week, there were remarkable differences between two groups in the aspects of the general health status, vim, the social function, the emotional function, the emotional health (P＜0.05). Therefore, compared with the body acupuncture therapy, abdominal acupuncture therapy had the obvious utility in treating psychological disorders.ConclusionsClinical curativ effect of the treatment group was superier to that of the control group, the acupuncture Jiaji therapy can improve the quality of life of patients.更多还原