摘要
背景
目前,随着人们生活与工作方式的转变,颈椎病逐渐年轻化和大众化。颈型颈椎病是颈椎病的初始阶段与基础状态,因其体征轻微,以局部症状为主,有时呈一过性,病情易被忽视,而患者亦得不到医生的重视;因此,加强对颈型颈椎病的研究,探求更为方便、有效的针灸治疗方案具有重要的现实意义。本研究采用普通针刺配合大椎穴刺络拔罐方法治疗颈型颈椎病,并进行临床疗效评价。
目的
通过随机对照的研究方法,采用标准化的颈痛量表来开展疗效评价,观察普通针刺结合大椎刺络拔罐法对颈型颈椎病的治疗作用,以求科学地评价本研究针灸治疗方法结合颈型颈椎病的真实疗效,建立一套规范的、临床疗效确切的颈型颈椎病针灸治疗方案,为针灸疗法治疗颈型颈椎病提供有力的科学证据。
方法
本研究采用简单随机方法,利用PEMS3.1软件包产生随机数据、随机分组,把患者随机分为针刺配合大椎刺络拔罐组(治疗组)、普通针刺组(对照组),每组各30例,4周内共完成8次治疗,比较治疗前后Northwick Park颈痛量表评分和Vernon颈椎废用指数评分的变化,观察针刺配合大椎刺络拔罐法对颈型颈椎病的临床疗效。采用统计软件SPSS13.0对所收集数据进行统计分析。
结果
(1)两组治疗前基线情况比较无显著性差异,基线特征均衡,两组具有可比性。
(2)治疗组疗程后的Northwick Park颈痛量表评分和Vernon颈椎废用指数评分与治疗前基线评分比较差异有统计学意义(P＜0.05),评分均较治疗前降低,表明两组治疗方案对改善颈型颈椎病有肯定的效果。
(3)疗程结束时治疗组与对照组进行组间比较,疗效差异有显著性意义(P＜0.05),说明针刺配合大椎刺络拔罐组(治疗组)治疗效果明显优于普通针刺组(对照组)。
结论
(1)针刺配合大椎刺络拔罐法是治疗颈型颈椎病是一种有效疗法,其临床有效性是确定的:
(2)与普通针刺相比针刺配合大椎刺络拔罐法对颈型颈椎病的治疗作用更为明显,但其长期疗效需要进一步深化评估;
(3)针刺配合大椎刺络拔罐法治疗颈型颈椎病是安全可靠的,其副作用及不良反应发生率很低。
Objectives:
Through the stochastic comparison research technique,uses standardized the neck pain scale to carry out the curative effect appraisal,Observes the treatment function of Cervieal Spondylosis by Acupuncture with Pricking-cupping bloodletting on Du14,in order to scientifically appraises the real effect of many kinds of acupuncture and moxibustion method for cervieal spondylosis,establishes a set standard,the clinicalcurative effect accurate cervical vertebra sickness acupuncture and moxibustion treatment plan,treats cervieal spondylosis for the acupuncture and moxibustion therapy to provide the powerful scientific evidence.
Methods:
This research uses the simple stochastic method,has the stochastic data, the stochastic grouping using the PEMS3.1 software package,divides into stochastically the patient the treatment group and the control group,each group of each 30 examples,in 4 weeks altogether complete 8 treatments.The curative effect was evaluated by the Northwick Park neckpain scale and vernon cervical disability index before treatment and after treatment.Uses statistical software SPSS13.0 to collect the data to carry on the statistical analysis.
Results:
Before two groups treatment the baseline situation to compare the non-significance difference,the baseline characteristic are balanced,two groups have the commeasurability.Evaluated by the Northwick Park neckpain scale and vernon cervical disability index,the grading of the treatment group before and after treatment has statistics significance has statistics significance(P＜0.05),grading treats reduces,indicated two groups treatment have have the affirmative effect for cervieal spondylosis.The treatment course conclusion treats the group and the control group carries on the group to compare,the difference has the significance significance(P＜0.05),explained the treatment group treatment result surpasses the control group.
Conclusion:
This trial bore out the curative effect of acupuncture with pricking-cupping bloodletting on Dazhui acupoint for cervieal spondylosis. It is safe reliable,its side effect and responded not good the formation rate is very low,but its long-term curative effect needs further to deepen the appraisal.
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