齐刺颈夹脊穴治疗神经根型颈椎病的临床随机对照试验

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1、学位论文齐剌颈夹脊穴治疗神经根型颈椎病的临床随机对照试验TheclinicalStudybyRandomizedControlledTrialsonQicicervicalJiajiacupointsintreatmentoftheCervicalSpondyloticRadiculopathy王伟指导教师姓名：塑勉垩申请学位级别：亟±专业名称：钍鱼蕉室堂论文提交时间：呈Q!星生垒垣论文答辩时间：窒Q!圣生墨旦二O一二年五月成都中医药大学硕士学位论文中文摘要目的：本研究以神经根型颈椎病为研究对象，采用临床随机对照试验(RCT)的方法，观察并评价齐刺颈夹脊穴对神经根型颈椎病

2、患者临床症状、体征、情绪等方面的影响，验证此疗法的临床价值。方法：将符合神经根型颈椎病诊断的68例患者随机分为两组，试验组34例，采用齐刺法治疗，对照组34例，采用常规刺法治疗。治疗结束后，通过临床疗效评价、简化McGill疼痛量表(SF．MPQ)、颈椎病治疗成绩评分表(Ascs)评价此疗法的有效性及临床价值。结果：(1)治疗前两组资料基线无显著性差异(P>O．05)，具可比性。(2)两组治疗前后自身比较：治疗前后SF．MPQ、Ascs各分项目比较(P<0．05)，差异有统计学意义。(3)两组治疗后临床疗效评价、Ascs中自觉症状和临床检查及SF一卿Q中PRI．S、VAS

3、和PILl—A三个分项目比较(P>0．05)，差异无统计学意义；hscs中日常生活动作及SF-肝Q中PRI．T和PPI两个分项目比较(P<0．05)，差异有统计学意义。(4)两组随访时临床疗效评价、hscs及SF-MPQ比较(P

4、oticRadicuiopathyastheobjectofthestudy，adoptingthemethodofRandomizedControlledTrials(RCT)，observingandevaluatingtheeffectonsufferers’clinicalsymptom，signsandemotions，inordertoverifytheclinicvalueofthetherapythatqicicervicalJiaJiacupointsintreatmentoftheCervicalSpondyloticRadiculopathy．Met

5、hods：68CervicalSpondyloticRadiculopathycaseswererandomlydividedintotwogroups：34casesintreatmentgroupweretreatedbyqici：34casesincontrolgroupweretreatedbyroutineacupuncture．Afterthosetreatment，evaluateitseffectivenessandclinicalvaluebyClinicalTherapeuticEffectEvaluation，Short-formofMcGillPa

6、inQuestionaireandAssessmentScaleforCervicalSpondylosis．Results：(1)Thereisnoremarkabledifference(P>0．05)．butonlythecomparabilityinthebaselineofthetwogroupsbeforetreatment．(2)Thecomparisonwiththemselvesofthetwogroupsbeforeinterventionandafterintervention：differenceoftheShort-formofMcGillPai

7、nQuestionaire，andAssessmentScaleforCervicalSpondylosishavestatisticalsignificance(P<0．05)．(3)Thecomparisonofthetwogroupsbeforeinterventionandafterintervention：differenceoftheClinicalTherapeuticEffectEvaluation，Self-conscioussymptomandclinicalexaminationofAssessmentS