發(fā)布時間：2018-04-20 05:09

  本文選題：頸椎病 + 手三里穴��； 參考：《山西中醫(yī)學院》2013年碩士論文

【摘要】：目的 通過針刺手三里、外關(guān)治療椎動脈型頸椎病的臨床觀察，探討其治療效果，為臨床提供一個簡單、便捷、安全、有效的治療方案。進一步分析椎動脈型頸椎病發(fā)病機理，針刺手三里、外關(guān)的作用機理，來探討軟組織與椎動脈型頸椎病關(guān)系，希望為臨床針刺治療椎動脈型頸椎病提供一些理論依據(jù)。 方法 制定嚴格的納入標準，將符合納入標準的60例椎動脈型頸椎病的患者隨機分為治療組和對照組各30例。以兩組患者在性別、年齡等臨床一般資料方面無顯著性差異為前提。統(tǒng)計結(jié)果，對兩組總有效率和顯效率、治療前后臨床癥狀和功能的改善情況分別進行比較，得出結(jié)論。 結(jié)果 1總有效率比較：治療組為96.7%，，對照組為93.3%，經(jīng)χ2檢驗P0.05，表明治療組和對照組在總有效率的比較上無顯著性差異，說明針刺手三里、外關(guān)治療本病與針刺頸夾脊、太陽、風池、百會、合谷、足三里均有效，且治療效果相當。 2癥狀評分比較：治療組與對照組均可改善患者臨床癥狀。兩組治療前后評分差值經(jīng)t檢驗P0.05，兩組癥狀和功能改善程度上無顯著性差異，表明治療組與對照組療效相當。 結(jié)論 針刺手三里、外關(guān)與針刺頸夾脊、太陽、風池、百會、合谷、足三里治療椎動脈型頸椎病均有效，且治療效果相當。針刺手三里、外關(guān)較針刺頸夾脊、太陽、風池、百會、合谷、足三里取穴少、遠端取穴、方便、安全，便于臨床運用推廣。 頸椎關(guān)節(jié)、頸交感神經(jīng)，椎動脈血管不同程度上受頸部軟組織影響。頸部軟組織緊張度增高，則可能會直接或間接壓迫椎動脈。針刺手三里、外關(guān)，其機理一是緩解頸部肌肉軟組織對椎動脈的直接壓迫；二是緩解對椎體的牽拉、對頸交感神經(jīng)的壓迫或刺激，進而間接的緩解對椎動脈的壓迫或刺激。軟組織病變與椎動脈型頸椎病關(guān)系密切，有時是椎動脈型頸椎病發(fā)病的關(guān)鍵因素。
[Abstract]:Purpose The clinical observation on the treatment of cervical spondylopathy of vertebral artery type by acupuncture at Sanli and Waiguan provides a simple, convenient, safe and effective treatment scheme for the treatment of cervical spondylosis of vertebral artery type. The mechanism of cervical spondylosis of vertebral artery type was further analyzed, and the mechanism of acupuncture at Sanli and Waiguan was analyzed to explore the relationship between soft tissue and cervical spondylosis of vertebral artery type, hoping to provide some theoretical basis for clinical acupuncture treatment of cervical spondylosis of vertebral artery type. Method 60 patients with cervical spondylosis of vertebral artery type were randomly divided into treatment group (n = 30) and control group (n = 30). There was no significant difference in general clinical data such as sex and age between the two groups. The statistical results showed that the total effective rate and effective rate, the improvement of clinical symptoms and function before and after treatment were compared, and the conclusion was drawn. Result 1 comparison of the total effective rate: the treatment group was 96.7g and the control group 93.3.The 蠂 2 test showed that there was no significant difference in the total effective rate between the treatment group and the control group, indicating that there was no significant difference in the total effective rate between the treatment group and the control group. Baihui, Hegu, Zusanli are effective, and treatment is comparable. 2 comparison of symptom score: the treatment group and the control group can improve the clinical symptoms. There was no significant difference in symptom and function between the two groups by t test (P0.05) before and after treatment, which indicated that the curative effect of the treatment group was equal to that of the control group. Conclusion The treatment of cervical spondylosis of vertebral artery type was effective with acupuncture of three li of hand, Waiguan and acupuncture of cervical spine, sun, Fengchi, Baihui, Hegu and Zusanli. Acupuncture hand three li, Waiguan than acupuncture neck clip ridge, sun, Fengchi, Baihui, Hegu, Zusanli point less, remote point collection, convenient, safe, easy to promote clinical application. Cervical joints, cervical sympathetic nerves and vertebral artery vessels are affected by cervical soft tissue in varying degrees. Increased soft tissue tension in the neck may directly or indirectly compress the vertebral artery. The mechanism of acupuncture is to relieve the direct compression of cervical muscle and soft tissue to the vertebral artery, and to relieve the compression or stimulation of the cervical sympathetic nerve on the vertebral body, and then indirectly to relieve the compression or stimulation of the vertebral artery. Soft tissue lesion is closely related to vertebral artery type cervical spondylosis, and is sometimes the key factor of vertebral artery type cervical spondylosis.
【學位授予單位】：山西中醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.9

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