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Clinical Research "Both Bones, The Doctor-patient Cooperation" Theory In Youth Cervical Syndrome Prevention And Treatment Of Applications

Posted on:2017-04-19Degree:MasterType:Thesis
Country:ChinaCandidate:D H YangFull Text:PDF
GTID:2284330488954270Subject:Fractures of TCM science
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ObjectiveThrough the neck bone gluten-beam technique combine with points of self-massage and cervical function exercises and diclofenac sodium sustained release tablets combine with cervical traction and neck brake randomized controlled clinical study on the treatment of integrated traditional Chinese medicine, health interventions in the treatment of cervical neck type disease efficacy and safety. For overall treatment by TCM clinical efficacy and safety studies neck type of cervical spondylosis, try to establish a type of cervical carotid disease prevention, care, treatment guidelines. Preliminary study and the establishment of the overall treatment of cervical spondylosis neck "hospital-family" model, "doctor-patient" Model, So as to achieve the organic combination of prevention, care, treatment.MethodsSelect the neck cervical spondylosis patients met the diagnostic criteria, inclusion criteria of 119 cases. Random group, Sixty patients enrolled in the trial group,59 cases included in the control group. Wherein the test group to the neck bone gluten beam technique combined with point of self-massage and function exercises Cervical Treatment, gluten-beam bone technique in which once every two days, each about 20 minutes, for 2 weeks; Point self massage morning and evening; Cervical exercises 1-2 times a day, exercise gradually adapt to the beginning, period of one month. In the control group of diclofenac sodium sustained release tablets combined with neck cervical traction therapy and neck brake, wherein the oral diclofenac sodium sustained release tablets once a(75mg),qd; Traction therapy once a day,20 minutes each traction; Neck brake daily treatment immediately after wearing a neck 4 hours. For the first treatment (before and after),1 week,2 weeks (end manual therapy), followed up for 1 month, followed up for 2 months and followed up for 3 months, conduct VAS score, ODI score and cervical activity score. After one course of treatment evaluated the clinical efficacy of the two groups were, data collection, finally SPSS19.0 statistical software for statistical analysis of data.ResultsGeneral information on the treatment of the former two groups of patients (including indicators of gender, age, duration, work status, etc.) baseline comparison, By X2 test and t test, There was no significant difference between (P> 0.05). The statistics, comparison of the efficacy of the two groups total, efficacy test group:71.7%cure, effective in 28.3%, and 0%effective, ineffective 0%, the total efficiency of 100%; The efficacy of the control group: 23.7%were cured, effective in 62.7%,13.6%effective, ineffective 0%, the total efficiency of 100%. Upon examination, significant statistical significance (P<0.01). Through the experimental and control groups before and after treatment VAS score of patients, NDI score and cervical spine scores between the group and the group, all have significant statistical significance (P<0.01). In this study the whole process does not appear adverse reactions and safety incidents, continuous follow-up after 3 months of treatment, there is no sequelae.Conclusionthe neck bone gluten-beam technique combine with points of self-massage and cervical function exercises and diclofenac sodium sustained release tablets combine with cervical traction and neck brake can improve the neck cervical spondylosis symptoms and signs. By comparing two sets of observations, the former is much better than the latter.
Keywords/Search Tags:Cervical syndrome, gluten bone beam, approach, cooperation between doctors and patients
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