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To Observe The Clinical Curative Effect Of Houxi And Zulinqi Of The Treatment Of Cervical Spondylopathy

Posted on:2017-08-19Degree:MasterType:Thesis
Country:ChinaCandidate:Y H ChenFull Text:PDF
GTID:2334330512478141Subject:Acupuncture and Massage
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Cervical spondylosis,a common type of spinal disease,is currently very common in clinical practice.Modern western medicine after years of research found that its pathogenesis is mainly reflected in two aspects:one is hyper ostogery another one is the cervical intervertebral disc tissue degeneration;by two of degenerative intervertebral disc tissue secondary degeneration caused by variable.In terms of the symptoms,the main symptoms of cervical spondylosis are neck,shoulder,occipital discomfort,pain,swelling,no-fixed pain points,stiffness of the main performance.In recent years,China's social economy has made rapid development,followed by the people's lifestyle shop,work has changed a lot than before.Mobile phones,computers and other modern means of communication is universal,the people who use mobilephone can be seen everywhere,resulting in the incidence of cervical spondylosis in recent years increased year by year,and more and more young.In 1992,the second symposium on cervical spondylosis was successfully held in Shandong Qingdao,in this forum,with the main physiological characteristics near the cervical spinal cord,nerve and vascular anatomy,cervical spondylosis is easy to infringe near the spinal cord,nerve,blood vessels and other clinical findings,Congress enacted a new type of cervical spondylosis the experts agreed that the standard of cervical spondylosis was divided into six types,the first type is the neck type of cervical spondylosis,second is a type of nerve root type cervical spondylosis,type third is cervical spondylotic myelopathy,fourth is a type of vertebral artery type of cervical spondylosis,type fifth is sympathetic nerve type cervical spondylosis,type sixth is a mixed type of cervical syndrome disease.In the six type of cervical spondylosis,cervical type of cervical spondylosis is the initial stage,so the symptoms is the lightest among six eyres,so if the treatment is timely and appropriate treatment to alleviate symptoms faster,and with good curative effect and treatment time is relatively short.On the contrary,cervical spondylosis is easy to develop into other types of cervical spondylosis.For the treatment of cervical spondylosis,traditional Chinese medicine and modern western medicine have a lot of different treatment methods,and have a certain effect.Acupuncture and massage treatment of cervical spondylosis characteristic therapy of traditional Chinese medicine,the application of eight confluence points in spinal disease is very extensive,HouXi and ZulinQi for the treatment of spinal diseases has good curative effect,worthy of further research and application.My tutor Professor Peng Xuming from learned of the Five Ridges acupuncture everyone Jin Rui professor and Professor Zhang Jiawei,clinical research has long been engaged in diseases correlated to spine.In this paper,the basic theory of traditional Chinese medicine as the basis,combined with the tutor's clinical experience,after acupuncture,HouXi and ZulinQi clinical experimental study combined with massage in the treatment of cervical spondylosis,after discussion of eight confluence points HouXi and ZulinQi combined with massage in the treatment of cervical spondylosis provide some significance to clinical practice.Valuable reference and necessary material for clinical practice and scientific research to others for cervical spondylosis.ObjectiveIn this paper the principle of evidence-based medicine,is a comparison of clinical trials on patients with cervical spondylosis with eight confluence points after Xi and zulinqi of acupuncture combined with massage therapy,by comparing before and after treatment of cervical spondylosis neck pain,symptoms change,processing and analysis to observe the results of using statistical methods to observe the acupuncture HouXi and ZulinQi with the efficacy and safety of massage treatment of cervical spondylosis of the evaluation,explore the eight confluence points " HouXi and ZulinQi "combination mechanism of massage treatment of cervical spondylosis,provide evidence the acupuncture combined with massage treatment of cervical spondylopathy,lay a solid foundation for further research in the future,and provides a new way for the treatment of cervical spondylosis,acupuncture to expand the node The spectrum of diseases in combination with massage therapy.methodFirst of all,60 cases of cervical spondylosis were selected,and the patients were from the First Affiliated Hospital of Guangzhou University of Chinese Medicine.According to the principle of statistics,the research group used simple random method,60 cases of eligible patients with cervical spondylosis were randomly divided into two groups,one group was the treatment group,the number of 30 people,another group as control group,the number of 30 people.The treatment plan:two groups of patients with conventional massage therapy,time is about 20 minutes,the choice is mainly manual kneading,pushing,rolling,grasoing,plucking pressing and rofating feehniques.The control group only treated with conventional massage therapy,the treatment group in the control group based on the combination of acupuncture HouXi and ZulinQi two points,retaining time of 15 minutes.Treatment cycle:the next day for a treatment,continuous treatment for 6 times as a course of treatment,the whole course of the two courses of clinical observation.Observation index:the main use of clinical research commonly used observation scale for clinical observation:first,NPQ neck pain scale,two is a simplified McGill pain questionnaire(SF-MPQ).The specific approach to treatment before a NPQ neck pain scale and simplified McGill pain questionnaire(SF-MPQ)assessment,the end of the two course of treatment for another NPQ neck pain scale and simplified McGill pain questionnaire(SF-MPQ)assessed and compared before and after treatment of the relevant data to scale results.Clinical efficacy:the reduction rate of NPQ cervical pain scale was used as the objective index of clinical evaluation.The clinical score decreased more than 75%;control:significant progress:50%= score decreased 75%;progress:25 = score decreased 50%;score decreased invalid:<25%.The relevant data collected by the group using statistical software SPSS19.0 software for statistical analysis,based on statistical analysis of the results,evaluation of the treatment group and the control group.result1,General information:in terms of gender,age,course of disease,differences between treatment group and control group were not statistically significant before treatment;NPQ neck pain scale and simplified McGill pain questionnaire(SF-MPQ)score,differences between treatment group and control group were not statistically significant;so the two group there were comparable of.2,Comparison of clinical efficacy:using acupuncture HouXi and ZulinQi combined with massage therapy treatment group and control group treated by massage therapy has good therapeutic effect.The treatment group acupuncture HouXi and ZulinQi combined with massage therapy the total effective rate was 96.67%;the control group simple massage therapy the total effective rate was 76.67%,according to the analysis results,total effective rate of treatment group was significantly better than the control group,group P<0.05,there is a statistically significant.3,NPQ neck pain scale scores were compared using paired t,treatment group and control group in the score and treatment before and after treatment the P score<0.05,there was statistical significance;the independent T,after treatment,the treatment group and the control group P score<0.05,there was statistical significance,described in the improvement of NPQ amount of neck pain score,using acupuncture HouXi and ZulinQi combined treatment group than the control group treated with massage therapy and massage therapy.4,the simplified McGill pain questionnaire score:compared with paired t,treatment group and control group in the score and treatment before and after treatment the P score<0.05,there was statistical significance;the independent T,after treatment,the treatment group and the control group P score<0.05,there was statistical significance,indicating a query scale the score in the improvement of the simplified McGill pain by acupuncture HouXi and ZulinQi combined treatment group than the control group treated with massage therapy and massage therapy.5,the treatment group and the control group in the course of observation of two courses of treatment,there was no adverse reactions and accidents.
Keywords/Search Tags:Cervical spondylosis, Houxi, zulinqi, acupuncture, massage
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