【作者】 张云凌；

【导师】 李兆文；

【作者基本信息】 福建中医学院 ， 针灸推拿学， 2006， 硕士

【摘要】 目的：探讨针刺单穴（悬钟）治疗神经根型颈椎病的临床疗效和可能的治疗机理，为针灸治疗神经根性颈椎病提供一种简、便、廉、验的方法；为进一步深入研究奠定基础。 方法：选择神经根型颈椎病患者60例。随机分为A组（悬钟穴组）20例，B组（颈夹脊穴组）20例，C组（西药组）20例。A组：针刺单穴悬钟。B组：根据颈部X光片所示颈椎椎体节段改变取相应双侧颈夹脊穴。C组：口服药物吲哚美辛和VitB₁。吲哚美辛每次25mg，每日3次；VitB₁每次20mg，每日3次。三组连续治疗10天为1观察疗程。三组治疗前后（1） 检测血液流变学：血浆粘度值（mPas），红细胞压积（L／L），全血高切还原粘度，全血低切还原粘度，红细胞聚集指数。（2） 用简化的McGill疼痛问卷表进行疼痛评分。治疗后用《中医病症诊断疗效标准》评估疗效。 结果： （1） A、B、C三组治疗前血液流变学各项指标比较无统计学意义（P＞0.05）；A、B两组治疗后血液流变学各项指标有明显下降，与治疗前比较有统计学意义（P＜0.05）；C组治疗前后比较无统计学意义（P＞0.05）。 （2） A、B、C三组治疗前，用简化的McGill疼痛问卷表评分无统计学意义（P＞0.05）；A、B、C三组治疗后疼痛评分有明显下降，与治疗前比较有统计学意义（P＜0.05）；A、B、C三组之间治疗后疼痛评分比较无统计学意义（P＞0.05）。 （3） A、B、C三组治疗后用《中医病症诊断疗效标准》评定疗效，三组疗效无统计学意义（P＞0.05）。 结论： （1） A、B两组方法均可改善血液流变学各项指标。更多还原

【Abstract】 Objective: To explore the clinical curative effect and probably treatment mechanism of treating Cervical Spondylosis of nerve root type with acupuncture single point（xuanzhong）, provising an simple method of treating Cervical Sp -ondylosis of nerve root type with acupuncture and settling the foundation for further study.Methods: 60 cases of Cervical Spondylosis of nerve root type were divided into group A （n=20） which was punctured only acpoint xuanzhong and group B （n=20） which was punctured the extra point neck jia ji and group C （n=20） which was ordered to take medicines Indometaction 25mg and VitB₁ 20mg tds. The patients in 3 groups were treated continuously for 10 days. Prior to and after treatment, （1） Hemorheology Parameter: plasma viscosity, packed Red Blood Cell, whole blood high-sheer reduced viscosity, whole blood low-sheer reduced viscosity, aggregation index ofRBC were analysed. （2）The symptom was evaluated by Short-Form of McGill Pain Questionnaire. （3）The curative effect was evaluated by TCM syndrome diagnosis and curative effect standard in the three groups.Results:（1）There were no statistic significant difference before treatment of Hemorheology Parameter in 3 groups （p>0. 05）; after treatment, Hemorheology Parameters obviously reduced in group A and group B, but there was no statistic significant difference between the two groups （p>0.05）; There was no statistic更多还原