中西医理论指导下针刺治疗神经根型颈椎病的临床研究
发布时间：2023-04-02 19:17
1.背景颈椎病(cervical spondylotic,CS)是指由于随着年龄的增长、创伤或不同的病理改变,导致的一系列慢性症状。颈椎病的主要危险因素包括年龄(正常老化)、职业(重复颈部运动或长时间伏案工作)、颈部损伤、遗传因素(家族史)和吸烟。颈椎病在30至60岁之间的年龄段中发生率很高。这些变化通常逐步发展,最终导致广泛发病。颈椎病进展中最早的病理变化可能是椎间盘内物质的有机化学改变,导致水分含量减少,脱水收缩导致脊柱生物力学的改变,导致软骨盘的缓冲功能丧失。结果,不同组织(关节侧和韧带)内发生二次变化,从而损害椎关节附近的组织。与骨折自愈—样,躯体也会以类似的方法自愈脊柱,即通过边缘骨赘(即骨刺)来应对慢性变化的异常状态。长此以往,椎骨最终会自动融合。—些颈椎病患者可见椎骨完成了自动融合,而在大多数接受医疗护理,并且椎间盘保持含水量和活跃度的患者中,疾病的进展在自动融合发生之前停止。少数情况下,慢性疾病并发急性椎间盘破裂而使病情复杂。神经根型颈椎病(cervical spondylotic radiculopathy,CSR)是由于脊柱颈区的神经根被挤压引起的神经根疼痛、感觉运...
【文章页数】：124 页
【学位级别】：博士
【文章目录】：
ABSTRACT
摘要
CHAPTER 1: INTRODUCTION
1.1 BACKGROUND
CHAPTER 2: VIEW OF WESTERN MEDICINE
2.1 BACKGROUND
2.2 EPIDEMIOLOGICAL INFORMATION
2.3 CLASSIFICATION,PATHOPHYSIOLOGY AND CLINICAL SYNDROMES OF CS
2.3.1 CLASSIFICATION
2.3.2 PATHOPHYSIOLOGY OF CERVICAL SPONDYLOSIS
2.3.3 CLINICAL SYNDROMES
2.3.4 CERVICAL RADICULOPATHY
2.3.5 CERVICAL MYELOPATHY
2.3.6 AXIAL NECK PAIN
2.4 DIFFERENTIAL DIAGNOSIS
2.4.1 DIFFERENTIAL DIAGNOSIS OF ACUTE RADICULOPATHY (TYPE Ⅰ SYNDROME)
2.4.2 DIFFERENTIAL DIAGNOSIS OF CHRONIC RADICULOPATHY (TYPE Ⅰ SYNDROME)
2.4.3 DIFFERENTIAL DIAGNOSIS OF MYELOPATHY (TYPE Ⅱ SYNDROME):
2.4.4 DIFFERENTIAL DIAGNOSIS OF AXIAL NECK PAIN (TYPE Ⅲ SYNDROME)
2.5 HOW TO DIAGNOSE CSR
2.5.1 SIGNS AND SYMPTOMS
2.5.2 IMAGING STUDIES
2.5.3 HISTOLOGICAL FINDINGS
2.6 TREATMENT
2.6.1 NON-OPERATIVE/NON-SURGICAL TREATMENTS
2.6.2 OPERATIVE/SURGICAL TREATMENT
2.7 NATURAL AND HOME REMDIES
2.7.1 REVIEWFROM THE WESTERN MEDICINE APPROACH
CHAPTER 3: VIEW OF CHINESE MEDICINE
3.1 INTRODUCTION OF TCM
3.2 BACKGROUND OF CSR ACCORDING TO CHINESE MEDICINE
3.3 CLINICAL MANIFESTATIONS & DIAGNOSIS
3.4 SYNDROME DIFFERENTIATION
3.5 TREATMENT FOR CS BASED ON TCM ACCORDING TO THE DIFFERENTIAL DIAGNOSIS
3.5.1 ACUPUNCTURE THERAPY
3.5.2 MASSAGE (TUINA) THERAPY
3.5.3 MOXIBUSTION THERAPY
3.5.4 CUPPING THERAPY
3.6 CLINICAL RESEARCHES OF TREATING CS WITH HERBS, ACUPUNCTURE & TUINATECHNIQUES
3.7 DISCUSSION
CHAPTER 4: VIEW OF ACUPOINT SELECTION OF ACUPUNCTURE TREATMENT OF CSR
4.1 MATERIALS AND METHODS
4.1.1 INCLUSION CRITERIA
4.1.2 EXCLUSION CRITERIA
4.1.3 SOURCES AND SEARCH METHODS
4.1.4 SCREENING METHODS
4.1.5 DATA ACQUISITION BASIS
4.1.6 STATISTICAL METHODS
4.2 RESULTS
4.2.1 ACUPUNCTURE TREATMENT OF CSR TYPE CS LITERATURE SEARCH RESULTS
4.2.2 ACUPUNCTURE TREATMENT OF CSR CS COMMON FREQUENCY OF USE
4.2.3 ACUPUNCTURE TREATMENT OF CSR CS COMMONLY USED POINTS IN THE FOURTEENDISTRIBUTION OF MERIDIANS
4.2.4 COMMON ACUPOINTS DISTRIBUTION IN ACUPUNCTURE TREATMENT OF CSR
4.2.5 ATTRIBUTION OF COMMON ACUPOINTS WITHIN SPECIAL ACUPOINTS IN ACUPUNCTURETREATMENT OF CSR
4.3 DISCUSSION
4.3.1 THE RULE OF ACUPUNCTURE TREATMENT FOR CSR TYPE
4.3.2 STUDY ON THE PRINCIPLE OF SELECTING ACUPOINTS TO TREAT CSR
4.3.3 CONCLUSION
4.3.4 SUMMARY
CHAPTER 5: CLINICAL RESEARCH
5.1 RESEARCH OBJECTIVE
5.2 RESEARCH DESIGN
5.2.1 SUBJECT DESIGN
5.2.2 SOURCE OF CASES
5.2.3 RANDOM METHOD
5.3 CASE SELECTION CRITERIA
5.3.1 DIAGNOSTIC CRITERIA
5.3.2 INCLUSION CRITERIA OF CASES
5.3.3 EXCLUSION CRITERIA OF CASES
5.4 RESEARCH METHODS
5.4.1 GROUP A (CONTROL GROUP)
5.4.2 GROUP B (TREATMENT GROUP)
5.4.3 EFFICACY EVALUATION
5.4.4 STATISTICAL METHODS
5.5 TEST RESULTS
5.5.1 THE BASELINE ANALYSIS
5.5.2 CLINICAL DATA STATISTICS AND ANALYSIS
5.5.3 INDICATIONS WITH THE TREATMENT TIME IN THE TWO GROUPS
CHAPTER 6: DISCUSSION
6.1 FEASIBILITY OF SELECTING ACUPOINTS WITH INTEGRATED CHINESE AND WESTERN MEDICINETHEORY
6.2 THE CURATIVE EFFECT OF MERIDIAN SYNDROME DIFFERENTIATION
6.3 REASONS FOR NO DIFFERENCE IN CURATIVE EFFECT BETWEEN THE TWO GROUPS
6.4 DEFICIENCIES AND PROSPECTS
CHAPTER 7: CONCLUSION
REFERENCES
ACKNOWLEDGEMENTS
APPENDIX
MAIN RESEARCH ACHIEVEMENTS DURING THE STUDY PERIOD
RESUME
本文编号：3779792
【文章页数】：124 页
【学位级别】：博士
【文章目录】：
ABSTRACT
摘要
CHAPTER 1: INTRODUCTION
1.1 BACKGROUND
CHAPTER 2: VIEW OF WESTERN MEDICINE
2.1 BACKGROUND
2.2 EPIDEMIOLOGICAL INFORMATION
2.3 CLASSIFICATION,PATHOPHYSIOLOGY AND CLINICAL SYNDROMES OF CS
2.3.1 CLASSIFICATION
2.3.2 PATHOPHYSIOLOGY OF CERVICAL SPONDYLOSIS
2.3.3 CLINICAL SYNDROMES
2.3.4 CERVICAL RADICULOPATHY
2.3.5 CERVICAL MYELOPATHY
2.3.6 AXIAL NECK PAIN
2.4 DIFFERENTIAL DIAGNOSIS
2.4.1 DIFFERENTIAL DIAGNOSIS OF ACUTE RADICULOPATHY (TYPE Ⅰ SYNDROME)
2.4.2 DIFFERENTIAL DIAGNOSIS OF CHRONIC RADICULOPATHY (TYPE Ⅰ SYNDROME)
2.4.3 DIFFERENTIAL DIAGNOSIS OF MYELOPATHY (TYPE Ⅱ SYNDROME):
2.4.4 DIFFERENTIAL DIAGNOSIS OF AXIAL NECK PAIN (TYPE Ⅲ SYNDROME)
2.5 HOW TO DIAGNOSE CSR
2.5.1 SIGNS AND SYMPTOMS
2.5.2 IMAGING STUDIES
2.5.3 HISTOLOGICAL FINDINGS
2.6 TREATMENT
2.6.1 NON-OPERATIVE/NON-SURGICAL TREATMENTS
2.6.2 OPERATIVE/SURGICAL TREATMENT
2.7 NATURAL AND HOME REMDIES
2.7.1 REVIEWFROM THE WESTERN MEDICINE APPROACH
CHAPTER 3: VIEW OF CHINESE MEDICINE
3.1 INTRODUCTION OF TCM
3.2 BACKGROUND OF CSR ACCORDING TO CHINESE MEDICINE
3.3 CLINICAL MANIFESTATIONS & DIAGNOSIS
3.4 SYNDROME DIFFERENTIATION
3.5 TREATMENT FOR CS BASED ON TCM ACCORDING TO THE DIFFERENTIAL DIAGNOSIS
3.5.1 ACUPUNCTURE THERAPY
3.5.2 MASSAGE (TUINA) THERAPY
3.5.3 MOXIBUSTION THERAPY
3.5.4 CUPPING THERAPY
3.6 CLINICAL RESEARCHES OF TREATING CS WITH HERBS, ACUPUNCTURE & TUINATECHNIQUES
3.7 DISCUSSION
CHAPTER 4: VIEW OF ACUPOINT SELECTION OF ACUPUNCTURE TREATMENT OF CSR
4.1 MATERIALS AND METHODS
4.1.1 INCLUSION CRITERIA
4.1.2 EXCLUSION CRITERIA
4.1.3 SOURCES AND SEARCH METHODS
4.1.4 SCREENING METHODS
4.1.5 DATA ACQUISITION BASIS
4.1.6 STATISTICAL METHODS
4.2 RESULTS
4.2.1 ACUPUNCTURE TREATMENT OF CSR TYPE CS LITERATURE SEARCH RESULTS
4.2.2 ACUPUNCTURE TREATMENT OF CSR CS COMMON FREQUENCY OF USE
4.2.3 ACUPUNCTURE TREATMENT OF CSR CS COMMONLY USED POINTS IN THE FOURTEENDISTRIBUTION OF MERIDIANS
4.2.4 COMMON ACUPOINTS DISTRIBUTION IN ACUPUNCTURE TREATMENT OF CSR
4.2.5 ATTRIBUTION OF COMMON ACUPOINTS WITHIN SPECIAL ACUPOINTS IN ACUPUNCTURETREATMENT OF CSR
4.3 DISCUSSION
4.3.1 THE RULE OF ACUPUNCTURE TREATMENT FOR CSR TYPE
4.3.2 STUDY ON THE PRINCIPLE OF SELECTING ACUPOINTS TO TREAT CSR
4.3.3 CONCLUSION
4.3.4 SUMMARY
CHAPTER 5: CLINICAL RESEARCH
5.1 RESEARCH OBJECTIVE
5.2 RESEARCH DESIGN
5.2.1 SUBJECT DESIGN
5.2.2 SOURCE OF CASES
5.2.3 RANDOM METHOD
5.3 CASE SELECTION CRITERIA
5.3.1 DIAGNOSTIC CRITERIA
5.3.2 INCLUSION CRITERIA OF CASES
5.3.3 EXCLUSION CRITERIA OF CASES
5.4 RESEARCH METHODS
5.4.1 GROUP A (CONTROL GROUP)
5.4.2 GROUP B (TREATMENT GROUP)
5.4.3 EFFICACY EVALUATION
5.4.4 STATISTICAL METHODS
5.5 TEST RESULTS
5.5.1 THE BASELINE ANALYSIS
5.5.2 CLINICAL DATA STATISTICS AND ANALYSIS
5.5.3 INDICATIONS WITH THE TREATMENT TIME IN THE TWO GROUPS
CHAPTER 6: DISCUSSION
6.1 FEASIBILITY OF SELECTING ACUPOINTS WITH INTEGRATED CHINESE AND WESTERN MEDICINETHEORY
6.2 THE CURATIVE EFFECT OF MERIDIAN SYNDROME DIFFERENTIATION
6.3 REASONS FOR NO DIFFERENCE IN CURATIVE EFFECT BETWEEN THE TWO GROUPS
6.4 DEFICIENCIES AND PROSPECTS
CHAPTER 7: CONCLUSION
REFERENCES
ACKNOWLEDGEMENTS
APPENDIX
MAIN RESEARCH ACHIEVEMENTS DURING THE STUDY PERIOD
RESUME
本文编号：3779792
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