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《神經(jīng)根型頸椎病和椎動(dòng)脈型頸椎病與耳穴電測(cè)陽性反應(yīng)點(diǎn)的相關(guān)性研究》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、提要目的:通過臨床研究神經(jīng)根型頸椎病和椎動(dòng)脈型頸椎病患者的耳穴電測(cè)陽性反應(yīng)點(diǎn),初步探討相應(yīng)的耳穴電測(cè)陽性反應(yīng)點(diǎn)對(duì)不同分型頸椎病的診斷價(jià)值,為臨床診斷頸椎病提供一種簡(jiǎn)單易行的輔助診斷方法。方法:研究對(duì)象均為山東省中醫(yī)院針灸科門診及病房就診的頸椎病患者和(共100例)健康者(共30例),將其分為觀察組(有頸椎病者)和對(duì)照組(健康人)。通過對(duì)患者進(jìn)行詳細(xì)詢問,病史采集,結(jié)合影像學(xué)診斷,做出最終的診斷及分型(將神經(jīng)根型頸椎病組設(shè)為觀察組一,將椎動(dòng)脈型頸椎病組設(shè)為觀察組二);應(yīng)用耳穴探測(cè)儀沿耳輪—耳舟—對(duì)耳輪體部—三角窩—耳甲艇—耳甲腔—
2、對(duì)耳屏—耳垂—耳屏依次滑行探測(cè),從而分析不同分型頸椎病與耳穴陽性反應(yīng)點(diǎn)的相關(guān)性。結(jié)果:1.觀察組一與對(duì)照組相比,耳穴敏感點(diǎn)中頸椎、肩、指、腕、肘、腎、肝、皮質(zhì)下8個(gè)穴位經(jīng)統(tǒng)計(jì)學(xué)分析有顯著性差異(P<0.05)。2.觀察組二與對(duì)照組相比,耳穴敏感點(diǎn)中頸椎、肩、枕、腎、交感、心、神門、內(nèi)分泌8個(gè)穴位經(jīng)統(tǒng)計(jì)學(xué)分析有顯著性差異(P<0.05)。3.對(duì)觀察組與對(duì)照組耳穴敏感點(diǎn)相比有顯著性差異的8個(gè)穴位進(jìn)行左右耳耳穴分布的比較,結(jié)果耳穴敏感點(diǎn)在左右耳的分布上沒有顯著性差異。結(jié)論:1.與神經(jīng)根型頸椎病相關(guān)的耳穴電測(cè)陽性反應(yīng)點(diǎn)有:頸椎、肩、指、
3、腕、肘、腎、肝、皮質(zhì)下。2.與椎動(dòng)脈型頸椎病相關(guān)的耳穴電測(cè)陽性反應(yīng)點(diǎn)有:頸椎、肩、枕、腎、交感、心、神門、內(nèi)分泌。3.這兩組陽性反應(yīng)點(diǎn)對(duì)神經(jīng)根型頸椎病和椎動(dòng)脈型頸椎病在臨床上有輔助診斷意義。關(guān)鍵詞頸椎病;耳穴陽性反應(yīng)點(diǎn);相關(guān)性ResearchonrelationshipbetweenelectricmeasurementpositivereactionauricularpointsandnerverootcervicalspondylosisandVertebralarterycervicalspondylosisSpecial
4、ty:AcupunctureandMoxibustionAuthor:LiXiaohuaTutor:Prof.FangYigongAbstractObjective:Toobserveauricularelectricmeasurementpositivereactionpointsindiagnosingdifferenttypesofcervicalspondylosis.Method:100casesofcervicalspondylosisand30casesofnon-cervicalspondylosisweretw
5、ogroups.Bydetailedaskingandrecordinghistoryandimaginediagnosistodiagnoseandclassify100casesofcervicalspondylosispatientsintotwotypes:a.Nerverootcervicalspondylosisandb.Vertebralarterycervicalspondylosis.Usingauriculardetectortodetectalonghelix,scapha,principalpartofa
6、ntihelix,triangularfossa,cymabaconchae,cavityofconcha,antitragus,earlobeandtragus,thentoobservetherelationshipbetweendifferenttypesofcervicalspondylosisandauricularpositivereactionpoints.Results:1.Comparingwithnon-cervicalspondylosisgroup,innerverootcervicalspondylos
7、isgroup,thereweredifferencesineightauricularpoints(P<0.05),whichwerecervicalvertebrapoint,shoulderpoint,fingerpoint,wristpoint,elbowpoint,kidneypoint,liverpoint,andsubcortexpoint.2.Comparingwithnon-cervicalspondylosisgroup,invertebralarterycervicalspondylosisgroup,th
8、ereweredifferencesineightauricularpoints(P<0.05),whichwerecervicalvertebrapoint,shoulderpoint,occiputpoint,kidneypoint,sympatheticp