腰三针温针治疗腰椎间盘突出症的临床疗效观察

发布时间：2018-05-13 19:40

本文选题：腰三针 + 温针　；参考：《广州中医药大学》2017年博士论文

【摘要】：目的:比较腰三针温针和腰三针电针治疗腰椎间盘突出症的临床疗效。方法:本研究将符合纳入标准的60例腰椎间盘突出症病人按照简单随机、单盲法分为治疗组30例,对照组30例。经过4周治疗,通过JOA下腰痛量表、简式Mcqill疼痛量表、Oswestry功能障碍指数评估治疗效果,及两组患者疗效差异。结果:治疗前,两组患者性别、年龄、病位、病程、中医证候分型、JOA下腰痛量表、简式Mcqill疼痛量表、Oswestry功能障碍指数评分组间比较,差异无统计学意义(P0.05);治疗后,两组患者JOA下腰痛量表、简式Mcqill疼痛量表、Oswestry功能障碍指数评分组内比较,差异有统计学意义(P0.05),提示两种治疗方法均能明显改善腰椎间盘突出症的临床症状、体征及日常活动能力;而治疗后的三种量化评分组间比较,差异无统计学意义(P0.05);治疗组总有效率为93.3%,对照组总有效率为86.7%。结论:腰三针温针和腰三针电针均改善腰椎间盘突出症的腰腿痛程度、临床体征、日常生活工作能力、腰部活动能力,而且两种治疗方法的疗效相当。
[Abstract]:Objective: to compare the clinical effect of lumbar three-needle warm acupuncture and lumbar three-needle electroacupuncture in the treatment of lumbar disc herniation. Methods: 60 patients with lumbar disc herniation were randomly divided into treatment group (n = 30) and control group (n = 30). After 4 weeks of treatment, the treatment effect was evaluated by JOA low back pain scale and simple Mcqill pain scale and Oswestry dysfunction index, as well as the difference of curative effect between the two groups. Results: before treatment, there was no significant difference between the two groups in terms of sex, age, disease position, course of disease, TCM syndromes classification, JOA low back pain scale, simple Mcqill pain scale and Oswestry dysfunction index score (P 0.05), but there was no significant difference between the two groups after treatment. There were significant differences between the two groups in JOA low back pain scale and simple Mcqill pain scale and Oswestry dysfunction index score, indicating that the two treatment methods can obviously improve the clinical symptoms of lumbar disc herniation. There was no significant difference between the three quantitative scores after treatment, the total effective rate of the treatment group was 93.3g and the total effective rate of the control group was 86.70.The total effective rate of the treatment group was 93.3%, while that of the control group was 86.7%. Conclusion: both warmed lumbar acupuncture and three-needle electroacupuncture can improve the degree of lumbago and leg pain, clinical signs, daily living ability and waist activity ability of lumbar intervertebral disc herniation, and the curative effect of the two treatment methods is similar.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R246.9

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