轻中度腰椎间盘突出症患者对各类保守疗法的可接受性情况研究

发布时间：2018-03-26 02:06

本文选题：腰椎间盘突出症　切入点：中医疗法　出处：《湖北中医药大学》2015年硕士论文

【摘要】：目的:了解轻中度腰椎间盘突出症患者对单项中医疗法、中西医结合疗法、中医综合疗法的可接受性情况。方法:选取我市作为调查点,对2013年10月至2014年12月所有轻中度腰椎间盘突出症门诊患者共504名进行调查,内容包括一般人口学特征、患者对治疗过程依从性、及治疗方法安全性、有效性等方面的可接受性情况,治疗前后sf-12量表等。利用Epidata3.02软件进行数据录入后,用SPSS13.0进行统计分析,分析方法包括卡方检验、非参数检验、方差分析等。结果:1、患者对单项中医疗法、中西医结合疗法、中医综合疗法的可接受性情况存在统计学差异,具体表现为:(1)治疗过程依从性良好率由高到低依次为:中医综合疗法(99.0%)、中西医结合(98.1%)、单项中医技术(91.6%),三组间比较存在差异(P0.05);(2)治疗有效率由高到低依次为:中西医结合(100.0%)、中医综合疗法(100.0%)、单项中医技术(95.9%),三组间比较存在差异(P0.05);(3)治疗过程满意率由高到低依次为:中医综合疗法(100.0%)、单项中医技术(98.6%)、中西医结合(96.3%),三组间比较存在差异(P0.05);(4)治疗后疗效满意率由高到低依次为:中医综合疗法(100.0%)、中西医结合(98.1%)、单项中医技术(95.8%),三组间比较存在差异(P0.05);(5)治疗后费用满意率由高到低依次为:中医综合疗法(100.0%)、单项中医技术(98.7%)、中西医结合(98.1%),三组间比较存在差异(P0.05)。2、患者治疗前后SF-12量表躯体部分得分差值由高到低依次为:中医综合疗法(17.3±6.5)、中西医结合疗法(14.9±4.8)、单项中医疗法(11.7±4.3),组内两两比较有统计学差异(P0.001);患者治疗前后精神部分得分差值由高到低依此为:中医综合疗法(20.1±5.6)、中西医结合疗法(18.1±4.2)、单项中医疗法(15.7±3.9),组内两两比较有统计学差异(P0.001)。结论:中医综合疗法治疗腰椎间盘突出症疗效好,副反应、风险小,治疗费用适中,患者易于接受。
[Abstract]:Objective: to investigate the acceptability of the patients with mild and moderate lumbar intervertebral disc herniation to single Chinese medicine therapy, integrated traditional Chinese and western medicine therapy and comprehensive traditional Chinese medicine therapy. A total of 504 outpatients with mild and moderate lumbar disc herniation from October 2013 to December 2014 were investigated, including general demographic characteristics, patients' compliance with the treatment process, and the safety of treatment methods. The acceptability of validity, sf-12 scale before and after treatment, and so on. After the data was recorded in Epidata3.02 software, the statistical analysis was carried out with SPSS13.0. The analytical methods included chi-square test, non-parametric test, etc. Analysis of variance and so on. Results: 1. There is a statistical difference in the acceptability of individual Chinese medicine therapy, integrated traditional Chinese and western medicine therapy, and combination therapy of traditional Chinese medicine. The order of compliance in the treatment process from high to low is as follows: comprehensive therapy of traditional Chinese medicine (TCM) is 99.0, integrated traditional Chinese and western medicine (TCM) is 98.1U, single TCM technique is 91.6, and there are differences among the three groups (P < 0.05)) the effective rate of treatment is from high to low: Chinese and Western medicine. The satisfaction rate of the treatment process is from high to low. The order of satisfaction rate between the three groups is as follows: comprehensive therapy of traditional Chinese medicine (TCM) 100.0, single Chinese medicine technique (98.6C), integrated Chinese and western medicine (96.33B), and the three groups have a poor treatment process satisfaction rate (P < 0.05). The order of satisfaction in the treatment process is as follows: TCM comprehensive therapy, single TCM technique, integrated Chinese and western medicine, 96.33n, and the differences among the three groups are as follows: the rate of satisfaction in the treatment process is 100.00. After the treatment, the satisfactory rate of curative effect is in the order of high to low: comprehensive therapy of traditional Chinese medicine (TCM) is 100.00, integrated Chinese and western medicine is 98.1, single Chinese medicine technique is 95.8%, there is difference among the three groups (P 0.05) the satisfaction rate of cost after treatment is from high to low: the rate of satisfaction of cost after treatment is: comprehensive therapy of traditional Chinese medicine (TCM). There were significant differences between the three groups (P 0.05). Before and after treatment, the difference of body part score of SF-12 scale in patients was 17.3 卤6.5%, 14.9 卤4.8 and 14.9 卤4.8in the order of TCM comprehensive therapy, TCM combined therapy and traditional Chinese medicine therapy respectively, and the difference between the three groups before and after treatment was significant (P0.05. 2, P < 0. 05, P < 0. 05, P < 0. 05), respectively, and the difference between the three groups was significant (P < 0. 05). The scores of mental part of the patients before and after treatment were from high to low. According to this, the scores of the mental part of the patients were 20.1 卤5.6, 18.1 卤4.2g, 15.7 卤3.9g, respectively. There was statistical difference between the two groups. Conclusion: the treatment of lumbar intervertebral disc herniation with traditional Chinese medicine is effective. Side effects, low risk, moderate cost of treatment, patients are easy to accept.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R681.53

【参考文献】