不同电针波型对腰椎间盘突出症术后疼痛的疗效研究

发布时间：2018-04-02 12:33

本文选题：电针　切入点：波型　出处：《福建中医药大学》2017年硕士论文

【摘要】：目的:研究不同电针波型治疗腰椎间盘突出症术后疼痛的临床疗效。方法:选取2015年11月至2016年11月间收治的腰椎间盘突出症经手术治疗后残留疼痛的患者90例。通过随机分组方法将患者分为三组:连续波组,疏密波组和断续波组,每组30例。各组采用相应电针波型治疗,20min/次,1次/日,疗程为10天。通过比较电针治疗前后VAS、ODI、JOA评分,并依据JOA评分改善率,进行总体疗效评价。所有数据在SPSS 22.0统计软件下分析。结果:①一般资料比较:三组患者在性别、年龄、病变节段比较上,均无统计学差异(P0.05),具有可比性。②VAS评分:三组治疗前VAS评分无统计学差异,具有可比性(P0.05)。治疗后,各组组内VAS评分较治疗前降低,存在统计学差异(P0.05)。组间比较,VAS评分疏密波组连续波组断续波组,均有统计学差异(P0.05)。③ODI评分:三组治疗前ODI评分无统计学差异,具有可比性(P0.05)。治疗后,各组组内ODI评分较治疗前降低,存在差异(P0.05)。组间比较,ODI评分疏密波组连续波组断续波组,均有统计学差异(P0.05)。④JOA评分:三组治疗前JOA评分无统计学差异,具有可比性(P0.05)。治疗后,JOA评分均较治疗前提高,存在统计学差异(P0.05)。组间比较,JOA评分疏密波组连续波组断续波组,均有统计学差异(P0.05)。⑤JOA评分改善率:治疗结束后疏密波组治愈8例,显效19例,有效1例,无效2例,总有效率93.33%;连续波组治愈4例,显效17例,有效5例,无效4例,总有效率86.67%;断续波组治愈1例,显效12例,有效11例,无效6例,总有效率80.00%。三组试验患者JOA评分改善率比较,疏密波组疗效连续波组断续波组,有统计学差异(P0.05)。结论:不同电针波型可缓解腰椎间盘突出症术后疼痛,其中疏密波疗效优于连续波、断续波。
[Abstract]:Objective: to study the clinical effect of different electroacupuncture wave patterns on postoperative pain of lumbar disc herniation. Methods: 90 patients with residual pain after surgical treatment of lumbar disc herniation from November 2015 to November 2016 were selected. Patients were randomly divided into three groups: continuous wave group, 30 cases in each group were treated with corresponding electroacupuncture wave therapy for 20 mins per day for 10 days. The scores of VAS-ODI JOA were compared before and after electroacupuncture treatment, and the improvement rate was based on the JOA score. All data were analyzed under the SPSS 22.0 statistical software. Results comparison of the general data of the three groups: sex, age, pathological segment comparison, There was no statistical difference (P 0.05), and the scores were comparable. 2VAS: there was no significant difference in VAS score before treatment among the three groups, but there was no significant difference between the three groups (P 0.05). After treatment, the VAS score in each group was lower than that before treatment. There was statistical difference (P 0.05). There was significant difference in the scores of continuous wave group and continuous wave group. There was no statistical difference in ODI score before and after treatment among the three groups, and there was no significant difference in ODI score between the three groups. After treatment, there was no significant difference in ODI score between the three groups. After treatment, there was no significant difference in ODI score between the three groups, and there was no significant difference between the three groups before and after treatment. The scores of ODI in each group were significantly lower than those before treatment (P 0.05), and there was no significant difference in the scores of continuous wave group (P 0.05) and continuous wave group (P 0.05). 4JOA scores were not significantly different among the three groups before treatment, and there was no significant difference in JOA score between the three groups before treatment. The scores of JOA after treatment were higher than those before treatment, and there was statistical difference (P 0.05). There were statistical differences in JOA scores between groups in continuous wave group and continuous wave group, and the improvement rate of P0.05. 5 JOA score: 8 cases were cured in dense wave group after treatment. In the continuous wave group, 4 cases were cured, 17 cases were markedly effective, 5 cases were effective, 4 cases were ineffective, and the total effective rate was 86.67%. In the intermittent wave group, 1 case was cured, 12 cases were markedly effective, 11 cases were effective, 6 cases were ineffective. The total effective rate was 80.000.Compared with the improvement rate of JOA score in the three test groups, there was statistical difference between the continuous wave group and the continuous wave group. Conclusion: different electroacupuncture wave patterns can relieve postoperative pain of lumbar intervertebral disc herniation. The effect of density wave is better than that of continuous wave and intermittent wave.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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