中药熏蒸疗法对运动员慢性下腰痛治疗效果研究

发布时间：2018-03-04 20:13

本文选题：中药熏蒸　切入点：运动员　出处：《东北师范大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:慢性下腰痛(chronic Low Back Pain,CLBP)是康复医学科和骨科最常见的临床症状,是一组以下背、腰椎、臀部疼痛为主要症状的综合症。运动员由于职业的特点及训练专项的特殊性,其腰部的运动和负荷的强度要高于非运动人群,慢性下腰痛发病率更高。运动员慢性下腰痛是长期困扰运动员和教练员的一种痼疾,严重影响运动员的训练及比赛。中药熏蒸治疗,是以中医理论为基础,对患者进行辨证用药,利用药物煎、煮产生的药物蒸汽,熏蒸治疗部位达到治疗目的的一种中医外治法。目前关于中药熏蒸在治疗运动员慢性下腰痛的研究尚不充分,本研究通过临床干预治疗以探讨熏蒸法对运动员慢性下腰痛的治疗效果。研究方法:研究将符合慢性下腰痛患者标准的60例20岁-40岁运动员作为研究对象,随机分为两组,施加中药熏蒸和中药内服两种干预措施,采用文献资料法、实验法、问卷调查法、数理统计等方法科学、客观的评价两种治疗方法对慢性下腰痛的治疗效果。研究结果:治疗后熏蒸组临床疗效明显,同时在临床疼痛状况VAS评分、心理状态评价HAMA得分、日常生活能力评价ADL得分,功能障碍指数ODl得分等指标上,治疗后一个疗程后治疗前,症状得到明显改善,而中药内治组仅在VAS评分指标有所差异,其他指标前后差异不具有显著性。研究结论:1.中药熏蒸疗法在治疗运动员慢性下腰痛疾患中治疗效果明显,无论是从疼痛的缓解、心理状态的适应性调节、日常生活能力的恢复、身体活动功能的实现均有明显的干预效果,一个月的临床治疗有效率高达93.3%,治疗效果明显优于中药内服。2.中药熏蒸疗法在治疗运动员慢性下腰痛中,临床证实其具有效果显著、安全性高、无痛舒适、易于实施等良好的优点,病人在治疗过程中配合度高,舒适度高,心理状态表现积极,通过蒸汽发汗、中药渗透、镇痛效应三个方面表现作用机制,以达到治疗疾病的目的,值得临床上推广、应用。
[Abstract]:Objective: chronic Low Back pain is the most common clinical symptom in rehabilitation department and orthopedics department. It is a group of syndromes with lower back, lumbar vertebra and hip pain. The intensity of waist movement and load is higher than that of non-sports people, and the incidence of chronic low back pain is higher. The Chinese medicine fumigation therapy is based on the theory of traditional Chinese medicine, and it is based on the theory of traditional Chinese medicine to treat patients with drugs based on the differentiation of symptoms and signs, and to make use of the medical steam produced by the decoction and boiling of the drugs. A method of external treatment of traditional Chinese medicine for the purpose of fumigation. At present, the research on the treatment of chronic low back pain in athletes with traditional Chinese medicine fumigation is not sufficient. The purpose of this study was to investigate the effect of fumigation on chronic low back pain in athletes by clinical intervention. Methods: 60 athletes aged 20 to 40 years old who met the criteria of chronic low back pain were randomly divided into two groups. Two kinds of intervention measures, fumigation of traditional Chinese medicine and internal administration of traditional Chinese medicine, were carried out. The methods of literature, experiment, questionnaire, mathematical statistics, etc., were used scientifically. Objective evaluation of the two treatment methods for chronic low back pain. Results: after the treatment of fumigation group clinical efficacy is obvious, at the same time in clinical pain status VAS score, psychological evaluation of HAMA score, daily life ability evaluation of ADL score, After one course of treatment, the symptoms were improved obviously in the index of dysfunction ODl, but only in the VAS score of the Chinese herbal medicine group. Conclusion: 1. Traditional Chinese medicine fumigation therapy is effective in the treatment of athletes' chronic low back pain, whether from the relief of pain, the adaptive regulation of psychological state, The recovery of daily living ability and the realization of physical activity have obvious intervention effects. The effective rate of clinical treatment for one month is as high as 93.33.The therapeutic effect is obviously superior to that of traditional Chinese medicine taking orally .2.Chinese medicine fumigation therapy is used to treat athletes' chronic low back pain. It has been proved to be effective, safe, painless and comfortable, easy to implement and so on. The patient has high degree of cooperation, high degree of comfort, positive psychological state, and permeation of Chinese medicine through steam sweating. Analgesic effect in three aspects of the mechanism of action to achieve the purpose of the treatment of disease, worthy of clinical promotion and application.
【学位授予单位】：东北师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R87

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