针刺腰夹脊穴与背俞穴对腰椎间盘突出症临床疗效及肌电图影响的对照观察

发布时间：2018-01-09 13:22

本文关键词：针刺腰夹脊穴与背俞穴对腰椎间盘突出症临床疗效及肌电图影响的对照观察　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究通过比较两组患者治疗前后临床疗效及腓总神经、胫后神经的运动波幅和F波出现率的变化,比较针刺腰夹脊穴与背俞穴对腰椎间盘突出症(LDH)的临床治疗作用,以期为优化针刺选穴方案提供一定依据。方法:将60例符合选择标准的LDH患者按Doll’s临床病例随机表(见附录1)分成观察组和对照组。观察组采用针刺腰夹脊穴为主进行治疗,对照组采用针刺腰背俞穴为主进行治疗,每天治疗1次,每周治疗6天,为1疗程,疗程间间隔1天,共进行2个疗程。观察疗程结束后两组的临床疗效及腓总神经、胫后神经运动波幅和F波出现率的变化。结果:1.组内比较:两组治疗前后VAS评分、腓总神经和胫后神经运动波幅、F波出现率均有显著性差异(P0.05)。2.组间比较:治疗后两组显愈率、VAS评分、腓总神经运动波幅、腓总神经及胫后神经F波出现率有显著性差异(P0.05),胫后神经运动波幅无显著性差异(P0.05)。讨论:针刺腰夹脊穴与背俞穴对LDH均具有显著疗效;但针刺腰夹脊穴对LDH疼痛缓解、神经恢复优于针刺腰背俞穴。
[Abstract]:Objective: to compare the clinical efficacy of the two groups before and after treatment and the changes of the amplitude of motor wave and the occurrence rate of F wave of common peroneal nerve and posterior tibial nerve. To compare the clinical effect of acupuncture on lumbar intervertebral disc herniation (LDH). Methods: 60 LDH patients who met the selection criteria were randomly selected according to the Doll's clinical cases (see Appendix 1). Observation group was divided into two groups: the observation group was treated mainly by acupuncture at points of waist and Jiaji. The control group was treated with acupuncture at the point of back of waist, once a day, 6 days a week, as a course of treatment, the interval between the courses of treatment was 1 day. Two courses of treatment were carried out. The clinical efficacy, the amplitude of motor wave and the occurrence rate of F wave of common peroneal nerve and posterior tibial nerve were observed in the two groups after the end of the treatment. Results: 1. Intragroup comparison: VAS score of the two groups before and after treatment. There was significant difference in the occurrence rate of F wave between the common peroneal nerve and the posterior tibial nerve. Comparison between the two groups: after treatment, the recovery rate of the two groups was determined by VAS score and the amplitude of the motor wave of the common peroneal nerve. The incidence of F-wave in the common peroneal nerve and the posterior tibial nerve was significantly different (P 0.05). There was no significant difference in the amplitude of the posterior tibial nerve movement. But acupuncture at Yaojiaji point alleviated the pain of LDH, and the recovery of nerve was better than that of Acupuncture.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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