药罐疗法治疗寒湿型腰椎间盘突出症疗效观察

发布时间：2018-02-21 06:21

本文关键词： 腰椎间盘突出症保守疗法针灸推拿药罐疗法　出处：《辽宁中医杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨传统药罐疗法对寒湿型腰椎间盘突出症患者的影响。方法:选择钦州市第一人民医院收治的60例寒湿型腰椎间盘突出症患者,按照随机数字表法平均分为对照组与观察组,每组各30例。对照组采用牵引、针灸、推拿的常规综合保守疗法,观察组在对照组基础上增加药罐疗法。两组均以6次为1个疗程,疗程与疗程之间间隔1 d,共治疗4个疗程。比较两组的临床疗效,观察两组治疗前后的中医证候积分及腰椎功能量表评分(JOA评分)变化情况。结果:(1)观察组30例中,临床痊愈14例,显效11例,有效4例,无效1例;对照组30例中,临床痊愈7例,显效10例,有效12例,无效1例。两组疗效比较,经统计学分析,观察组优于对照组(P0.05)。(2)治疗前,两组患者的中医证候积分及腰椎功能量表评分(JOA评分)差异无显著性。治疗后,观察组患者的中医证候积分及腰椎功能量表评分(JOA评分)分别为(5.38±1.47)、(25.56±5.27)分,均分别低于和高于对照组的(8.41±2.55)、(20.21±4.25)分,经统计学分析,差异均有统计学意义(P0.05)。结论:常规综合保守疗法联合传统药罐疗法治疗寒湿型腰椎间盘突出症,其临床疗效更为显著,值得临床推广应用。
[Abstract]:Objective: to investigate the effect of traditional cupping therapy on patients with cold and wet lumbar disc herniation. Methods: 60 patients with cold and wet lumbar disc herniation were selected from the first people's Hospital of Qinzhou City. According to the method of random digital table, they were divided into control group and observation group with 30 cases in each group. The control group was treated with conventional comprehensive conservative therapy of traction, acupuncture and massage. The two groups were treated with 6 times as a course of treatment, the interval between the course of treatment and the course of treatment was 1 day, and a total of 4 courses of treatment were treated. The clinical efficacy of the two groups was compared. Results in the observation group, 14 cases were cured, 11 cases were effective, 4 cases were effective, 1 case was ineffective, and 30 cases in the control group. There were 7 cases of clinical cure, 10 cases of remarkable effect, 12 cases of effective and 1 case of ineffectiveness. By statistical analysis, the observation group was superior to the control group before treatment. There was no significant difference in TCM syndromes score and lumbar function scale score (JOA score) between the two groups. After treatment, the scores of TCM syndromes and lumbar function scales were 5.38 卤1.470.56 卤5.27, respectively. All of them were lower than and higher than those of the control group (8.41 卤2.55) and 20.21 卤4.25, respectively. The difference was statistically significant (P 0.05). Conclusion: the clinical effect of conventional comprehensive conservative therapy combined with traditional medicine cupping therapy on cold and wet lumbar disc herniation is more significant. It is worth popularizing and applying in clinic.
【作者单位】：广西中医药大学第一附属医院推拿科;广西中医药大学;钦州市第一人民医院;
【基金】：国家“十一五”与“十二五”科技支撑计划项目资助(2007BAI48B07-2;2012BAI27B04-2) 国家公益性行业(中医药行业)科研专项项目(财教[2007]204号、国中医药发[2007]56号,200707023) 广西科学研究与技术开发计划项目(桂科攻1598012-48) 广西壮族自治区卫生厅重点科研课题(桂卫科教[2009]29号,重200937) 广西中医药大学硕士学位论文课题(自选课题)
【分类号】：R274.9

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