针灸结合推拿治疗血瘀型腰椎间盘突出症的临床研究

发布时间：2018-03-05 23:38

本文选题：腰椎间盘突出症　切入点：血瘀型　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察针灸结合推拿治疗血瘀型腰椎间盘突出症的临床疗效。方法:按完全随机设计的方法,将100例患者分到治疗组和对照组各50例。治疗组采用针灸结合推拿治疗,对照组采用单纯推拿治疗。治疗3个疗程后,将治疗结果经SPSS13.0统计分析后得出结论。结果:(1)治疗组痊愈率及总有效率分别为64%和82%,而对照组分别为50%和82%。两组试验差异非常显著(P0.01),治疗组优于对照组。(2)治疗后两组患者的疼痛、麻木、难受不适症状及影响工作生活方面比组内治疗前都有明显改善,且都有统计学意义(P0.05)。两组患者治疗前后的计分差值在疼痛、麻木、难受不适症状及影响工作生活方面,治疗组均优于对照组,且两组相比有显著性差异(P0.05)。(3)治疗后两组患者的体格检查、肌力、腱反射、CT及MRI检查的综合情况比组内治疗前都有明显改善,且都有统计学意义(P0.05)。而两组治疗前后差值相比无统计学意义(P0.05)。结论:针灸结合推拿疗法和单纯推拿疗法治疗血瘀型腰椎间盘突出症均有较好的效果,但针灸结合推拿疗法要优于单纯推拿疗法。
[Abstract]:Objective: to observe the clinical effect of acupuncture and moxibustion combined with massage on lumbar disc herniation of blood stasis type. Methods: 100 patients were divided into treatment group (n = 50) and control group (n = 50). The control group was treated with simple massage. After 3 courses of treatment, Results the cure rate and total effective rate of the treatment group were 64% and 82, respectively, while that of the control group were 50% and 82.The difference between the two groups was very significant (P 0.01). The treatment group was superior to the control group. Pain in both groups, The symptoms of numbness, discomfort and influence on working life were significantly improved compared with those before treatment in both groups, and there were significant differences in scores before and after treatment between the two groups in terms of pain, numbness, discomfort and influence on working life. The treatment group was superior to the control group, and there was significant difference between the two groups (P 0.05). After treatment, the comprehensive condition of physical examination, muscle strength, tendon reflex CT and MRI examination in the two groups were obviously improved compared with those before treatment in the two groups. The difference between the two groups before and after treatment was not statistically significant. Conclusion: acupuncture combined with massage therapy and massage therapy alone have better effect in treating blood stasis type lumbar disc herniation, and there is no significant difference between the two groups before and after treatment, conclusion: both acupuncture and moxibustion combined with massage therapy have a good effect on the treatment of blood stasis type lumbar intervertebral disc herniation. But acupuncture and moxibustion combined with massage therapy are superior to simple massage therapy.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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