熨药止痛散外敷结合TDP治疗器治疗腰椎管狭窄症的临床疗效观察

发布时间：2018-03-10 03:00

本文选题：腰椎管狭窄症　切入点：中医熨法　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察及评价熨药止痛散外敷结合TDP特定电磁波谱治疗器照射治疗寒湿痹阻型腰椎管狭窄症的临床疗效。材料与方法:将2015年6月—2015年11月间于辽宁中医药大学附属医院骨伤一科接受非手术治疗的96例腰椎管狭窄症(寒湿痹阻型)患者,单盲随机分入观察组与对照组,观察组使用熨药止痛散结合TDP治疗器照射治疗,对照组使用安慰剂结合TDP治疗器照射治疗,疗程为2周。对两组患者治疗前(0周)及治疗后2周、6周随访的VAS评分及Oswestry指数进行统计学分析和评价。结果:96例患者中有9例患者因失访而脱落,最终87例患者完成随访资料。观察组43例患者,VAS评分治疗前(6.05±1.13),治疗后2周(3.67±1.06),末次随访(2.65±1.45);Oswestry指数治疗前(58.65±5.60),治疗后2周(43.40±7.34),末次随访(36.40±10.16),总优良率为88.37%。对照组44例患者,VAS评分治疗前(6.05±1.12),治疗后2周(4.30±1.15),末次随访(3.68±1.65);Oswestry指数,治疗前(58.41±6.20),治疗后2周(50.45±7.69),末次随访(48.02±12.22),总优良率为65.91%。末次随访观察组中临床治愈10例,好转29例,无效4例,总有效率为90.70%;对照组中临床治愈3例,好转25例,无效16例,总有效率63.64%。治疗前组间对照均P0.05,具有可比性;治疗后组间对照均P0.05,差异具有统计学意义。结论:统计分析结果表明熨药止痛散外敷结合TDP特定电磁波谱治疗器照射治疗腰椎管狭窄症疗效确实,短期疗效满意。
[Abstract]:Objective: to observe and evaluate the clinical effect of ironing Zhitong powder combined with TDP special electromagnetic wave spectrum therapy on the treatment of cold and dampness obstruction lumbar spinal stenosis. Materials and methods: from June 2015 to November 2015 in Liaoning Province. 96 cases of Lumbar Spinal Stenosis (Cold and dampness obstruction) received Non-operative treatment in the Department of Bone injury of affiliated Hospital of University, One blind group was randomly divided into the observation group and the control group. The observation group was treated with ironing medicine Zhitong powder combined with TDP device irradiation, while the control group was treated with placebo combined with TDP therapy device. The course of treatment was 2 weeks. The VAS score and Oswestry index of the patients in the two groups were statistically analyzed and evaluated during the follow-up period of 2 weeks and 6 weeks after treatment. Results 9 out of 96 patients dropped off because of the loss of visit. The final follow-up data were completed in 87 patients. The VAS score of 43 patients in the observation group was 6.05 卤1.13g before treatment, 3.67 卤1.06m at 2 weeks after treatment, and 2.65 卤1.45Oswestry index was 58.65 卤5.60g before treatment, 43.40 卤7.34m at 2 weeks after treatment, 36.40 卤10.16m at the last follow-up, and the total excellent and good rate was 88.375.The VAS was evaluated in 44 patients in the control group. The scores were 6.05 卤1.12g before treatment, 4.30 卤1.15m at 2 weeks after treatment, and 3.68 卤1.65 Oswestry index at the last follow-up. The total excellent and good rate was 65.91%. In the last follow-up group, 10 cases were cured, 29 cases were improved, 4 cases were ineffective, the total effective rate was 90.70%, in the control group, 3 cases were cured, 25 cases were improved, 16 cases were ineffective. The total effective rate was 63.64%. Conclusion: the statistical analysis results show that the external application of ironing medicine Zhitong powder combined with TDP specific electromagnetic wave spectrum therapy is effective in the treatment of lumbar spinal canal stenosis, and the short-term curative effect is satisfactory.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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