毫针深刺治疗腰椎间盘突出症（瘀血腰痛型）的临床研究

发布时间：2018-03-10 12:18

本文选题：毫针深刺　切入点：腰椎间盘突出症　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:研究毫针深刺对腰椎间盘突出症(瘀血腰痛型)患者的临床疗效,并证明深刺治疗本病症的显著优势。材料与方法:将70例腰椎间盘突出症(瘀血腰痛型)患者随机分为中药组和针刺组,每组35人。中药组口服血府逐瘀丸,一日两次;针刺组以毫针深刺腰部腰2、腰3、肾俞、命门、腰阳关、阿是穴等,并配以远端穴位,每天针刺一次,持续9天。于治疗前、中、后期对所有患者进行病情评分,并进行统计学分析。结果:1.分组后,中药组自觉症状、直腿抬高试验、日常生活动作得分分别为1.17±1.043、0.09±0.284、2.37±1.800;针刺组得分分别是1.14±1.004、0.11±0.323、2.49±1.915。经统计分析,P值均0.05,无统计学意义。2.治疗后,中药组治疗后临床治愈、显效、有效、无效的人数分别为3、7、13、12;针刺组治疗后临床治愈、显效、有效、无效的人数分别13、10、8、4。针刺组总有效率为88.6%,中药组总有效率为77.1%。3.治疗后,针刺组治疗前后在自觉症状、直腿抬高试验、日常生活动作三组情况的得分评价,治疗前分别为1.17±1.043、0.09±0.284、2.40±1.802;治疗后后分别为6.49±2.571、1.29±0.622、11.00±3.694。经统计分析,P值均0.05,有统计学意义。结论:1.口服血府逐瘀丸与毫针深刺均能治疗腰椎间盘突出症。2.毫针深刺治疗瘀血腰痛型腰椎间盘突出症在疗效及见效速度方面均优于口服血府逐瘀丸。3.与单纯服用血府逐瘀丸相比,毫针深刺是治疗腰椎间盘突出症(瘀血腰痛型)的优选方法。
[Abstract]:Objective: to study the clinical effect of deep acupuncture on patients with lumbar disc herniation (blood stasis and low back pain). Materials and methods: 70 patients with lumbar intervertebral disc herniation (blood stasis and low back pain) were randomly divided into traditional Chinese medicine group and acupuncture group with 35 persons in each group. In the acupuncture group, the waist 2, waist 3, Shen Yu, Shengmen, Yaoyang Guan, Ashi were needled deeply at waist 2, waist 3, Shenshu, and so on, combined with distal acupoints, acupuncture once a day for 9 days. Before, during and after treatment, all patients were evaluated. Results: 1. After divided into groups, the scores of conscious symptoms and straight leg elevation test in the Chinese medicine group were 1.17 卤1.043, 0.09 卤0.284, 2.37 卤1.800, and those in the acupuncture group were 1.14 卤1.0040.11 卤0.3232.49 卤1.915.After the treatment, there was no significant difference between the two groups (P = 0.05, P < 0.05). The number of patients who were cured, effective, effective and ineffective after treatment in the Chinese medicine group was 31,70.1312 respectively; in the acupuncture group, the number of those who were cured, effective, effective and ineffective were 1310100.The total effective rate in the acupuncture group was 88.6and the total effective rate in the traditional Chinese medicine group was 77.1g / 3.After the treatment, the total effective rate of the acupuncture group was 77.1g / 3.After the treatment, the total effective rate of the acupuncture group was 88.6%. Evaluation of the scores of three groups before and after treatment, including conscious symptoms, straight leg elevation test and daily life movements, before and after treatment. It was 1.17 卤1.043 卤0.09 卤0.2844.40 卤1.802 before treatment and 6.49 卤2.571U 1.29 卤0.6221.00 卤3.694after treatment, respectively. P value was 0.050.Conclusion: 1. Oral Xuefu Zhuyu Pill and Milliform Acupuncture Deep needling can treat lumbar disc herniation. Intervertebral disc herniation is superior to oral Xuefu Zhuyu pills in curative effect and effective speed. Compared with taking Xuefu Zhuyu pills alone, the intervertebral disc herniation is better than taking Xuefu Zhuyu pills alone. Deep acupuncture is an excellent method for the treatment of lumbar disc herniation (blood stasis and low back pain).
【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】：R246.9

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