牵引下腰椎斜扳法治疗腰椎间盘突出症的临床研究
本文选题:腰椎间盘突出症 切入点:电脑三维牵引 出处:《黑龙江省中医药科学院》2017年硕士论文 论文类型:学位论文
【摘要】:目的:通过收集电脑三维快速牵引下行腰椎斜扳手法治疗腰椎间盘突出症的临床资料,探究现代三维牵引技术配合中医整复手法在腰椎间盘突出症临床治疗中的作用机理,证明现代医学与传统医学结合在诊疗腰椎间盘突出症及预防保健领域中的重要性。方法:收集64例门诊和住院部中符合标准的腰椎间盘突出症病人,分成治疗组和对照组,治疗组32例在电脑三维牵引下行腰椎斜扳法治疗,对照组32例予以常规腰椎斜扳法治疗,治疗两周为1疗程。观察两组患者疗效,根据VAS(视觉模拟评分)、改良JOA评估指标得分情况对两组治疗腰椎间盘突出症引起的腰腿痛症状进行系统疗效评价,并对比治疗前后椎间盘突出节段在椎管内的影像学变化,试验期间通过详细记录出现不良反应的几率,检验其安全度,所有数据均采用SPSS.17进行统计学分析。结果:1.治疗组和对照组分别进行治疗前后的对比,统计显示两组患者VAS评分、JOA评分、总有效率都有明显差异(P㩳0.05),具有统计学意义,且治疗组疗效高于对照组;2.两组治疗前后影像学改变均不明显;3.治疗组不良反应出现例数明显低于对照组。结论:1.电脑三维牵引下腰椎斜扳法与常规腰椎斜扳法治疗腰椎间盘突出症均有临床疗效,而电脑三维牵引下腰椎斜扳法疗效优于常规腰椎斜扳法;2.两组方法在影像学检查中提示突出的椎间盘存在少许还纳或不继续突出,但仍不能明显改变突出物处于椎管的位置;3.治疗组不良反应出现率明显低于对照组,运用腰椎牵引配合中医手法治疗腰椎间盘突出症是一种行之有效、安全实用的治疗方法,临床上值得推广应用。
[Abstract]:Objective: to collect the clinical data of the treatment of lumbar intervertebral disc herniation by computer three dimensional rapid traction with oblique wrench, and to explore the mechanism of modern 3D traction combined with traditional Chinese medicine (TCM) in the clinical treatment of lumbar disc herniation. To prove the importance of the combination of modern medicine and traditional medicine in the field of diagnosis and treatment of lumbar disc herniation and preventive health care. Methods: 64 patients with lumbar disc herniation who met the standard in outpatient and inpatient departments were collected and divided into treatment group and control group. 32 patients in the treatment group were treated with lumbar oblique pull under computer traction, while 32 patients in the control group were treated with routine lumbar oblique pulling for a course of two weeks. The curative effect of the two groups was observed. According to the visual analogue score (VAS) and the score of modified JOA evaluation index, a systematic evaluation was made on the symptoms of lumbago and leg pain caused by lumbar disc herniation in two groups, and the imaging changes of lumbar disc herniation segment in the spinal canal before and after treatment were compared. During the trial, the safety of adverse reactions was tested by recording the probability of adverse reactions in detail. All the data were statistically analyzed by SPSS.17. Results: 1.The treatment group and the control group were compared before and after treatment. Statistics showed that there were significant differences in the total effective rate between the two groups in VAS score and JOA score. 0.05, with statistical significance, The curative effect of the treatment group was higher than that of the control group 2.The imaging changes were not obvious in both groups before and after treatment. The number of adverse reactions in the treatment group was significantly lower than that in the control group. Conclusion 1. The treatment of lumbar disc herniation has clinical effect. The therapeutic effect of computerized three-dimensional traction was better than that of conventional oblique traction. The imaging examination of the two groups showed that the herniated intervertebral disc had little or no herniation. However, the incidence of adverse reactions in the treatment group was significantly lower than that in the control group. It is an effective, safe and practical treatment method to treat lumbar disc herniation with lumbar traction combined with traditional Chinese medicine. It is worth popularizing in clinic.
【学位授予单位】:黑龙江省中医药科学院
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R244.1
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