通督正脊术治疗慢性腰肌劳损的临床研究

发布时间：2018-03-31 21:18

本文选题：通督正脊术　切入点：电脑中频电疗　出处：《山西省中医药研究院》2016年硕士论文

【摘要】：目的:观察通督正脊术治疗慢性腰肌劳损的近期及远期临床疗效,比较通督正脊术与电脑中频电疗仪在改善临床症状、体征及提高生活质量方面的差异,评价其在治疗本病中的有效性及安全性,为治疗慢性腰肌劳损提供临床依据,更好地指导临床。方法:将63例符合慢性腰肌劳损纳入标准的患者按就诊顺序编号,用SPSS17.0医学统计软件随机分为通督正脊术组(治疗组)32例和电脑中频电疗仪组(对照组)31例。治疗组采用通督正脊术推拿疗法治疗,对照组采用电脑中频电疗仪治疗。治疗周期为1周3次,10次为一个疗程,共计1个疗程。以患者的临床症状、体征及视觉模拟评分法(VAS)为观察指标,采用SPSS17.0医学统计软件做统计学处理,对通督正脊术和电脑中频电疗仪在改善临床症状、体征及提高生活质量方面的差异进行比较。结果:1.治疗组与对照组总有效率分别为96.9%和87.1%,差异有统计学意义(P0.05),治疗组优于对照组。2.两组患者首次治疗后组内VAS评分比较,差异有统计学意义(P0.05);两组患者首次治疗后组间VAS评分比较,治疗组与对照组疗效相当,差异无统计学意义(P0.05);两组患者治疗1个疗程后,组内VAS评分比较,积分均明显降低,差异有统计学意义(P0.01);两组患者治疗1个疗程后,组间VAS评分比较,差异有统计学意义(P0.05),治疗组优于对照组;两组患者治疗1疗程后3个月末,组间VAS评分比较,治疗组优于对照组,差异有统计学意义(P0.05)。3.两组患者治疗1个疗程后,组内临床症状比较,积分均明显降低,差异有统计学意义(P0.01);两组患者治疗1个疗程后,组间临床症状比较,差异有统计学意义(P0.05),治疗组优于对照组;两组患者治疗1疗程后3个月末,组间临床症状比较,治疗组优于对照组,差异有统计学意义(P0.05)。4.两组患者治疗1个疗程后,组内临床体征比较,积分均明显降低,差异有统计学意义(P0.01);两组患者治疗1个疗程后,组间临床体征比较,差异无统计学意义(P0.05),治疗组与对照组均能明显改善患者的临床体征,且疗效相当;两组患者治疗1疗程后3个月末,组间临床体征比较,治疗组优于对照组,差异有统计学意义(P0.05)。结论:1.运用通督正脊术与电脑中频电疗仪治疗慢性腰肌劳损,在改善患者临床症状、体征及提高生活质量方面均有较好的临床疗效。2.通督正脊术在提高患者总体疗效、改善患者症状及提高生活质量方面的疗效比电脑中频电疗仪更为显著。
[Abstract]:Objective: to observe the short-term and long-term clinical effects of Tongduzheng chiropractic in the treatment of chronic lumbar muscle strain, and to compare the difference between Tongdu Zhengji operation and computer medium frequency electrotherapy instrument in improving clinical symptoms, signs and quality of life. To evaluate its efficacy and safety in the treatment of chronic lumbar muscle strain, to provide clinical basis for the treatment of chronic lumbar muscle strain, and to better guide clinical practice. Methods: 63 patients who met the criteria of chronic lumbar muscle strain were numbered according to the order of treatment. SPSS17.0 medical statistical software was used to randomly divide the treatment group into two groups: the treatment group (32 cases) and the control group (31 cases). The treatment group was treated with Tongduzheng chiropractic massage therapy. The control group was treated with computer medium frequency electrotherapy instrument. The treatment period was 3 times a week for 10 times as a course of treatment. The clinical symptoms, signs and visual analogue scores of the patients were used as the observation index. Using the SPSS17.0 medical statistics software to do statistical processing, to improve the clinical symptoms of Tongdu Zhengji surgery and computer medium frequency electrotherapy instrument. Results the total effective rates of the treatment group and the control group were 96.9% and 87.1%, respectively. The difference was statistically significant (P 0.05), and the treatment group was superior to the control group (.2.) in the VAS score of the two groups after the first treatment. The difference was statistically significant (P 0.05), the VAS score of the two groups was similar to that of the control group after the first treatment, and the difference was not statistically significant (P 0.05). After one course of treatment, the scores of VAS scores in the two groups were significantly lower than those in the control group. After one course of treatment, the VAS score of the two groups was significantly higher than that of the control group, and that of the treatment group was better than that of the control group, and the VAS score between the two groups was higher than that of the control group at the end of 3 months after one course of treatment. The treatment group was superior to the control group, and the difference was statistically significant (P 0.05). After one course of treatment, the clinical symptoms and scores of the two groups were all significantly reduced, and the difference was statistically significant (P 0.01), and after one course of treatment, the clinical symptoms of the two groups were compared. The difference was statistically significant (P 0.05), the treatment group was superior to the control group, and the two groups were better than the control group after one course of treatment, the clinical symptoms of the treatment group were better than that of the control group, and the difference was statistically significant after one course of treatment. After one course of treatment, there was no significant difference in clinical signs between the two groups (P 0.05). Both the treatment group and the control group could significantly improve the clinical signs of the patients. The clinical signs of the two groups were better than that of the control group at the end of 3 months after one course of treatment, and the difference was statistically significant (P 0.05). Conclusion: 1. The treatment of chronic lumbar muscle strain was treated with Tongdu Zhengji and computer medium frequency electrotherapy. In improving the clinical symptoms, signs and quality of life of patients with better clinical efficacy. 2. Tongduzhengji surgery in improving the overall efficacy of patients, improve symptoms and improve the quality of life, the effect is more significant than the computer medium frequency electrotherapy instrument.
【学位授予单位】：山西省中医药研究院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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