循经远取动法治疗腰椎间盘突出症所致坐骨神经痛的临床疗效观察

发布时间：2018-04-02 13:01

本文选题：循经远取动法　切入点：电针　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察循经远取动法治疗腰椎间盘突出症所致坐骨神经痛的临床疗效,对比循经远取动法与单纯电针夹脊穴治疗腰椎间盘突出症所致坐骨神经痛的临床疗效差异,为临床上治疗腰椎间盘突出症所致坐骨神经痛提供一种有效的治疗方法。方法:本研究将符合纳入标准的66例腰椎间盘突出症所致坐骨神经痛患者,按随机数字表法分为两组,即治疗组和对照组各33例。对照组采用局部针刺疗法治疗。治疗组在对照组的基础上结合循经远取动法配合,膀胱经型选取攒竹穴、天柱穴,胆经型选取瞳子毼穴、风池穴,同时配合腰部的主动运动,针刺后留针30分钟,每10分钟行针1次,5天为1个疗程,治疗4周。采用VAS腿疼视觉模拟评分、健康相关生活质量评分(SF-36)、坐骨神经痛频率与不适指数(SFBI)作为指标,记录评分结果,并分析对比两组的治疗效果。结果:1.治疗组总有效率为93.75%,而对照组总有效率为70.97%。经过统计学Ridit分析得知U=1.995,P=0.046,差异具有统计学意义(P0.05)。提示治疗组的临床疗效优于对照组。2.VAS:两组治疗前比较P0.05,差异不具有统计学意义,说明治疗前两组患者的VAS评分情况在同一比较基线上。两组治疗后与治疗前比较,P0.05,差异具有统计学意义,说明经治疗后两组方法对本病都有显著效果。治疗后,治疗组与对照组比较,P0.05,差异具有统计学意义,说明治疗组比对照组在改善VAS方面效果更明显。3.SF-36:两组治疗前比较P0.05,差异不具有统计学意义,说明治疗前两组患者的SF-36评分情况在同一比较基线上。两组治疗后与治疗前比较,P0.05,差异具有统计学意义,说明经治疗后两组方法对本病SF-36评分方面都有显著效果。治疗后,治疗组与对照组两组间比较,P0.05,差异具有统计学意义,说明治疗组比对照组在改善SF-36方面效果更明显。4.SFBI:治疗前两组比较,P0.05差异不具有统计学意义,说明治疗前两组患者的SFBI评分情况在同一比较基线上。治疗4周后两组SFBI比较,P0.05差异具有统计学意义,说明治疗4周后两组在改善SFBI方面疗效都比较显著。治疗4周后,治疗组与对照组进行组间比较,P0.05,说明治疗组比对照组在改善SFBI方面效果更显著。结论:1.循经远取动法治疗腰椎间盘突出症所致坐骨神经痛有效,可有效缓解疼痛。2.循经远取动法在改善腰椎间盘突出症所致坐骨神经痛腿疼视觉模拟评分方面效果更显著3.循经远取动法在改善腰椎间盘突出症所致坐骨神经痛健康相关生活质量评分方面效果更显著4.循经远取动法在改善腰椎间盘突出症所致坐骨神经痛坐骨神经痛频率与不适指数方面效果更显著。
[Abstract]:Objective: to observe the clinical curative effect of distal removal along meridian on sciatica caused by lumbar intervertebral disc herniation, and to compare the difference of clinical curative effect between distal removal along meridian and simple electroacupuncture Jiaji point in treating sciatica caused by lumbar intervertebral disc herniation. Methods: 66 patients with sciatica caused by lumbar disc herniation were divided into two groups according to random digital table. That is, 33 cases in the treatment group and 33 cases in the control group. The control group was treated with local acupuncture therapy. The treatment group combined with the method of far moving along the meridian on the basis of the control group, the type of bladder meridian selected Zanzhu point, Tianzhu point, gallbladder meridian type selected pupil Zhicu point, Fengchi point, At the same time, combined with the active waist movement, the needle was kept for 30 minutes after acupuncture, and every 10 minutes for 5 days as a course of treatment. The treatment was done for 4 weeks. The visual analogue score of VAS leg pain was used. Health related quality of life score (SF-36), sciatica frequency and discomfort index (SFBI) were used to record the score results. Results: 1. The total effective rate of the treatment group was 93.7575, while the total effective rate of the control group was 70.97.The statistical Ridit analysis showed that there was a statistical difference between the two groups, indicating that the clinical efficacy of the treatment group was better than that of the control group. Group 2. Vas: there was no significant difference between the two groups before treatment (P0.05). The results showed that the VAS score of the two groups before treatment was on the same baseline. The difference between the two groups after treatment and before treatment was statistically significant, which indicated that the two groups had significant effect on this disease after treatment. The difference between the treatment group and the control group was statistically significant, indicating that the treatment group was more effective than the control group in improving VAS. 3. SF-36: the difference between the two groups before treatment was not statistically significant (P 0.05). The results showed that the SF-36 score of the two groups before treatment was on the same baseline. The difference between the two groups after treatment and before treatment was statistically significant, which indicated that the two groups had significant effect on the SF-36 score of the disease after treatment. The difference between the treatment group and the control group was statistically significant, which indicated that the treatment group was more effective than the control group in improving SF-36. 4. SFBI: there was no significant difference between the two groups before treatment (P0.05). The results showed that the SFBI scores of the two groups were on the same baseline before treatment. After 4 weeks of treatment, there was a significant difference in SFBI between the two groups compared with P05, which indicated that the two groups were more effective in improving SFBI after 4 weeks of treatment, and after 4 weeks of treatment, there were significant differences between the two groups in the improvement of SFBI. The comparison between the treatment group and the control group shows that the treatment group is more effective than the control group in improving SFBI. Conclusion: 1. The treatment of sciatica caused by lumbar intervertebral disc herniation is effective. It can relieve pain effectively .2.The method of moving along the meridian can improve the visual analogue score of sciatica caused by lumbar intervertebral disc herniation 3.The method of moving along meridian can improve sciatica caused by lumbar intervertebral disc herniation. The results of health related quality of life score were more significant. 4. The method of moving along meridians was more effective in improving the frequency and discomfort index of sciatica caused by lumbar intervertebral disc herniation.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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