“输刺”腰夹脊穴治疗腰椎间盘突出症对肌电图影响的临床观察

发布时间：2018-04-09 07:56

本文选题：输刺　切入点：腰椎间盘突出症　出处：《山东中医药大学》2016年硕士论文

【摘要】：目的:探索“输刺”治疗腰椎间盘突出症的临床疗效及对肌电图的影响,并与常规针刺治疗后的影响进行比较,从而为“输刺”治疗腰椎间盘突出症在临床上的运用及疗效评价提供客观的观察依据。方法:将60例患者按1:1的原则随机分为“输刺”组(观察组)和常规针刺组(对照组)。观察组采用“输刺”法,取患侧腰2~腰5夹脊穴,对照组采用与观察组相同穴位常规针刺,两组配穴相同;每天治疗1次,6次为一疗程,间隔一天,继续下一疗程,共针刺治疗2个疗程。治疗前和治疗2个疗程后分别检测腓总神经和胫后神经的波幅及F波出现率,进行视觉模拟评分。结果:两种方法治疗本病后均能提高腓总神经和胫后神经的波幅及F波出现率,较治疗前疼痛VAS评分均明显下降,观察组和对照组有效率分别为100%,93.33%,观察组有效率高于对照组;治疗后较治疗前均有显著统计学差异(P0.05),表明两组治疗本病都有明显的治疗效果;两组治疗后相比较均有显著性差异(P0.05),具有统计学意义,说明观察组治疗腰椎间盘突出症的临床疗效高于对照组。结论:“输刺”与常规针刺治疗腰椎间盘突出症,均能提高腓总神经和胫后神经的波幅及F波出现率,均显著性地改善了患者的临床症状体征、日常生活活动等各项相关指标。但“输刺”组在修复神经损伤、消除或减轻疼痛、改善日常生活活动等方面优于常规针刺组。
[Abstract]:Objective: to explore the clinical effect of "acupuncture" in the treatment of lumbar disc herniation and its effect on electromyography (EMG), and compare it with that after routine acupuncture treatment.It can provide objective observation basis for clinical application and curative effect evaluation of lumbar intervertebral disc herniation.Methods: according to the 1:1 principle, 60 patients were randomly divided into "infusion" group (observation group) and routine acupuncture group (control group).The observation group was treated with the method of "needling", the affected side was treated with 2 ~ 5 Jiaji points of waist, the control group was treated with routine acupuncture at the same acupoints as the observation group, and the two groups were matched with the same acupoints, and once a day, 6 times a day as a course of treatment, with an interval of one day, to continue the next course of treatment.Acupuncture was used for 2 courses of treatment.The amplitude of common peroneal nerve and posterior tibial nerve and the occurrence rate of F wave were measured before and after 2 courses of treatment.Results: the amplitude of the common peroneal nerve and the occurrence rate of F wave of the posterior tibial nerve and the common peroneal nerve were increased after the treatment. The VAS score of pain in the observation group and the control group were significantly decreased. The effective rates of the observation group and the control group were 100 and 93.33, respectively. The effective rate of the observation group was higher than that of the control group.There was a significant difference between the two groups after treatment (P 0.05), which indicated that the two groups had obvious therapeutic effect, and there was significant difference between the two groups after treatment (P 0.05), there was significant difference between the two groups (P 0.05), and there was significant difference between the two groups after treatment (P 0.05), and there was significant difference between the two groups (P 0.05).It showed that the clinical effect of treatment of lumbar disc herniation in the observation group was higher than that in the control group.Conclusion: the treatment of lumbar intervertebral disc herniation with "transfusion-acupuncture" and routine acupuncture can increase the amplitude of the common peroneal nerve and the posterior tibial nerve and the occurrence rate of F-wave, and improve the clinical symptoms and signs, daily life activities and other related indexes of the patients.But the acupuncture group was superior to the routine acupuncture group in repairing nerve injury, eliminating or alleviating pain and improving daily life.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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