水针刀联合雪莲注射液治疗棘上韧带炎的临床观察

发布时间：2018-04-12 16:28

本文选题：水针刀 + 雪莲注射液　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察水针刀联合雪莲注射液治疗棘上韧带炎的临床疗效,增加对于脊柱棘上韧带炎治疗的可行方法,为临床规范化治疗提供科学依据。方法:选择2015年11月-2017年1月期间就诊于黑龙江中医药大学附属第一医院骨科门诊,符合棘上韧带炎的诊断标准、纳入标准的患者64例。将样本随机分配为2组,治疗组和对照组各32例患者。失访病例按无效计算。治疗组采用水针刀联合雪莲注射液治疗,对照组采用传统针刀治疗,两组均治疗两个疗程,并且随访两个月。观察两组患者治疗前后疼痛程度、临床症状、活动功能等的变化情况,对治疗后两组的综合疗效、腰背部疼痛缓解程度及功能改善进行对比。结果:水针刀联合雪莲注射液治疗组明显优于单纯应用针刀治疗组,对照组总有效率低于治疗组,并且通过治疗后J0A腰背痛量化评分及Roland-Morris功能障碍评分经统计学分析表明治疗组在治疗前后疼痛及功能的改善上均优于对照组,并具有统计学意义。两组患者治疗后2个月复发情况进行随访时,两组具有显著差异,表明水针刀联合雪莲注射液治疗棘上韧带炎在远期疗效上具有优势。结论:临床研究结果表明:水针刀联合雪莲注射液治疗棘上韧带炎疗效确切,同时创伤小,复发率低,疗效持续时间长,安全性高,副作用少,易于被患者接受,治疗费用少,适用于通过手法治疗、物理治疗效果不佳,拒绝或无法使用激素封闭治疗,以及寻求中医中药治疗的患者,是临床上一种值得推广的治疗方法,为扩展腰背棘上韧带炎治疗的临床方法提供了科学合理的依据和资料。
[Abstract]:Objective: to observe the clinical effect of water needle knife combined with Xuelian injection in the treatment of supraspinal ligamenttis, to increase the feasible method for treatment of spinal supraspinal ligament, and to provide scientific basis for clinical standardized treatment.Methods: from November 2015 to January 2017, 64 patients with supraspinal ligamenttis were included in the orthopaedic clinic of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine.Samples were randomly divided into two groups, treatment group and control group of 32 patients.The missing visit cases are calculated as invalid.The treatment group was treated with water needle knife combined with Xuelian injection, the control group was treated with traditional needle knife, the two groups were treated with two courses of treatment and followed up for two months.The changes of pain degree, clinical symptom and activity function were observed before and after treatment. The comprehensive curative effect, relief degree and function improvement of lumbar and back pain were compared between the two groups after treatment.Results: the treatment group with water needle knife combined with Xuelian injection was superior to the simple acupuncture treatment group, and the total effective rate of the control group was lower than that of the treatment group.After treatment, the quantitative score of J0A low back pain and the score of Roland-Morris dysfunction showed that the treatment group was superior to the control group in pain and function improvement before and after treatment, and had statistical significance.There was a significant difference between the two groups when the recurrence was followed up 2 months after treatment, which indicated that the combination of water needle knife and Xuelian injection had an advantage in the treatment of supraspinal ligament inflammation.Conclusion: the results of clinical study show that the treatment of supraspinal ligament inflammation with water needle knife combined with Xuelian injection is effective, with small trauma, low recurrence rate, long curative effect, high safety, less side effects, easy to be accepted by patients, and less cost of treatment.It is suitable for patients who have poor effect of physical therapy through manual therapy, who refuse or can not use hormone blocking therapy, and who seek traditional Chinese medicine treatment. It is a treatment method worth popularizing in clinic.It provides scientific and reasonable basis and data for the treatment of supraspinal ligamenttis.
【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】：R274.9

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