分段拔伸法治疗腰椎间盘突出症的临床疗效观察

发布时间：2018-04-16 14:36

本文选题：分段拔伸法 + 腰椎间盘突出　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的观察研究使用分段拔伸法治疗腰椎间盘突出的临床疗效,以期为提高治疗该病临床疗效寻找到新的方法。方法选取符合纳入标准的门诊及住院患者60例,采用完全随机对照实验方法设计,遵循随机分组原则,将住院患者共分为观察组和对照组各30例。观察组施行分段拔伸法结合传统推拿法;对照组施行单纯传统推拿法。两组实验均治疗均为1日1次,7日为1疗程,治疗期均为2疗程。并对两组患者治疗前后的腰腿部自主疼痛、JOA(临床症状、体征、日常生活动作)、ODI等各方面评分进行统计分析,并且对治疗结束后8周的随访复发率进行统计分析从而得出结论。结果两组患者治疗后腰腿部自主疼痛经统计分析t=5.39,p=0.000.05,具有显著差异;经统计分析两组患者治疗后JOA评分对比t=2.17,p=0.030.05,具有显著差异;两组患者治疗后ODI评分对比,t=2.08,P=0.040.05,具有显著差距;治疗后的总疗效经秩和检验分析,X2=10.36,0.01P0.025,表明两组患者有效率存在差异。结论使用分段拔伸法结合传统推拿法在改善患者腰腿自主疼痛感觉、临床症状、体征、日常生活能力等方面具有显著疗效;使用分段拔伸法结合传统推拿法在改善患者腰腿自主疼痛感觉、临床症状、体征、日常生活能力等方面疗效优于单纯传统推拿法;使用分段拔伸法结合传统推拿法在改善患者腰腿自主疼痛感觉、临床症状、体征、日常生活能力等方面具有显著的远期疗效,且优于单纯传统推拿法。所依据的经筋理论与肌筋膜线理论使治疗更有科学性及针对性,值得临床研究与推广。
[Abstract]:Objective to observe the clinical effect of segmental pull-out method in the treatment of lumbar disc herniation in order to find a new method to improve the therapeutic effect.Methods A total of 60 outpatients and inpatients who met the inclusion criteria were divided into observation group (n = 30) and control group (n = 30).The observation group was treated with traditional massage method and the control group was treated with simple traditional massage method.Both groups were treated once a day and 7 days as a course of treatment.The scores of JOAA (clinical symptoms, physical signs, ADL and ODI) before and after treatment were statistically analyzed, and the recurrence rate of 8 weeks after treatment was statistically analyzed to reach a conclusion.Results there was a significant difference between the two groups in the treatment of Lumbar and leg spontaneous pain by statistical analysis, the JOA scores of the two groups were significantly different after the treatment, the ODI scores of the two groups were significantly different after treatment, and the ODI scores of the two groups were significantly different from those of the two groups, and there was a significant difference between the two groups in the ODI scores after treatment, and there was a significant difference between the two groups in the ODI scores of the two groups after treatment, and there was a significant difference between the two groups in the ODI scores after treatment.The total curative effect after treatment was analyzed by rank sum test, indicating that there was a difference in the effective rate between the two groups.Conclusion the method of segmental stretching combined with traditional massage is effective in improving the feeling, clinical symptoms, physical signs and daily living ability of patients with spontaneous pain of waist and leg.The use of segmental stretching combined with traditional massage is superior to traditional massage in improving the feeling, clinical symptoms, signs and daily living ability of patients with spontaneous pain of waist and leg.The use of piecewise pull-out and extension combined with traditional massage has significant long-term effects in improving the patients' sense of spontaneous pain, clinical symptoms, signs and daily living ability, and is superior to traditional massage alone.The meridian tendon theory and the myofascial line theory make the treatment more scientific and targeted, which is worthy of clinical study and popularization.
【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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