针刺结合命门隔盐灸治疗肾虚型腰肌劳损的临床研究

发布时间：2018-06-06 01:18

  本文选题：腰肌劳损 + 针刺　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本研究采用随机对照的方法,选取符合西医腰肌劳损和中医符合肾虚腰痛的腰肌劳损患者作为研究对象,设定对照组为一般针刺治疗,治疗组在与对照组相同的一般针刺疗法基础上加用命门隔盐灸,观察针刺结合命门隔盐灸治疗肾虚型腰肌劳损的临床疗效,采用视觉仿真评定法(VAS)及腰痛评价量表ODI指数(Oswestry Disability Index),做为临床疗效观察指标,两组患者比较治疗前后VAS及ODI的变化情形,据以判断两组治疗方法的疗效。方法:课题组在研究期间一共纳入60例符合临床诊断纳入标准的患者60例。随机60例受试者分为治疗组和对照组各30例,治疗组使用针刺结合命门隔盐灸治疗,对照组使用一般常规针刺治疗。两组患者进行为期3周的治疗,疗程结束后,观察两组患者在治疗前后的VAS评分及ODI指数变化的情况,临床数据结果选择SPSS19.0统计软件进行处理。结果:总体疗效:两组患者经过3周的治疗后,对照组30例中有3例痊愈,痊愈率10.00%,11例显效,显效率为36.67%,8例有效,有效率26.67%,无效者8例,无效率26.67%,总有效率73.33%。治疗组30例中,有7例痊愈,痊愈率23.33%,11例取得明显疗效,显效率36.67%,9例有效,有效率30.00%,3例无效,无效率10.00%,总有效率为90.00%。经radit分析,两组差异有统计学意义(p0.05)提示针刺结合命门隔盐灸对肾虚型腰肌劳损的疗效优于一般针刺。治疗前,把对照组、治疗组的年龄,男女性别,病程等数据进行对比,结果发现两组患者基本数据具有可比性,无明显统计学差异(P0.05)。比较ODI指数:在未治疗之前,对照组ODI指数为76.97±10.91,治疗组ODI指数78.48± 11.62,经统计学分析,二者的ODI指数差异,没有统计学意义(P0.05),具有可比性。经过3周的治疗,再次比较对照组,治疗组的ODI指数,对照组为40.91±7.49,治疗组为28.41±8.25,与治疗前比较,对照组和治疗组的ODI指数明显下降,(p0.O1)有显著差异。在经过治疗后,治疗组的ODI指数比对照组明显降低(p0.01)。这就说明一般针刺和针刺结合命门隔盐灸等两种治疗方法都能改善腰肌劳损患者的功能状况,但针刺结合命门隔盐灸法较一般针刺法疗效更明显。比较VAS评分:未经治疗前,对照组的平均VAS评分6.14±2.25,治疗组的平均VAS评分为6.54±2.67,两者经统计学分析具有可比性,无明显差异(p0.05)。经过3周治疗结束后,对照组的平均VAS为3.56± 1.64,治疗组的平均VAS评分为2.31±1.84。比较组内治疗前后,其差异具有统计学意义,说明两种治疗都能有效的减轻腰肌劳损患者的疼痛,并且针刺结合命门隔盐灸法疗效优于一般针刺组。结论:本研究结果证实,一般针刺和针刺结合命门隔盐灸都能有效的减轻腰肌劳损患者的疼痛,改善腰肌劳损患者的功能,但针刺结合命门隔盐灸疗效更确切,止痛和改善功能的效果更好,作为本病的保守治疗方案值得临床推广。
[Abstract]:Objective: to select the patients with lumbar muscle strain according with western medicine and kidney deficiency and low back pain as the research objects, and set the control group as the general acupuncture treatment. The treatment group was treated with salt-separated moxibustion on the basis of the same general acupuncture therapy as the control group. The clinical effect of acupuncture combined with salt-separated moxibustion on kidney deficiency type lumbar muscle strain was observed. The visual simulation evaluation method was used to evaluate VAS and ODI, and the ODI index of low back pain evaluation scale (ODI index) was used to evaluate the clinical curative effect. The changes of VAS and ODI before and after treatment were compared between the two groups to judge the curative effect of the two groups. Methods: a total of 60 patients who met the criteria of clinical diagnosis were included in the study. Sixty subjects were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupuncture combined with salt-separated moxibustion, while the control group was treated with general acupuncture. Two groups of patients were treated for 3 weeks. After the course of treatment, the changes of VAS score and ODI index were observed before and after the treatment. The clinical data were processed by SPSS19.0 statistical software. Results: after 3 weeks of treatment, 3 of the 30 cases in the control group were cured, the cure rate was 10.00% and 11 cases were effective. The effective rate was 36.677.The effective rate was 26.67%, the ineffective rate was 26.67%, and the total effective rate was 73.33 鈩，

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