经筋手法治疗腰椎间盘突出症的临床观察

发布时间：2018-06-06 05:46

本文选题：经筋手法 + 腰椎间盘突出症　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:本研究旨在探讨经筋手法治疗腰椎间盘突出症的临床疗效,为经筋手法治疗腰椎间盘突出症提供临床依据。方法:选取2016年1月-2017年1月就诊于桂林市中医医院推拿科门诊和病房60例腰椎间盘突出症患者,并随机分为两组,即试验组和对照组。每组各30例,对照组采用常规推拿治疗,试验组采用经筋手法治疗,共治疗4个疗程,记录两组患者治疗前、后VAS评分、JOA评分、CODI评分,并进行统计分析。结果:1.在治疗4个疗程后两组VAS疼痛评分疗效比较显示:经t检验得出,P0.05,差异具有统计学意义,提示经筋手法治疗缓解疼痛方面临床疗效优于常规推拿治疗。2.在治疗4个疗程后两组JOA腰痛评分疗效比较显示:经t检验得出,P0.05,差异具有统计学意义,提示经筋手法改善腰椎功能的临床疗效优于常规推拿治疗。3.在治疗4个疗程后两组CODI评分疗效比较显示:经t检验得出,P0.05,差异具有统计学意义,提示筋手法改善腰椎功能障碍的临床疗效优于常规推拿治疗。4.在治疗4个疗程后两组临床疗效比较,经秩和检验得出,Z=-3.963,P0.05,差异有统计学意义,提示经筋手法治疗腰椎间盘突出症的临床疗效与常规治疗方法相比,临床疗效方面效果更优。结论:1.经筋手法治疗腰椎间盘突出症,在缓解疼痛、改善腰椎功能及善腰椎功能障碍和临床疗效方面更优于常规推拿治疗。2.经筋手法是一种有效、无创伤、可行性好的腰椎间盘突出症的保守治疗方法,值得在临床工作中推广运用。
[Abstract]:Objective: to explore the clinical effect of the treatment of lumbar disc herniation by means of meridian manipulation, and to provide clinical basis for the treatment of lumbar disc herniation by means of meridian manipulation. Methods: from January 2016 to January 2017, 60 patients with lumbar disc herniation were randomly divided into two groups: experimental group and control group. There were 30 cases in each group, the control group was treated with routine massage, and the experimental group was treated with meridian manipulation for 4 courses. The VAS score before and after treatment were recorded and analyzed statistically. The result is 1: 1. The comparison of VAS pain score between the two groups after 4 courses of treatment showed that the difference between the two groups was statistically significant, indicating that the clinical efficacy of massage therapy was better than that of conventional massage therapy. 2. The comparison of JOA low back pain score between the two groups after 4 courses of treatment showed that the difference was statistically significant by t test, indicating that the clinical effect of improving lumbar vertebrae function by meridian manipulation was better than that of conventional massage therapy. 3. The comparison of CODI scores between the two groups after 4 courses of treatment showed that the difference between the two groups was statistically significant, indicating that the clinical effect of muscle manipulation on improving lumbar vertebrae dysfunction was better than that of conventional massage therapy. 4. After 4 courses of treatment, the clinical efficacy of the two groups was compared, and the results of rank sum test showed that the difference was statistically significant. It suggested that the clinical effect of the treatment of lumbar intervertebral disc herniation by means of meridian manipulation was better than that of the conventional treatment. Conclusion 1. The treatment of lumbar intervertebral disc herniation by means of meridians and tendons is better than that of conventional massage treatment in relieving pain, improving lumbar function, improving lumbar dysfunction and clinical curative effect. Meridian manipulation is an effective, non-invasive and feasible conservative treatment for lumbar disc herniation, which is worth popularizing in clinical work.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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