腕踝针结合针刺华佗夹脊穴治疗腰椎间盘突出症的临床疗效观察

发布时间：2018-06-06 10:43

本文选题：腕踝针 + 华佗夹脊穴　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：观察腕踝针结合针刺华佗夹脊穴治疗腰椎间盘突出症的临床疗效,为该治疗方案的临床运用提供科学的试验依据。方法：采用随机对照研究方法,选取60例符合纳入、排除标准的腰椎间盘突出症患者,随机分为试验组和对照组,每组30例。试验组采取腕踝针结合针刺华佗夹脊穴治疗,对照组采取常规针刺法治疗。两组均隔天治疗1次,10次为1个疗程,共治疗1个疗程。分别于治疗前后采用视觉模拟评分法(VAS)及JOA下腰痛量表评分法进行测评,观察、分析、判断腕踝针结合针刺华佗夹脊穴治疗腰椎间盘突出症的临床疗效。结果：1.基线比较,两组在年龄、性别、病程、VAS评分及JOA评分上比较无统计学差异(P0.05),提示组间具有可比性。2.总体疗效,两组总体临床疗效比较,无统计学差异(P0.05)；进一步分析,试验组总有效率为86.67%,对照组为82.76%,经比较差异无统计学意义(P0.05)；两组显愈率分别为66.67%和41.38%,经比较有统计学差异(P0.01),提示试验组的痊愈显效率高于对照组。3. VAS、JOA评分变化比较,试验组和对照组VAS评分治疗前后组内比较,治疗后评分均较治疗前有显著的降低,差异具有统计学意义(P0.01),治疗前后试验组VAS差值较对照组差异明显,经检验有统计学差异(P0.05)：试验组和对照组JOA评分治疗前后组内比较,治疗后评分均较治疗前明显升高,有统计学差异(P0.01),治疗前后JOA差值组间比较,差异无统计学意义(P0.05)。结论：1.腕踝针结合针刺华佗夹脊穴治疗腰椎间盘突出症有确切疗效,且其在提高痊愈显效率方面较常规针刺更具优势。2.腕踝针结合针刺华佗夹脊穴能够有效地改善患者的腰椎功能及疼痛症状,且其改善疼痛的效果优于常规针刺。3.腕踝针结合针刺华佗夹脊穴取穴少、痛苦小、安全、疗效肯定,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of wrist-ankle acupuncture combined with acupuncture at Huatuo Jiaji point in the treatment of lumbar disc herniation. Methods: 60 patients with lumbar disc herniation were randomly divided into experimental group and control group with 30 cases in each group. The experimental group was treated with wrist-ankle acupuncture combined with acupuncture at Huatuo Jiaji, while the control group was treated with routine acupuncture. Both groups were treated once a day for 10 times as a course of treatment, a total of one course of treatment. Visual analogue scale (VASs) and JOA low back pain scale (JOA) were used before and after treatment to evaluate, observe and analyze the clinical efficacy of wrist ankle acupuncture combined with acupuncture at Huatuo Jiaji point in the treatment of lumbar disc herniation. The result is 1: 1. Baseline comparison showed that there was no significant difference in age, sex, course of disease, VAS score and JOA score between the two groups (P 0.05), indicating that there was comparability between the two groups (P < 0.05). There was no statistical difference between the two groups in overall clinical efficacy (P 0.05). The total effective rate of the test group was 86.67 and that of the control group was 82.76. There was no significant difference between the two groups (P 0.05), and the effective rates of the two groups were 66.67% and 41.38, respectively, which indicated that the effective rate of the treatment group was higher than that of the control group. The scores of VAS JOA in the experimental group and the control group before and after treatment were significantly lower than those before and after treatment, and the difference was statistically significant (P 0.01). The difference of VAS between the experimental group and the control group before and after treatment was significant. There was significant difference in the JOA scores between the test group and the control group before and after treatment, the scores were significantly higher after treatment than before and after treatment, there was a statistical difference (P 0.01). There was no significant difference in JOA difference between the two groups before and after treatment (P 0.05). Conclusion 1. Wrist ankle acupuncture combined with acupuncture at Huatuo Jiaji point has definite curative effect on lumbar disc herniation, and it has more advantages than conventional acupuncture in improving cure efficiency. 2. Wrist ankle acupuncture combined with acupuncture at Huatuo Jiaji point can effectively improve the lumbar vertebrae function and pain symptoms, and the effect of improving pain is better than that of routine acupuncture. 3. Wrist-ankle acupuncture combined with acupuncture at Huatuo Jiaji points is worth popularizing.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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