电针针刺结合悬吊技术治疗腰椎间盘突出症的临床研究

发布时间：2018-06-07 16:56

本文选题：腰椎间盘突出症 + 电针　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：旨在观察电针针刺结合悬吊技术对腰椎间盘突出症的影响。方法：将66例腰椎间盘突出患者随机分为夹脊电针组22例,悬吊技术组22例和电针针刺结合悬吊技术组22例。所有患者都接受基础治疗(推拿,中药离子导入,蜡疗)。电针针刺组在基础治疗的基础上,取穴腰夹脊3-5个、环跳、阳陵泉、委中,配穴：循足太阳经疼痛者加秩边、承山、昆仑；循足少阳经疼痛者加、风市、悬钟。所有穴位针刺得气后留针,接通电针仪,同侧夹脊穴一组,采用连续密波,每次30分钟。悬吊技术组在接受基础治疗的基础上,患者接受以腰、腹、骨盆部肌群为主的悬吊训练,共3组训练。每次训练30分钟。电针针刺结合悬吊技术组先做悬吊训练,然后接受电针针刺治疗。所有治疗,1次/日,6次／周,治疗2周。在治疗前及治疗结束后一天,采用视觉模拟评分法(Visual Analogue Scale/Score,简称VAS)以及JOA下腰痛评价量表,以评价通过治疗后患者在疼痛方面以及日常生活障碍方面的改善状况。结果： 1.三组患者经治疗后, VAS视觉模拟评分对比治疗前,下降显著,差异均有统计学意义(P0.05) 且电针针刺结合悬吊技术组优于悬吊技术治疗组和电针针刺组,差异有统计学意义(P0.05)；悬吊技术治疗组与电针针刺组比较,差异没有统计学意义(P0.05)。2.三组患者经治疗后,JOA下腰痛评价量表评分水平均有明显升高,与治疗前相比,差异均有统计学意义(P0.05) 且电针针刺结合悬吊技术组优于悬吊技术治疗组和电针针刺组,差异有统计学意义(P0.05)；悬吊技术治疗组与电针针刺组比较,差异没有统计学意义(P0.05)。3.治疗2周后,电针针刺结合悬吊技术组治愈5例,显效9例,愈显率为70.00%,悬吊技术组治愈2例,显效5例,愈显率为31.82%,电针针刺组治愈3例,显效7例,愈显效率为47.62%。电针针刺结合悬吊技术组优于悬吊技术治疗组和夹脊电针组,差异有统计学意义(P0.05)结论：1.电针针刺、悬吊技术及电针针刺结合悬吊技术均能减轻腰间盘突出患者的疼痛症状及改善生活功能障碍。2.电针针刺、悬吊技术及电针针刺结合悬吊技术在治疗腰椎间盘突出症中有确切疗效。电针针刺结合悬吊技术治疗腰椎间盘突出的疗效优于悬吊技术组,且优于夹脊电针组。
[Abstract]:Objective: to observe the effect of electroacupuncture combined with suspension technique on lumbar disc herniation. Methods: 66 patients with lumbar intervertebral disc herniation were randomly divided into two groups: 22 cases in ridge electroacupuncture group, 22 cases in suspension technique group and 22 cases in electroacupuncture combined with suspension group. All patients received basic treatment (massage, Chinese medicine iontophoresis, wax therapy. On the basis of basic treatment, the electroacupuncture group took 3 to 5 lumbar ridges of acupuncture points, ring jump, Yanglingquan, Beizhong, matching points: follow the foot sun through pain plus rank edge, Chengshan, Kunlun; follow foot Shaoyang pain plus, wind market, suspension bell. After all acupoints were punctured with Qi, the needle was connected to the electroacupuncture apparatus, and the same side Jiaji acupoint group was used for 30 minutes each time with continuous dense waves. On the basis of basic treatment, the patients in the suspension technique group received suspension training with the main muscles of waist, abdomen and pelvis. Practice for 30 minutes each time. The group of electroacupuncture combined with suspension technique did suspension training first, and then received electroacupuncture therapy. All patients were treated once a day and 6 times a week for 2 weeks. Visual Analogue scale / scale (vas) and JOA low back pain scale were used before and one day after treatment to evaluate the improvement of patients' pain and daily life disorder after treatment. Results: 1. After treatment, the visual analogue score of VAS decreased significantly before treatment, and the difference was statistically significant (P 0.05). The electroacupuncture combined with suspension technique group was superior to the suspension technique group and the electroacupuncture group. The difference was statistically significant (P 0.05), and there was no significant difference between the suspension technique treatment group and the electroacupuncture group. After treatment, the scores of JOA low back pain evaluation scale were significantly increased in the three groups, and the difference was statistically significant compared with that before treatment (P 0.05). The electroacupuncture combined with suspension technique group was superior to the suspension technique group and the electroacupuncture treatment group, and the electroacupuncture treatment group was superior to the electroacupuncture treatment group and the electroacupuncture group. The difference was statistically significant (P 0.05), and there was no significant difference between the suspension technique treatment group and the electroacupuncture group (P 0.05). 3. After 2 weeks of treatment, 5 cases were cured in the electroacupuncture combined with suspension technique group, 9 cases in the remarkable effect group, and 70.00% in the suspension group. In the suspension group, 2 cases were cured, 5 cases were obviously effective, and the effective rate was 31.82%. In the electroacupuncture group, 3 cases were cured, 7 cases showed remarkable effect, and the effective rate was 47.62%. The electroacupuncture combined with suspension technique group was better than the suspension technique treatment group and the ridge electroacupuncture group, the difference was statistically significant (P 0.05) conclusion: 1. Electroacupuncture, suspension technique and electroacupuncture combined with suspension technique can reduce pain symptoms and improve life dysfunction of patients with lumbar disc protrusion. Electroacupuncture, suspension and electroacupuncture combined with suspension are effective in the treatment of lumbar disc herniation. The curative effect of electroacupuncture combined with suspension technique in treating lumbar disc herniation was better than that of suspension group and ridge electroacupuncture group.
【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】：2016
【分类号】：R246.9

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