壮医经筋综合疗法治疗腰椎间盘突出症的临床观察研究

发布时间：2018-06-12 19:14

本文选题：腰椎间盘突出症 + 壮医　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:通过观察壮医经筋综合疗法在治疗腰椎间盘突出症中的临床疗效,为后期腰椎间盘突出症的临床技术操作规范提供指导和基础实验数据支持。方法:以随机对照的方法进行分组,以治疗组和对照组分别命名,每组各40例。观察入组的80例腰椎间盘突出症患者的治疗效果,治9疗组采用壮医经筋综合疗法进行干预,该法是由经筋推拿手法、壮医火针刺法及壮医拔罐疗法三部分组成;与常规针刺疗法形成对照。采用简化McGill评价量表(由PRI、VAS、PPI组成)治疗前后分别对两组的临床症状、体征进行评分。每隔1日治疗1次,连续治疗7次为1疗程,系统治疗1个疗程后观察两组的疗效差异。结果:经过1个疗程治疗后,两组的症状、体征各项评分在治疗后均降低(P0.05),经筋疗法改善程度优于常规针刺组(P0.05)。治疗组在PRI评分、VAS评分、PPI评分更低(P0.05),治疗效果更好(P0.05)。结论:壮医经筋综合疗法对腰椎间盘突出症的治疗疗效肯定,并且该法无论是在改善症状方面还是在提高整体疗效方面均比常规针刺疗法更有优势。
[Abstract]:Objective: to observe the clinical effect of combined treatment of Zhuang doctor and meridian in the treatment of lumbar disc herniation, and to provide guidance and basic experimental data for the later stage of lumbar disc herniation. Methods: 40 cases in each group were randomly divided into treatment group and control group. The therapeutic effect of 80 patients with lumbar disc herniation was observed. The treatment group 9 was treated with the combined therapy of Zhuang doctor and meridian, which was composed of three parts: massage manipulation, fire acupuncture and cupping therapy. In contrast with conventional acupuncture therapy. The clinical symptoms and signs of the two groups were evaluated before and after treatment with the simplified McGill Evaluation scale (consisting of PRI VASPPI). The curative effect of the two groups was observed after one course of systematic treatment. Results: after one course of treatment, the scores of symptoms and signs in both groups were decreased after treatment, and the improvement degree of meridian therapy was better than that of routine acupuncture group (P 0.05). In the treatment group, the PRI score and the VAS score and the PPI score were lower than those in the control group, and the therapeutic effect was better than that in the control group. Conclusion: the treatment of prolapse of lumbar intervertebral disc by combined therapy of Zhuang doctor and meridian tendon is more effective than that of routine acupuncture therapy in both improving symptoms and improving the overall curative effect.
【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】：2016
【分类号】：R29

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