平乐熏药联合电针治疗腰椎退行性骨关节病的临床观察

发布时间：2018-06-17 12:15

  本文选题：腰椎退行性骨关节病 + 熏蒸　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本试验拟通过临床病例对照观察,分析平乐熏药验方联合电针疗法与单纯电针疗法治疗腰椎退行性骨关节病的疗效对比,探讨两组治疗结果的差异,评价平乐薰药联合电针疗法对腰椎退行性骨关节病患者的临床治疗作用,并规范平乐薰药疗法的操作技术和流程,推广简便验廉的传统中医疗法。方法:选取2016年1月至2016年10月之间在深圳平乐骨伤科医院疼痛科住院,且符合纳入标准的60例腰椎退行性骨关节病患者作为研究对象,采用简单随机方法分为治疗组、对照组各30例。治疗组采用平乐薰药联合电针治疗,对照组采用单纯电针治疗。对比两组患者治疗前后VAS疼痛评分、JOA评分以及红外热图局部均温,对所收集的资料进行相应的统计学分析,对比两种治疗方法的疗效差异。结果:治疗前,治疗组VAS疼痛评分、JOA评分以及红外热图局部均温分别为:5.97±1.033、14.33±1.882、26.98±1.556;对照组VAS疼痛评分、JOA评分以及红外热图局部均温分别为:5.90±0.960、14.57± 1.960/27.75± 1.486。治疗结束后,治疗组VAS疼痛评分、JOA评分以及红外热图局部均温分别为:1.87± 1.548、21.87±3.224、27.88±1.786。对照组治疗后 VAS 疼痛评分、JOA评分以及红外热图局部均温分别为:3.50±1.697、19.43±2.635、28.95±1.405。治疗前,两组患者VAS疼痛评分、JOA评分以及红外热图局部均温经统计学分析,均p0.05,无统计学意义;治疗结束后,两组患者VAS疼痛评分、JOA评分以及红外热图局部均温经统计学分析,均P0.05,有显著统计学意义。治疗组VAS疼痛评分总有效率为86.67%,JOA总有效率为80%。对照组VAS疼痛评分有效率为63.33%,JOA有效率为60%。两组患者VAS总有效率和JOA总有效率经统计学分析,均P0.05,有显著统计学意义。结论:平乐薰药验方联合电针疗法与单纯电针疗法治疗腰椎退行性骨关节病均有比较好的临床疗效,经过统计学分析可知,平乐薰药联合电针疗法疗效更佳,值得临床应用推广。
[Abstract]:Objective: to compare the therapeutic effects of Pingle fumigation prescription combined with electroacupuncture therapy and simple electroacupuncture therapy on lumbar degenerative osteoarthropathy by clinical case-control observation, and to explore the difference between the two groups in the treatment of lumbar degenerative osteoarthropathy. To evaluate the clinical effect of Pingle fumigation combined with electroacupuncture on lumbar degenerative osteoarthropathy, and to standardize the operation technology and procedure of Pingle fumigation therapy, and to popularize the simple and effective traditional Chinese medicine therapy. Methods: 60 patients with lumbar degenerative osteoarthropathy who were hospitalized in pain department of Shenzhen Pingle Orthopedic and Trauma Hospital from January 2016 to October 2016 were selected as study objects. There were 30 cases in the control group. The treatment group was treated with Pingle fumigation combined with electroacupuncture, while the control group was treated with simple electroacupuncture. The VAS pain score JOA score and local mean temperature of infrared thermogram were compared before and after treatment. The data collected were statistically analyzed and the curative effects of the two methods were compared. Results: before treatment, the VAS pain score and JOA score and the local mean temperature of infrared thermogram in the treatment group were: 1: 5.97 卤1.033 卤1.882 卤26.98 卤1.556, respectively, while in the control group, the VAS pain score, JOA score and the local mean temperature of infrared thermogram were 5.90 卤0.960,14.57 卤1.960-27.75 卤1.486, respectively. After the treatment, the VAS pain score, JOA score and local mean temperature of infrared thermogram in the treatment group were: 1. 87 卤1. 548 卤21. 87 卤3. 224V 27.88 卤1. 786, respectively. In the control group, the VAS pain score, JOA score and the local mean temperature of infrared thermogram were: 1: 3.50 卤1.697g 19.43 卤2.635v 28.95 卤1.405, respectively. Before treatment, VAS pain score, JOA score and local mean temperature of infrared thermogram were statistically analyzed, all of them had no statistical significance, after treatment, the two groups had VAS pain score and JOA score and local mean temperature of infrared thermogram were statistically analyzed. All of them had significant statistical significance (P 0.05). The total effective rate of VAS pain score in treatment group was 86.67 and the total effective rate of JOA was 80. In the control group, the effective rate of VAS score was 63.33 and the effective rate of JOA was 60. The total effective rate of VAS and the total effective rate of JOA in both groups were statistically significant (P 0.05). Conclusion: Pingle fumigation prescription combined with electroacupuncture therapy and simple electroacupuncture therapy have better clinical effects on lumbar degenerative osteoarthropathy. The statistical analysis shows that the combination of Pingle fumigation medicine and electroacupuncture therapy is more effective than that of traditional Chinese medicine in the treatment of lumbar degenerative osteoarthropathy. It is worthy of clinical application.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9
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本文编号：2031006