天池伤科手法治疗腰间盘突出症的临床研究

发布时间：2018-06-27 10:44

本文选题：天池伤科手法 + 腰间盘突出症　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:在老师的指导下,收集60例腰间盘突出症患者病例。通过组间比较,拟观察出天池伤科手法与牵引基础治疗法治疗腰间盘突出的临床疗效分析。在本课题结束时,总结完成关于天池伤科手法治疗腰间盘突出的临床疗效观察的硕士研究生毕业论文。通过统计学比较,科学分析天池伤科手法的临床疗效判定,对以后临床治疗方案多样性选择提供一定依据。方法:本课题采用随机分组对照法,对60例腰间盘突出症患者进行纳入筛选后,随机分为治疗组和对照组,通过组间比较,明确临床疗效评价。在下腰痛、腿痛和麻刺感、步态、直腿抬高实验、感觉障碍、肌力下降等级、日常活动影响等方面作出评分,比较两组治疗1个月后的疗效。结果:治疗组与对照组基线资料比较后表明,治疗组与对照组在性别、年龄、病程上不具有统计学意义,表明两组在基线资料上具有可比性。通过统计学计算,对照组治疗前后症状与体征总评分差异具有统计学意义(P0.05),对照组治疗后症状与体征总评分显著高于治疗前;治疗组治疗前后症状与体征总评分差异同样具有统计学意义(P0.05),治疗组治疗后症状与体征总评分同样显著高于治疗前。治疗组痊愈14例(46.7%),好转15例(50%),未愈1例(3.3%),总有效率为96.7%。对照组痊愈8例(26.7%),好转14例(46.7%),未愈8例(26.7%),总有效率为73.4%。对两组疗效进行统计分析显示,两组疗效差异具有统计学意义(P0.05),治疗组疗效显著优于对照组。结论:天池伤科手法在治疗腰间盘突出症上疗效确切具有一定的科学依据,在腰间盘突出症的治法上值得选择和进一步推广。
[Abstract]:Objective: to collect 60 cases of lumbar disc herniation under the guidance of teachers. The clinical effect of manipulation and traction basic therapy on lumbar disc herniation in Tianchi Trauma Department was analyzed by comparison between the two groups. At the end of this thesis, the thesis is about the observation of clinical curative effect of manual treatment of lumbar disc protrusion in Tianchi Trauma Department. Through statistical comparison, the scientific analysis of the clinical efficacy of Tianchi Trauma technique, to provide a basis for the selection of clinical treatment options in the future. Methods: 60 patients with lumbar disc herniation were randomly divided into treatment group and control group. The scores of low back pain, leg pain and tingling, gait, straight leg elevation test, sensory disturbance, muscle strength decline grade, daily activity effect were compared between the two groups after one month treatment. Results: the comparison of baseline data between the treatment group and the control group showed that there was no significant difference in sex, age and course of disease between the treatment group and the control group, indicating that the baseline data of the two groups were comparable. Through statistical calculation, the total scores of symptoms and signs in the control group were significantly different before and after treatment (P0.05), and the total score of symptoms and signs in the control group was significantly higher than that before treatment. The total scores of symptoms and signs before and after treatment in the treatment group were also significantly different (P0.05), and the total scores of symptoms and signs in the treatment group were also significantly higher than those before treatment. In the treatment group, 14 cases (46.7%) were cured, 15 cases (50%) improved, 1 case (3.3%) was not recovered, the total effective rate was 96.775%. In the control group, 8 cases were cured (26.7%), 14 cases were improved (46.7%), 8 cases were not recovered (26.7%), the total effective rate was 73.4%. Statistical analysis of the two groups showed that there was significant difference between the two groups (P0.05), the therapeutic effect of the treatment group was significantly better than that of the control group. Conclusion: the therapeutic effect of Tianchi Trauma in treating lumbar disc herniation has certain scientific basis, and it is worth choosing and popularizing in the treatment of lumbar disc herniation.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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