牵引合南少林改良扶肩旋腰法治疗中老年腰椎间盘突出症的临床研究

发布时间：2018-06-27 18:02

本文选题：改良扶肩旋腰法 + 腰椎间盘突出症　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:观察南少林改良扶肩旋腰法治疗中老年腰椎间盘突出症的临床疗效,为优化中老年腰椎间盘突出症的治疗方案提供临床依据。方法:按诊断、纳入、排除标准,收集2015年7月至2016年9月就诊于骨科确诊为腰椎间盘突出症的患者100例。随机按1:1的比例分为治疗组(予南少林改良扶肩旋腰法)和对照组(予传统腰椎斜扳法),每组50例。两组患者均每周接受6次治疗,1周为一疗程,治疗两个疗程。治疗结束后对两组的治疗效果进行以下方面的比较:两组患者治疗前后的视觉模拟评分法(visual analogue scale,VAS)、两组患者治疗前后JOA下腰痛评分、两组患者治疗前后腰椎屈伸活动度、两组患者治疗前后临床疗效,并对所得数据使用SPSS20.0软件进行统计学处理。结果:1.基线比较:两组患者在性别、年龄、病程方面经统计学分析,差异均无统计学意义(P0.05),具有可比性。两组患者在CT表现中的突出节段分布、突出物位置分布、突出物矢状径大小经统计学分析,差异均无统计学意义(P0.05);2.临床疗效比较:两组患者治疗2个疗程后与治疗前相比临床疗效有统计学差异(P0.05);3.视觉模拟评分法:两组患者治疗2个疗程后与治疗前疼痛综合评定比较均有统计学差异(P0.05);4.JOA下腰痛评分:两组患者治疗2个疗程后与治疗前JOA下腰痛评分比较均有统计学差异(P0.05);5.腰椎屈伸活动度:两组患者治疗2个疗程后与治疗前腰椎屈伸活动度比较均有统计学差异(P0.05)。结论:·临床上对中老年腰椎间盘突出症患者,南少林改良扶肩旋腰法总体疗效更佳,在减轻患者主观的疼痛及客观的增加腰椎屈伸活动度中,南少林改良扶肩旋腰法比传统腰椎斜扳法更有优势,值得临床推广与运用。
[Abstract]:Objective: to observe the clinical effect of South Shaolin improved shoulder rotation method in the treatment of middle and old patients with lumbar disc herniation, and to provide the clinical basis for optimizing the treatment scheme of middle and old age lumbar disc herniation. Methods: according to the criteria of diagnosis, inclusion and exclusion, 100 patients with lumbar disc herniation diagnosed in orthopedic department from July 2015 to September 2016 were collected. The patients were randomly divided into treatment group (treated with South Shaolin improved shoulder rotation method) and control group (traditional lumbar oblique manipulation) with 50 cases in each group. The patients in both groups were treated 6 times a week for one course of treatment and two courses of treatment. After the treatment, the two groups were compared in the following aspects: visual analogue score before and after treatment (visual analogue scale), low back pain score before and after treatment, and lumbar flexion and extension activity before and after treatment. Two groups of patients before and after treatment of clinical efficacy, and the data were analyzed by SPSS 20.0 software. The result is 1: 1. Baseline comparison: the two groups of patients in gender, age, course of statistical analysis, the differences were not statistically significant (P0.05), comparable. The distribution of herniation segment, protruding position and sagittal diameter of herniation in CT findings of the two groups were not statistically significant (P0.05). Comparison of clinical efficacy: two groups of patients after two courses of treatment compared with the treatment before the clinical efficacy of statistical difference (P0.05). Visual analogue score: the two groups of patients after two courses of treatment and before treatment pain comprehensive evaluation were statistically different (P0.05) 4. JOA low back pain score: the two groups of patients after two courses of treatment and before JOA low back pain scores were statistically different (P0.05). Lumbar flexion and extension activity: two groups of patients after two courses of treatment and before treatment of lumbar flexion and extension activity were significantly different (P0.05). Conclusion: in the middle and aged patients with lumbar disc herniation, South Shaolin improved shoulder rotation method is better in reducing subjective pain and increasing lumbar flexion and extension activity. South Shaolin improved shoulder rotation method has more advantages than traditional lumbar oblique manipulation method, which is worth popularizing and applying in clinic.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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