滞动针配合拔罐疗法治疗腰椎间盘突出症的临床研究

发布时间：2018-08-07 17:28

【摘要】：目的:本课题以滞动针刺和拔罐疗法相结合,通过观察腰椎间盘突出症患者治疗前后症状、临床体征、日常活动功能的改善情况,客观评价该疗法治疗腰椎间盘突出症的临床疗效和安全性,为针灸疗法治疗本病提供疗效确切、操作安全的诊疗技术。方法:选取符合纳入标准的腰椎间盘突出症患者68例为研究对象,采用随机数字表法,按1:1比例随机分为治疗组、对照组各34例。治疗组采用滞动针配合拔罐疗法治疗,取穴:阿是穴、腰夹脊、环跳、阳陵泉;针刺得气后行滞动针手法,10分钟行滞动针一次,留针30分钟后出针,在患处拔上玻璃火罐,留罐10分钟,每日1次。对照组予口服双氯芬酸钠双释放肠溶胶囊75mg/次,每日1次,甲钴胺片0.5mg/次,每日3次。治疗期间禁止服用与研究药物效用相近的中西药品或采用其他治疗方法。两组均治疗12天,共两个疗程后评价疗效,分别于治疗前、疗程结束后采用JOA下腰痛评分表和中医病证诊断疗效标准为疗效观察指标,随时记录研究过程中的不良事件。采用统计软件SPSS 22.0对所收集的数据进行统计分析。结果:1、治疗前,治疗组与对照组的性别、年龄等一般情况和JOA腰痛疾患评分对比均无显著差异(P0.05),具有可比性。2、疗程结束后,两组JOA腰痛疾患总评分均有明显增加(P0.05),提示两种疗法都具有良好的临床疗效。3、疗程结束后,两组JOA腰痛疾患总评分组间比较差异有非常显著性意义(P0.01),提示治疗组的综合疗效明显优于对照组。4、疗程结束后,治疗组与对照组JOA腰痛疾患评分中腰痛、下肢痛及麻木、步行能力和日常生活各项评分的组间比较差异均有非常显著性意义(P0.01),提示治疗组在改善腰椎间盘突出症患者腰痛、下肢麻痛、步行和日常生活方面明显优于对照组。结论:1、两种方法都能改善腰椎间盘突出症患者的疼痛及日常生活能力;2、滞动针配合拔罐疗法在治疗疼痛、改善临床体征和日常生活方面的综合疗效明显优于西药组,是治疗腰椎间盘突出症的有效方法之一。
[Abstract]:Objective: to observe the improvement of symptoms, clinical signs and daily activities of patients with lumbar disc herniation before and after treatment with acupuncture and cupping therapy. Objective to evaluate the clinical efficacy and safety of the treatment of lumbar intervertebral disc herniation, and to provide an effective and safe diagnosis and treatment technique for acupuncture therapy. Methods: Sixty-eight patients with lumbar disc herniation were randomly divided into treatment group (n = 34) and control group (n = 34). The treatment group was treated with stagnation acupuncture combined with cupping therapy. Points were taken: Ashi point, waist clip ridge, ring jump, Yanglingquan; after acupuncture, the moving-motional acupuncture technique was used once for 10 minutes, the needle was kept for 30 minutes and the needle was taken out, and the glass cupping was pulled out at the affected place. Keep the pot for 10 minutes, once a day. The control group was given oral diclofenac sodium double release enteric capsule 75mg/ once a day and mecobalamin tablet 0.5mg/ 3 times a day. Use of Chinese and Western medicines or other treatments similar to the efficacy of the drugs studied is prohibited during treatment. The two groups were treated for 12 days. The curative effect was evaluated after two courses of treatment. Before and after the course of treatment, the low back pain score table under JOA and the criteria for the diagnosis of TCM disease and syndrome were used as the therapeutic observation index, and the adverse events in the course of the study were recorded at any time. Statistical software SPSS 22. 0 was used to analyze the collected data. Results before treatment, there was no significant difference in gender, age and JOA low back pain score between the treatment group and the control group (P0.05). The total score of JOA low back pain was significantly increased in both groups (P0.05), indicating that the two treatments had good clinical efficacy. 3, after the end of the course of treatment, There was a significant difference in the total score of JOA low back pain between the two groups (P0.01), indicating that the comprehensive curative effect of the treatment group was significantly better than that of the control group. After the treatment, the treatment group and the control group had low back pain, lower extremity pain and numbness in the low back pain score of JOA. There were significant differences in walking ability and daily life scores between the two groups (P0.01), which suggested that the treatment group was superior to the control group in improving lumbago, lower limb anaesthesia, walking and daily life in patients with lumbar disc herniation. Conclusion both methods can improve pain and daily living ability of patients with lumbar disc herniation. The comprehensive curative effect of hysteresis acupuncture combined with cupping therapy in treating pain, improving clinical signs and daily life is obviously better than that of western medicine group. It is one of the effective methods for the treatment of lumbar disc herniation.
【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】：R246.9

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