颤压法治疗第三腰椎横突综合征的临床研究
发布时间：2018-08-15 16:33
【摘要】：目的:通过系统化的整理以及规范化的临床研究,对颤压法治疗第三腰椎横突综合征的安全性及临床疗效做出客观的评价,形成技术规范,为第三腰椎横突综合征的推拿治疗提供新的思路和方法。方法:1.本临床研究以2015年3月——2016年1月前来河南中医学院第三附属医院推拿门诊就诊的,临床诊断依据符合诊断标准的年龄在18~65岁之间(含18岁及65岁)确诊为第三腰椎横突综合征的患者为研究对象,按首次就诊的先后顺序,收集病例60例。采用单纯随机、对照的研究方法,将60例病人随机分为治疗组和对照组两组以1:1的比例进行随机对照试验。两组的治疗时间均为每日治疗一次,连续7次为一疗程。连续治疗两个疗程,疗程之间休息两天。治疗期间停用一切与本病有关的药物和治疗方法。2.观察两种治疗方法治疗前后的两组病人的临床疗效及相关指标数据。本临床研究临床疗效选用改良日本骨科学会下腰痛疗效评定表(JOA)和简化Mcgill疼痛询问表(MPQ)包括疼痛分级指数PRI量表、视觉模拟量表VAS评分尺及PPI疼痛状况表作为临床疗效的观察参考标准和评价指标。每组治疗均对病人采用治疗前和治疗后的临床疗效评价,懫用随机方法进行对照评价,参照《中医病症诊断疗效标准》评价连续2个疗程采用颤压法治疗第三腰椎横突综合征和采用常规推拿方法治疗第三腰椎横突综合征的临床疗效,并进行分析总结。结果:1.综合疗效:治疗组治愈16例,显效13例,无效1例,总有效率96.66%;对照组治愈8例,显效17例,无效5例,总有效率为83.32%;两组比较,经统计学处理(P0.05),有显著性差异,且治疗组明显优于对照组。2.经过统计学统计计算,在性别、年龄、病情方面没有显著差异(P0.05)数据资料具有可比性。两组治疗前和治疗后的J0A评分、PRI评分、VAS评分和PPI评分比较,差异具有统计学意义(P0.05)。两组患者的临床症状皆有所缓解与减轻,但治疗组优于对照组。结论:1.两组治疗后症状评分较治疗前均显著改善,说明两种治疗方法均可有效改善第三腰椎横突综合征患者的症状。2.治疗组疗程结束后在JOA、PRI、VAS和PPI评分改善优于对照组。与常规推拿手法相比,颤压法能明显改善第三腰椎横突综合征患者的症状。3.颤压法治疗第三腰椎横突综合征无创痛,可明显提高患者生活质量,并且手法操作简便,与传统手法相比易学易记,易于被临床大夫所复制使用,也易于患者接受,可在临床中推广应用。也为今后治疗其它脊柱系统相关疾病提供一套新的治疗思路。
[Abstract]:Objective:To evaluate objectively the safety and clinical efficacy of trembling and pressing therapy for the third lumbar transverse process syndrome through systematic and standardized clinical research, and to form technical specifications, so as to provide new ideas and methods for the massage treatment of the third lumbar transverse process syndrome. Sixty cases of the third lumbar transverse process syndrome were collected in the order of the first visit to the Third Affiliated Hospital of Henan College of Traditional Chinese Medicine. Sixty patients were randomly divided into treatment group and control group with a ratio of 1:1. Both groups were treated once a day for seven consecutive courses of treatment. Two consecutive courses of treatment were given, with two days'rest between the courses. All the drugs and treatment methods related to the disease were discontinued during the treatment. 2. Observation of the two treatments. The clinical efficacy of the modified Japanese Orthopedic Association Low Back Pain Efficacy Assessment Scale (JOA) and the Simplified Mcgill Pain Questionnaire (MPQ) including the Pain Grading Index (PRI), Visual Analog Scale (VAS) and PPI Pain Status Scale (PPI) were selected as the clinical observation. Reference criteria and evaluation indicators. Each group of patients before and after the treatment of clinical efficacy evaluation, not using randomized methods for comparative evaluation, with reference to < Chinese medicine disease diagnosis efficacy criteria > evaluation of two consecutive courses of treatment using tremor method for the treatment of the third lumbar transverse process syndrome and conventional massage method for the treatment of the third lumbar transverse process syndrome Results: 1. Comprehensive curative effect: 16 cases were cured in the treatment group, 13 cases were markedly effective, 1 case was ineffective, the total effective rate was 96.66%; 8 cases were cured in the control group, 17 cases were markedly effective, 5 cases were ineffective, the total effective rate was 83.32%; two groups were compared, statistically significant difference (P 0.05), and the treatment group was significantly better than the control group.2. There was no significant difference in sex, age and condition between the two groups (P 0.05). The J0A score, PRI score, VAS score and PPI score of the two groups before and after treatment were statistically significant (P 0.05). The clinical symptoms of the two groups were alleviated and alleviated, but the treatment group was better than the control group. Conclusion: 1. After treatment, the symptoms of the two groups were significantly improved, indicating that the two treatment methods can effectively improve the symptoms of the third lumbar transverse process syndrome. 2. After the end of treatment, the improvement of JOA, PRI, VAS and PPI scores in the treatment group was better than that in the control group. Symptoms of symptoms of patients with symptoms. Disease provides a new set of treatment ideas.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1
本文编号：2184778
[Abstract]:Objective:To evaluate objectively the safety and clinical efficacy of trembling and pressing therapy for the third lumbar transverse process syndrome through systematic and standardized clinical research, and to form technical specifications, so as to provide new ideas and methods for the massage treatment of the third lumbar transverse process syndrome. Sixty cases of the third lumbar transverse process syndrome were collected in the order of the first visit to the Third Affiliated Hospital of Henan College of Traditional Chinese Medicine. Sixty patients were randomly divided into treatment group and control group with a ratio of 1:1. Both groups were treated once a day for seven consecutive courses of treatment. Two consecutive courses of treatment were given, with two days'rest between the courses. All the drugs and treatment methods related to the disease were discontinued during the treatment. 2. Observation of the two treatments. The clinical efficacy of the modified Japanese Orthopedic Association Low Back Pain Efficacy Assessment Scale (JOA) and the Simplified Mcgill Pain Questionnaire (MPQ) including the Pain Grading Index (PRI), Visual Analog Scale (VAS) and PPI Pain Status Scale (PPI) were selected as the clinical observation. Reference criteria and evaluation indicators. Each group of patients before and after the treatment of clinical efficacy evaluation, not using randomized methods for comparative evaluation, with reference to < Chinese medicine disease diagnosis efficacy criteria > evaluation of two consecutive courses of treatment using tremor method for the treatment of the third lumbar transverse process syndrome and conventional massage method for the treatment of the third lumbar transverse process syndrome Results: 1. Comprehensive curative effect: 16 cases were cured in the treatment group, 13 cases were markedly effective, 1 case was ineffective, the total effective rate was 96.66%; 8 cases were cured in the control group, 17 cases were markedly effective, 5 cases were ineffective, the total effective rate was 83.32%; two groups were compared, statistically significant difference (P 0.05), and the treatment group was significantly better than the control group.2. There was no significant difference in sex, age and condition between the two groups (P 0.05). The J0A score, PRI score, VAS score and PPI score of the two groups before and after treatment were statistically significant (P 0.05). The clinical symptoms of the two groups were alleviated and alleviated, but the treatment group was better than the control group. Conclusion: 1. After treatment, the symptoms of the two groups were significantly improved, indicating that the two treatment methods can effectively improve the symptoms of the third lumbar transverse process syndrome. 2. After the end of treatment, the improvement of JOA, PRI, VAS and PPI scores in the treatment group was better than that in the control group. Symptoms of symptoms of patients with symptoms. Disease provides a new set of treatment ideas.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1
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1 闫洁琳;颤压法治疗第三腰椎横突综合征的临床研究[D];河南中医药大学;2016年
，本文编号：2184778
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