耳穴埋针结合电针治疗腰椎间盘突出症的临床观察

发布时间：2018-11-18 22:29

【摘要】：目的:本课题旨在运用耳穴埋针结合电针方法治疗腰椎间盘突出症,并设电针组为对照组进行观察比较,研究耳穴埋针结合电针对腰椎间盘突出症的治疗作用,并为临床治疗腰椎间盘突出症提供一种新的思路。方法:选取符合诊断纳入标准的腰椎间盘突出症患者60例,采用随机数字表法分为治疗组、对照组各30例,治疗组采用耳穴埋针结合电针治疗,对照组采用单纯电针治疗,电针操作、疗程均同治疗组。治疗3个疗程后,评定两组的临床治疗效果,并对相关数据进行统计学分析。结果:1.治疗前两组一般资料和各项指标基线比较,差异无统计学意义(P0.05)组间具有可比性。2.VAS评分比较:治疗后与治疗前两组组内比较,VAS评分均降低,且差异具有统计学意义(P0.01);治疗后两组组间比较,治疗组VAS评分低于对照组,差异具有统计学意义(P0.01)。3.JOA腰痛评分比较:两组患者治疗前后的评分相比均有统计学意义(P0.01)。治疗后两组患者的评分相比较有统计学意义(P0.05)。4.Oswestry功能障碍指数评分比较:两组患者治疗前后的评分相比均有统计学意义(P0.O1)。治疗后两组患者的评分相比较有统计学意义(P0.05)。5.总体疗效比较:试验组总有效率90.0%,对照组总有效率80.0%,治疗组优于对照组,差异具有统计学意义(P0.05)。结论:本课题研究结果表明耳穴埋针结合电针以及单纯电针治疗腰椎间盘突出症均有效,都能改善患者疼痛、整体症状、体征以及改善肢体功能。但治疗组的总有效率明显高于对照组,并在患者疼痛、整体症状、体征及肢体功能的改善均优于对照组。耳穴埋针结合电针治疗腰椎间盘突出症的疗效肯定,值得被推广。
[Abstract]:Objective: to study the therapeutic effect of auricular acupuncture combined with electroacupuncture on lumbar intervertebral disc herniation, and set up electroacupuncture group as control group to study the therapeutic effect of auricular acupuncture combined with electroacupuncture on lumbar intervertebral disc herniation. It also provides a new idea for clinical treatment of lumbar disc herniation. Methods: sixty patients with lumbar intervertebral disc herniation, who met the criteria of diagnosis and inclusion, were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with auricular acupuncture combined with electroacupuncture, and the control group was treated with simple electroacupuncture. Electroacupuncture operation, the course of treatment were the same as the treatment group. After 3 courses of treatment, the clinical effects of the two groups were evaluated and the relevant data were analyzed statistically. The result is 1: 1. There was no significant difference in baseline between the two groups before treatment (P0.05). Comparison of 2.VAS scores: after treatment and before treatment, VAS scores were lower than those before treatment. The difference was statistically significant (P0.01). After treatment, the VAS score of the treatment group was lower than that of the control group, the difference was statistically significant (P0.01). The comparison of 3.JOA low back pain score: there was statistical significance between the two groups before and after treatment (P0.01). After treatment, the scores of two groups of patients were statistically significant (P0.05). 4.Oswestry dysfunction index score comparison: the two groups of patients before and after treatment scores were statistically significant (P0.O1). After treatment, the scores of the two groups were statistically significant (P0.05). Comparison of the overall efficacy: the total effective rate of the experimental group 90.0 and the control group 80.0, the treatment group was better than the control group, the difference was statistically significant (P0.05). Conclusion: the results of this study indicate that both auricular acupuncture and electroacupuncture combined with electroacupuncture are effective in treating lumbar disc herniation, which can improve pain, overall symptoms, signs and limb function of patients with lumbar intervertebral disc herniation. But the total effective rate in the treatment group was significantly higher than that in the control group, and the improvement of pain, overall symptoms, physical signs and limb function was superior to that in the control group. The curative effect of auricular acupoint embedding acupuncture combined with electroacupuncture in treating lumbar disc herniation is definite and worth popularizing.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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