刺痧拔罐结合推拿治疗腰椎间盘突出症的疗效研究
发布时间：2018-11-19 12:28
【摘要】：腰椎间盘突出症是患者以腰腿痛为主诉的一种常见疾病,长时间慢性的腰部椎间盘退行性病变的基础上加之外伤、寒冷刺激等外因的影响,腰椎神经根或者马尾神经被纤维环破裂后髓核突出物压迫,造成了腰痛、下肢放射痛等症状。腰椎间盘突出症多与年龄因素、体重负担、外伤损害、寒冷刺激、劳损等因素息息相关。随着社会的发展,腰椎间盘突出症的影响因素越来越凸显,人们压力越来越大,腰椎退变速度加快,未能及时引起重视和对症处理,最终对自己和社会造成了巨大的影响。目的:本课题观察走罐出痧,选择最明显痧点点刺拔罐出痧(刺痧拔罐)结合推拿治疗腰椎间盘突出症的疗效,临床研究腰椎间盘突出症的诊疗方案提供了理论支持和经验积累。方法:收录病例时间在2016年2月至2017年2月期间,60例就诊于广州中医药大学第一附属医院推拿科本人导师门诊的腰椎间盘突出症患者进行研究。按照随机方案处理,分派到治疗组和对照组中,两组都以推拿治疗为基本操作,不同之处是治疗组加用刺痧拔罐,对照组加用刺络拔罐。两组的治疗1个疗程为2次,一共3个疗程。主要记录主要疗效指标(JOA量表评分)和次要疗效指标(SF-MPQ量表评分)数据进行系统客观的观察和评价,使用统计软件SPSS19.0进行数据录入然后再分析。结果:1.两组在总体的临床疗效评价方面具有统计学意义(P0.05)。在有效率上,治疗组刺痧拔罐结合推拿组的有效率为96.67%,对照组刺络拔罐结合推拿组的有效率为83.33%,说明两组治疗效果都良好,但是治疗组的总有效率比对照组的高。2.治疗组和对照组患者在治疗前的JOA量表积分比较无统计学意义,那么两组在治疗前是具有可比性的。治疗后治疗组和对照组JOA量表积分比较有统计学意义(P0.05),有显著差异。而且治疗后两组的JOA量表积分比治疗前普遍提高,说明两种治疗都有效果,而且治疗组的治疗疗效优于对照组。3.在SF-MPQ评分的比较方面,治疗前治疗组和对照组的SF-MPQ评分无统计学意义(P0.05),治疗前两组是具有可比性的。治疗后两组的SF-MPQ评分比较是有统计学意义的,说明治疗组的疗效优于对照组。结论:在治疗腰椎间盘突出症患者疗效方面上,治疗组(刺痧拔罐结合推拿治疗)同对照组(刺络拔罐结合推拿治疗)两者均可以达到临床上的满意效果。其中治疗组刺痧拔罐结合推拿治疗比对照组刺络拔罐结合推拿治疗在总体疗效水平方面更突出,治疗组在缓解患者症状方面、提高JOA和SF-MPQ量表的积分方面优于对照组。
[Abstract]:Lumbar disc herniation is a common disease that patients mainly complain of lumbago and leg pain. On the basis of long-term chronic lumbar intervertebral disc degenerative disease, combined with external factors such as trauma, cold stimulation, etc. Lumbar nerve root or cauda equina nerve is compressed by nucleus pulposus protruding after fibrous ring rupture, causing low back pain, lower extremity radiation pain and so on. Lumbar disc herniation is closely related to age, weight burden, trauma, cold stimulation, strain and so on. With the development of society, the influencing factors of lumbar disc herniation are more and more prominent, people are under more and more pressure, the speed of lumbar degenerative degeneration is quickening, and the failure to pay attention to and deal with the disease in time has caused great influence on themselves and the society. Objective: to observe the curative effect of treating lumbar intervertebral disc herniation with cupping and cupping combined with massage. The clinical research on the diagnosis and treatment of lumbar disc herniation provides theoretical support and experience accumulation. Methods: from February 2016 to February 2017, 60 patients with prolapse of lumbar intervertebral disc were studied in the clinic of Tuina Department of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. According to the random scheme, the treatment group and the control group were assigned to the treatment group and the control group, the two groups were treated with massage therapy as the basic operation, the difference was that the treatment group plus prickle cupping, the control group plus prickle cupping. Two courses of treatment for two groups, a total of 3 courses of treatment. The main curative effect index (JOA scale score) and the secondary curative effect index (SF-MPQ scale score) data were recorded for systematic and objective observation and evaluation. The data were input and analyzed by SPSS19.0. The result is 1: 1. The two groups in the overall clinical efficacy evaluation had statistical significance (P0.05). In the effective rate, the effective rate of the treatment group was 96.677.The effective rate of the control group was 83.33, which indicated that the two groups had good therapeutic effect. But the total response rate in the treatment group was higher than that in the control group. 2. 2. There was no significant difference in JOA scores between the treatment group and the control group before treatment, so the two groups were comparable before treatment. There was significant difference in JOA scale between treatment group and control group after treatment (P0.05). After treatment, the scores of JOA scale in the two groups were generally higher than those before treatment, indicating that both treatments had effect, and the curative effect of the treatment group was better than that of the control group. In the comparison of SF-MPQ scores, the SF-MPQ scores of the treatment group and the control group before treatment were not statistically significant (P0.05), the two groups were comparable before treatment. There was significant difference in SF-MPQ score between the two groups after treatment, indicating that the curative effect of the treatment group was better than that of the control group. Conclusion: in the treatment of lumbar intervertebral disc herniation, both the treatment group (pricking and cupping combined with massage treatment) and the control group (pricking and cupping combined with massage treatment) can achieve satisfactory clinical effect. The treatment group was more prominent than the control group in the overall curative effect level, the treatment group improved the score of JOA and SF-MPQ scale better than the control group in relieving the symptoms of patients.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.3
，
本文编号：2342304
[Abstract]:Lumbar disc herniation is a common disease that patients mainly complain of lumbago and leg pain. On the basis of long-term chronic lumbar intervertebral disc degenerative disease, combined with external factors such as trauma, cold stimulation, etc. Lumbar nerve root or cauda equina nerve is compressed by nucleus pulposus protruding after fibrous ring rupture, causing low back pain, lower extremity radiation pain and so on. Lumbar disc herniation is closely related to age, weight burden, trauma, cold stimulation, strain and so on. With the development of society, the influencing factors of lumbar disc herniation are more and more prominent, people are under more and more pressure, the speed of lumbar degenerative degeneration is quickening, and the failure to pay attention to and deal with the disease in time has caused great influence on themselves and the society. Objective: to observe the curative effect of treating lumbar intervertebral disc herniation with cupping and cupping combined with massage. The clinical research on the diagnosis and treatment of lumbar disc herniation provides theoretical support and experience accumulation. Methods: from February 2016 to February 2017, 60 patients with prolapse of lumbar intervertebral disc were studied in the clinic of Tuina Department of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. According to the random scheme, the treatment group and the control group were assigned to the treatment group and the control group, the two groups were treated with massage therapy as the basic operation, the difference was that the treatment group plus prickle cupping, the control group plus prickle cupping. Two courses of treatment for two groups, a total of 3 courses of treatment. The main curative effect index (JOA scale score) and the secondary curative effect index (SF-MPQ scale score) data were recorded for systematic and objective observation and evaluation. The data were input and analyzed by SPSS19.0. The result is 1: 1. The two groups in the overall clinical efficacy evaluation had statistical significance (P0.05). In the effective rate, the effective rate of the treatment group was 96.677.The effective rate of the control group was 83.33, which indicated that the two groups had good therapeutic effect. But the total response rate in the treatment group was higher than that in the control group. 2. 2. There was no significant difference in JOA scores between the treatment group and the control group before treatment, so the two groups were comparable before treatment. There was significant difference in JOA scale between treatment group and control group after treatment (P0.05). After treatment, the scores of JOA scale in the two groups were generally higher than those before treatment, indicating that both treatments had effect, and the curative effect of the treatment group was better than that of the control group. In the comparison of SF-MPQ scores, the SF-MPQ scores of the treatment group and the control group before treatment were not statistically significant (P0.05), the two groups were comparable before treatment. There was significant difference in SF-MPQ score between the two groups after treatment, indicating that the curative effect of the treatment group was better than that of the control group. Conclusion: in the treatment of lumbar intervertebral disc herniation, both the treatment group (pricking and cupping combined with massage treatment) and the control group (pricking and cupping combined with massage treatment) can achieve satisfactory clinical effect. The treatment group was more prominent than the control group in the overall curative effect level, the treatment group improved the score of JOA and SF-MPQ scale better than the control group in relieving the symptoms of patients.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.3
，
本文编号：2342304
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