电针阳陵泉联合普通针刺阿是穴治疗第三腰椎横突综合征的临床研究

发布时间：2019-04-02 12:53

【摘要】：目的:通过电针阳陵泉联合普通针刺阿是穴治疗第三腰椎横突综合征,观察该法的临床疗效,验证该方法具有治疗第三腰椎横突综合征这类筋伤疾病的肯定作用。方法:本研究共选取2014年12月至2015年12月长春中医药大学附属医院针灸科门诊与吉林友好医院康复科符合第三腰椎横突综合征临床诊断的患者60例,采用简单随机分为治疗组30例,对照组30例。治疗组采用电针阳陵泉联合普通针刺阿是穴方法治疗,对照组采用单纯针刺阿是穴方法治疗,10天为一个疗程,共观察两个疗程,治疗后随访一个月。结果:治疗两个疗程后,比较两组临床总有效率,治疗组总有效为83.33%。对照组总有效为73.33%。经统计学分析,两组总有效率差异显著(p0.05),因此在患者近期疗效比较治疗组优于对照组,详见表5。经统计学分析两组受试者治疗前JOA积分无明显差异(P0.05),详见表3,经治疗后两组JOA积分有明显差异(P0.05),各组之间本组治疗前后JOA积分比较有明显差异(P0.05),详见表6。患者经治疗后,两组JOA积分均有所改善,其中治疗组JOA积分改善请况明显优于对照组。经统计学分析两组受试者治疗前VAS分数无明显差异(P0.05),详见表3,经治疗后两组VAS分数有明显差异(P0.05),各组之间本组治疗前后VAS分数比较有明显差异(P0.05),详见表6。患者经治疗后,两组VAS分数均有所改善,其中治疗组VAS分数改善请况明显优于对照组。两组受试者治疗结束后,均给予1个月时间随访。1个月随访后,给予总分比较。经对各组随访总分统计比较后,发现治疗组随访总分略高于治疗结束后总分(P0.05),对照组随访总分与治疗结束后无明显差别(P0.05),两组之间1个月随访总分有明显差别(P0.05),详见表8。因此,治疗组治疗方法对该疾病治疗效果较持久,患者可以获得较长久受益。两组受试者治疗结束后,均给予VAS分数1个月时间随访。1个月随访后,给予VAS分数比较。经对各组随访VAS分数统计比较后,发现两组随访VAS分数均略低于治疗结束后总分(P0.05),两组之间1个月随访VAS分数有明显差别(P0.05),详见表9。结论:电针阳陵泉联合普通针刺阿是穴治疗第三腰椎横突综合征的近期疗效显著。电针阳陵泉联合普通针刺阿是穴治疗第三腰椎横突综合征1个月后疗效优于单纯针刺阿是穴,说明电针阳陵泉对筋伤疾病具有肯定的长效作用。电针阳陵泉联合普通针刺阿是穴治疗第三腰椎横突综合征的疗效显著,能够显著改善JOA、VAS等积分,减轻患者疾病痛苦,提高患者生活质量,为针刺方法治疗第三腰椎横突综合征的方法中,提供新的思路。
[Abstract]:Aim: to observe the clinical efficacy of this method in the treatment of the third lumbar transverse process syndrome by electro-acupuncture of Yanglingquan combined with general acupuncture at Aye point, and to verify the positive effect of this method on the treatment of such diseases as the third lumbar transverse process syndrome. Methods: from December 2014 to December 2015, 60 patients with the third lumbar transverse process syndrome were selected from the outpatient department of acupuncture department of affiliated hospital of Changchun University of traditional Chinese Medicine and the rehabilitation department of Jilin Friendship Hospital. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with electroacupuncture of Yanglingquan combined with common acupuncture at Aye point, while the control group was treated with simple acupuncture at Ashi point for 10 days as a course of treatment. Two courses of treatment were observed and followed up for a month after treatment. Results: after two courses of treatment, the total effective rate of the two groups was 83.33%. The total effective rate of the control group was 73.33%. Statistical analysis showed that the total effective rate of the two groups was significantly different (p0.05). Therefore, the treatment group was superior to the control group in the short-term curative effect, as shown in Table 5. After statistical analysis, there was no significant difference in JOA score before treatment between the two groups (P0.05), details of which were found in Table 3. After treatment, there was a significant difference in JOA score between the two groups (P0.05). There was a significant difference in JOA scores between the groups before and after treatment (P0.05), as shown in Table 6. After treatment, the JOA scores of the two groups were improved, and the improvement of JOA scores in the treatment group was obviously better than that in the control group. There was no significant difference in VAS scores before treatment between the two groups (P0.05), details of which were found in Table 3. After treatment, there was significant difference in VAS scores between the two groups (P0.05). There was a significant difference in VAS scores between the groups before and after treatment (P0.05), as shown in Table 6. After treatment, the VAS scores of the two groups were improved, and the improvement of VAS scores in the treatment group was obviously better than that in the control group. The patients in both groups were followed up for one month after treatment and the total scores were compared after one month's follow-up. After statistical comparison of the total scores of follow-up in each group, it was found that the total score of follow-up in the treatment group was slightly higher than that after the treatment (P0.05). There was a significant difference in the total score of one month follow-up between the two groups (P0.05), as shown in Table 8. Therefore, the treatment group is more effective for the treatment of the disease, patients can obtain longer-term benefits. After treatment, VAS scores were followed up for 1 month and VAS scores were compared after 1 month follow-up. After the statistical comparison of the VAS scores of each group, we found that the VAS scores of the two groups were slightly lower than the total score after the treatment (P0.05), and there was a significant difference in the VAS scores of one month follow-up between the two groups (P0.05), the details of which were shown in Table 9. Conclusion: the short-term curative effect of electro-acupuncture on the third lumbar transverse process syndrome with acupuncture of Yanglingquan combined with general acupuncture is remarkable. The curative effect of electroacupuncture at Yanglingquan combined with general acupuncture on the third lumbar transverse process syndrome after one month was better than that of acupuncture at Aye point, which indicated that electro-acupuncture at Yanglingquan had a definite long-term effect on the disease of tendon injury. Electro-acupuncture of Yanglingquan combined with general acupuncture on the third lumbar transverse process syndrome has a significant effect on the treatment of the third lumbar transverse process syndrome, which can significantly improve the scores of JOA,VAS, alleviate the pain of the disease, and improve the quality of life of the patients. It provides a new idea for the treatment of the third lumbar transverse process syndrome by acupuncture.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【相似文献】