壮药竹罐与经筋手法在腰椎间盘突出症保守治疗中的应用效果观察
发布时间：2019-06-12 00:37
【摘要】：目的:通过观察壮药竹罐与经筋手法在腰椎间盘突出症保守治疗中的临床应用效果及其副作用,客观评价壮药竹罐与经筋手法有效性及安全性。方法:本项试验采用随机对照临床研究的方法。所选病证为腰椎间盘突出症,病例来源于广西中医药大学第一附属医院临床确诊为腰椎间盘突出症的患者120例,用随机数字法分为观察组1(A组:壮药竹罐+经筋手法+基础治疗)、观察组2(B组:壮药竹罐+基础治疗)、观察组3(C组:经筋手法+基础治疗)、对照组(D组:基础治疗)各30例。治疗2周为1疗程,对治疗前后症状体征进行JOA及VAS评分,观察各组疗效及安全性。结果:共120例腰椎间盘突出症患者随机分为4组,并顺利完成相应治疗,未发现不良反应。年龄、性别、病程在组间比较均无显著性差异,无统计学意义(P0.05),有可比性;治疗前JOA评分及VAS评分组间比较差异无统计学意义(P0.05),有可比性。治疗1个疗程后腰痛VAS评分,组间进行两两对比。结果显示,A组优于B组、C组、D组(P0.05),壮药竹罐联合经筋手法+基础治疗优于其他治疗组。B组与C组疗效相当(P0.05),壮药竹罐+基础治疗与经筋手法+基础治疗疗效相当。B组与C组均优于D组(P0.05),壮药竹罐+基础治疗及经筋手法+基础治疗均优于对照组。说明在缓解腰痛方面壮药竹罐与经筋手法疗效显著,两者疗效相当,两者联合有协同作用。治疗1个疗程后JOA评分进行组间两两对比,结果显示,A组优于B组、C组、D组(P0.05),壮药竹罐联合经筋手法+基础治疗优于其他治疗组。B组与C组疗效相当(P0.05),壮药竹罐+基础治疗与经筋手法+基础治疗疗效相当。B组与C组均优于D组(P0.05),壮药竹罐+基础治疗及经筋手法+基础治疗均优于对照组。说明在JOA评分方面壮药竹罐与经筋手法疗效显著,两者疗效相当,两者联合有协同作用。在整个治疗过程中4组病人未发现不良反应,壮药竹罐及经筋手法治疗腰椎间盘突出症无明显副作用。结论:(1)在缓解腰椎间盘突出症腰部疼痛VAS评分、JOA评分进行评估,壮药竹罐与经筋疗法治疗两者疗效均显著,两者疗效相当。两者联合治疗有协同作用,优于单独使用壮药竹罐或经筋疗法疗法。(2)壮药竹罐和经筋手法治疗腰椎间盘突出症未发现明显副作用。
[Abstract]:Objective: to observe the clinical effect and side effects of Zhuang medicine bamboo can and meridian manipulation in the conservative treatment of lumbar disc protrusion, and to objectively evaluate the effectiveness and safety of Zhuang medicine bamboo can and meridian manipulation. Methods: a randomized controlled clinical study was used in this trial. The selected syndrome was lumbar disc protrusion, which came from 120 patients clinically diagnosed as lumbar disc herniation in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into observation group 1 (group A: basic treatment of Zhuangyao bamboo can through tendons), observation group 2 (group B: basic treatment of Zhuangyao bamboo can) and observation group 3 (group C: basic treatment of manual therapy through tendons). There were 30 cases in the control group (group D: basic treatment). Two weeks of treatment was a course of treatment. JOA and VAS scores were used to observe the curative effect and safety of each group before and after treatment. Results: a total of 120 patients with lumbar disc protrusion were randomly divided into 4 groups and successfully completed the corresponding treatment. No adverse reactions were found. There was no significant difference in age, sex and course of disease between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference in JOA score and VAS score before treatment (P 0.05), and there was no significant difference in age, sex and course of disease between the two groups (P 0.05). After one course of treatment, the VAS score of low back pain was compared between the two groups. The results showed that group A was superior to group B, group C, group D (P 0.05), the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot and basic treatment of meridian manipulation was the same as that of group C. Group B and C were superior to group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. It shows that bamboo can and meridian manipulation are effective in relieving low back pain, and the combination of them has synergistic effect. After one course of treatment, the JOA score of group A was better than that of group B, group C, group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot was the same as that of group C. the curative effect of group B and group C was better than that of group D (P 0.05). The basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. The results showed that the curative effect of bamboo can and meridian manipulation was significant in JOA score, and the curative effect was the same, and the combination of the two had synergistic effect. No adverse reactions were found in the four groups during the whole treatment process, and there were no obvious side effects in the treatment of lumbar disc protrusion with Zhuangyao bamboo pot and meridian manipulation. Conclusion: (1) VAS score and JOA score were evaluated in relieving lumbar disc protrusion with low back pain. Zhuangyao bamboo pot and meridian therapy were effective, and the curative effects were the same. The combination of the two treatments has synergistic effect, which is superior to the treatment of Zhuang medicine bamboo pot or meridian bar alone. (2) there are no obvious side effects of Zhuang medicine bamboo can and meridian manipulation in the treatment of lumbar disc protrusion.
【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】：2017
【分类号】：R29
本文编号：2497581
[Abstract]:Objective: to observe the clinical effect and side effects of Zhuang medicine bamboo can and meridian manipulation in the conservative treatment of lumbar disc protrusion, and to objectively evaluate the effectiveness and safety of Zhuang medicine bamboo can and meridian manipulation. Methods: a randomized controlled clinical study was used in this trial. The selected syndrome was lumbar disc protrusion, which came from 120 patients clinically diagnosed as lumbar disc herniation in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into observation group 1 (group A: basic treatment of Zhuangyao bamboo can through tendons), observation group 2 (group B: basic treatment of Zhuangyao bamboo can) and observation group 3 (group C: basic treatment of manual therapy through tendons). There were 30 cases in the control group (group D: basic treatment). Two weeks of treatment was a course of treatment. JOA and VAS scores were used to observe the curative effect and safety of each group before and after treatment. Results: a total of 120 patients with lumbar disc protrusion were randomly divided into 4 groups and successfully completed the corresponding treatment. No adverse reactions were found. There was no significant difference in age, sex and course of disease between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference in JOA score and VAS score before treatment (P 0.05), and there was no significant difference in age, sex and course of disease between the two groups (P 0.05). After one course of treatment, the VAS score of low back pain was compared between the two groups. The results showed that group A was superior to group B, group C, group D (P 0.05), the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot and basic treatment of meridian manipulation was the same as that of group C. Group B and C were superior to group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. It shows that bamboo can and meridian manipulation are effective in relieving low back pain, and the combination of them has synergistic effect. After one course of treatment, the JOA score of group A was better than that of group B, group C, group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot was the same as that of group C. the curative effect of group B and group C was better than that of group D (P 0.05). The basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. The results showed that the curative effect of bamboo can and meridian manipulation was significant in JOA score, and the curative effect was the same, and the combination of the two had synergistic effect. No adverse reactions were found in the four groups during the whole treatment process, and there were no obvious side effects in the treatment of lumbar disc protrusion with Zhuangyao bamboo pot and meridian manipulation. Conclusion: (1) VAS score and JOA score were evaluated in relieving lumbar disc protrusion with low back pain. Zhuangyao bamboo pot and meridian therapy were effective, and the curative effects were the same. The combination of the two treatments has synergistic effect, which is superior to the treatment of Zhuang medicine bamboo pot or meridian bar alone. (2) there are no obvious side effects of Zhuang medicine bamboo can and meridian manipulation in the treatment of lumbar disc protrusion.
【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】：2017
【分类号】：R29
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