發(fā)布時(shí)間：2018-01-19 01:21

  本文關(guān)鍵詞： 龍氏手法 牽抖沖壓法 腰椎滑脫癥 正骨　出處：《廣州中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：腰椎滑脫癥主要是由于雙側(cè)峽部不連,椎弓崩裂,椎體間慢性錯(cuò)位,引起慢性腰痛腿痛癥狀,稱為腰椎滑脫癥,本癥多發(fā)于中年以上女性,男女比1：5,以腰4、5滑脫最多見。隨著現(xiàn)代人生活方式的改變,腰椎滑脫癥患者越來越多,并日趨年輕化,嚴(yán)重影響了人們?nèi)粘Ｉ詈凸ぷ?故加強(qiáng)對(duì)腰椎滑脫癥的臨床研究,得出一種有效的治療方法,具有非常重要的臨床意義。目的：通過規(guī)范化的研究、臨床觀察及客觀數(shù)據(jù)對(duì)比龍氏正骨手法與腰椎牽引法對(duì)腰椎滑脫癥的治療效果,為龍氏正骨手法治療腰椎滑脫癥提供科學(xué)的應(yīng)用數(shù)據(jù)。明確龍氏正骨手法的治療特點(diǎn),探討龍氏正骨手法的操作規(guī)范,推廣及應(yīng)用,為臨床治療腰椎滑脫癥提供新的方法。方法：將60例腰椎滑脫癥患者隨機(jī)分為兩組,每組30人。治療組采用龍氏正骨手法治療,對(duì)照組則用腰椎牽引法治療,比較兩組治療1個(gè)療程(每周治療5次,2周為1個(gè)療程)和治療后3個(gè)月(遠(yuǎn)期)的臨床療效。60名患者在治療前和完成1個(gè)療程后及治療后3個(gè)月均采用改良日本骨科學(xué)會(huì)下腰痛評(píng)分表(JOA)、疼痛視覺模擬評(píng)分表(VAS)評(píng)分及中醫(yī)疾病診斷療效標(biāo)準(zhǔn)評(píng)價(jià)分級(jí),最后用統(tǒng)計(jì)學(xué)的方法檢驗(yàn),以全面分析評(píng)價(jià)其臨床療效是否具有統(tǒng)計(jì)學(xué)意義。結(jié)果：(1)符合納入標(biāo)準(zhǔn)的60例患者,實(shí)際完成病例60例。經(jīng)1個(gè)療程的治療后,治療組30例中,治愈17例,顯效8例,有效3例,無效2例,總有效率93.33%；對(duì)照組30例中,治愈10例,顯效6例,有效7例,無效7例,總有效率76.67%。經(jīng)統(tǒng)計(jì)學(xué)的卡方檢驗(yàn),龍氏正骨手法治療組治療療效明顯。(2)在臨床癥狀的改善方面與疼痛改善方面,兩種方法治療腰椎滑脫癥,治療前、后組內(nèi)JOA評(píng)分與VAS評(píng)分比較,差異均具有統(tǒng)計(jì)學(xué)意義(P0.01),龍氏正骨手法的遠(yuǎn)期療效優(yōu)于腰椎牽引法。(3)治療結(jié)束后3個(gè)月隨訪時(shí),兩組臨床癥狀改善方面,VAS和JOA評(píng)分比較,經(jīng)統(tǒng)計(jì)學(xué)比較(P0.05),說明龍氏正骨手法的遠(yuǎn)期療效優(yōu)于腰椎牽引法。結(jié)論：本研究是從科學(xué)、客觀、嚴(yán)謹(jǐn)?shù)呐R床數(shù)據(jù)去評(píng)價(jià)龍氏正骨手法的臨床療效,研究結(jié)果更加可信。龍氏正骨手法治療腰椎滑脫癥是有顯著療效的,是目前治療腰椎滑脫癥較好方法之一。因此,龍氏正骨手法治療腰椎滑脫癥在臨床上值得推廣。
[Abstract]:Lumbar spondylolisthesis is mainly due to bilateral isthmus, spondylolysis, chronic dislocation between the vertebral body, causing chronic low back pain and leg pain symptoms, known as lumbar spondylolisthesis, this disease is more than middle-aged women, male to female ratio of 1: 5. With the change of modern life style, more and more patients with lumbar spondylolisthesis become younger and younger, which seriously affects people's daily life and work. Therefore, to strengthen the clinical study of lumbar spondylolisthesis, to obtain an effective treatment method, has a very important clinical significance. Clinical observation and objective data were used to compare the therapeutic effect of Longs bony manipulation and lumbar traction in the treatment of lumbar spondylolisthesis. To provide scientific data for the treatment of lumbar spondylolisthesis with Longshi bone-orthopaedic manipulation. Methods: 60 cases of lumbar spondylolisthesis were randomly divided into two groups, 30 in each group. The control group was treated with lumbar traction, and the two groups were treated with one course of treatment (5 times a week). Clinical efficacy of 2 weeks as a course of treatment and 3 months (long term) after treatment. 60 patients were treated with the modified Japanese Orthopaedic Society low back pain scale before and after 1 course of treatment and 3 months after the treatment (2 weeks as a course of treatment) and 3 months after treatment (2 weeks as a course of treatment) and 3 months after treatment (. JOAA. Visual analogue scale of pain (VASS) and criteria for the diagnosis of TCM diseases were used to evaluate the efficacy of VASs. Finally, statistical methods were used to test them. Results there were 60 patients who met the inclusion criteria and 60 patients who actually completed the treatment. After one course of treatment, 30 cases in the treatment group. 17 cases were cured, 8 cases were obviously effective, 3 cases were effective, 2 cases were ineffective. The total effective rate was 93.33%. In the control group, 10 cases were cured, 6 cases were markedly effective, 7 cases were effective and 7 cases were ineffective. The total effective rate was 76.677.The result of chi-square test was statistically significant. Longshi bone manipulation treatment group in the treatment of clinical symptoms and pain improvement, two methods to treat lumbar spondylolisthesis, before treatment, after the group JOA score and VAS score comparison. The difference was statistically significant (P 0.01). The long term curative effect of Longshi bone manipulation was better than that of lumbar traction. 3 months after the treatment, the clinical symptoms of the two groups were improved. VAS and JOA scores were compared statistically (P 0.05), indicating that the long term effect of long bone manipulation was better than that of lumbar traction. Conclusion: this study is scientific and objective. Rigorous clinical data to evaluate the clinical efficacy of Longshi bone manipulation, the results of the study is more credible. Longshi bony manipulation treatment of lumbar spondylolisthesis is a significant effect. It is one of the better methods to treat lumbar spondylolisthesis. Therefore, the treatment of lumbar spondylolisthesis by long's bony manipulation is worth popularizing.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 邢成顏;秦東京;許昌;翟峰;孫洪福;范萬峰;;常規(guī)椎間盤CT掃描在腰椎滑脫診斷中的價(jià)值分析[J];濱州醫(yī)學(xué)院學(xué)報(bào);2007年03期

2 何育風(fēng),雷龍鳴;推拿抱滾結(jié)合功能鍛煉治療腰椎滑脫癥118例[J];廣西中醫(yī)學(xué)院學(xué)報(bào);2005年01期

3 安連生;蔣文;;手法配合中藥燙敷治療退行性腰椎滑脫癥30例[J];廣西中醫(yī)藥;2012年03期

4 范德輝;李錫行;林錦坤;吳維;蘇美意;張振寧;魏美華;羅孟西;;牽抖沖壓法治療退行性腰椎滑脫癥臨床研究[J];北京中醫(yī)藥;2014年05期

5 丁春華,魏紅沁,朱潔萍,趙宏杰;推拿結(jié)合中藥熏蒸治療退行性腰椎滑脫癥26例報(bào)告[J];海南醫(yī)學(xué);2005年09期

6 茹凱;劉天君;;“經(jīng)筋”實(shí)質(zhì)的系統(tǒng)科學(xué)研究[J];北京中醫(yī)藥大學(xué)學(xué)報(bào);2010年04期

7 陳東煜;何俊;王翔;張明才;陳元川;詹紅生;;針刀經(jīng)筋層松解術(shù)治療非特異性下腰痛臨床研究[J];上海中醫(yī)藥雜志;2012年06期

8 廖信祥;黎展文;龐貞蘭;周一慶;;拱腰推拿法治療腰椎滑脫癥療效觀察[J];山西中醫(yī);2013年02期

9 趙茂盛;趙利敏;農(nóng)增波;;腰椎滑脫癥的治療進(jìn)展[J];求醫(yī)問藥(下半月);2013年06期

10 常志剛,董祥蓮,趙平,吳世云,張秀娟;三維牽引治療腰椎間盤突出伴腰椎滑脫138例[J];中國(guó)療養(yǎng)醫(yī)學(xué);2001年06期

，

本文編號(hào)：1442023