發(fā)布時(shí)間：2018-04-02 12:33

  本文選題：電針　切入點(diǎn)：波型　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:研究不同電針波型治療腰椎間盤突出癥術(shù)后疼痛的臨床療效。方法:選取2015年11月至2016年11月間收治的腰椎間盤突出癥經(jīng)手術(shù)治療后殘留疼痛的患者90例。通過(guò)隨機(jī)分組方法將患者分為三組:連續(xù)波組,疏密波組和斷續(xù)波組,每組30例。各組采用相應(yīng)電針波型治療,20min/次,1次/日,療程為10天。通過(guò)比較電針治療前后VAS、ODI、JOA評(píng)分,并依據(jù)JOA評(píng)分改善率,進(jìn)行總體療效評(píng)價(jià)。所有數(shù)據(jù)在SPSS 22.0統(tǒng)計(jì)軟件下分析。結(jié)果:①一般資料比較:三組患者在性別、年齡、病變節(jié)段比較上,均無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),具有可比性。②VAS評(píng)分:三組治療前VAS評(píng)分無(wú)統(tǒng)計(jì)學(xué)差異,具有可比性(P0.05)。治療后,各組組內(nèi)VAS評(píng)分較治療前降低,存在統(tǒng)計(jì)學(xué)差異(P0.05)。組間比較,VAS評(píng)分疏密波組連續(xù)波組斷續(xù)波組,均有統(tǒng)計(jì)學(xué)差異(P0.05)。③ODI評(píng)分:三組治療前ODI評(píng)分無(wú)統(tǒng)計(jì)學(xué)差異,具有可比性(P0.05)。治療后,各組組內(nèi)ODI評(píng)分較治療前降低,存在差異(P0.05)。組間比較,ODI評(píng)分疏密波組連續(xù)波組斷續(xù)波組,均有統(tǒng)計(jì)學(xué)差異(P0.05)。④JOA評(píng)分:三組治療前JOA評(píng)分無(wú)統(tǒng)計(jì)學(xué)差異,具有可比性(P0.05)。治療后,JOA評(píng)分均較治療前提高,存在統(tǒng)計(jì)學(xué)差異(P0.05)。組間比較,JOA評(píng)分疏密波組連續(xù)波組斷續(xù)波組,均有統(tǒng)計(jì)學(xué)差異(P0.05)。⑤JOA評(píng)分改善率:治療結(jié)束后疏密波組治愈8例,顯效19例,有效1例,無(wú)效2例,總有效率93.33%;連續(xù)波組治愈4例,顯效17例,有效5例,無(wú)效4例,總有效率86.67%;斷續(xù)波組治愈1例,顯效12例,有效11例,無(wú)效6例,總有效率80.00%。三組試驗(yàn)患者JOA評(píng)分改善率比較,疏密波組療效連續(xù)波組斷續(xù)波組,有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:不同電針波型可緩解腰椎間盤突出癥術(shù)后疼痛,其中疏密波療效優(yōu)于連續(xù)波、斷續(xù)波。
[Abstract]:Objective: to study the clinical effect of different electroacupuncture wave patterns on postoperative pain of lumbar disc herniation. Methods: 90 patients with residual pain after surgical treatment of lumbar disc herniation from November 2015 to November 2016 were selected. Patients were randomly divided into three groups: continuous wave group, 30 cases in each group were treated with corresponding electroacupuncture wave therapy for 20 mins per day for 10 days. The scores of VAS-ODI JOA were compared before and after electroacupuncture treatment, and the improvement rate was based on the JOA score. All data were analyzed under the SPSS 22.0 statistical software. Results comparison of the general data of the three groups: sex, age, pathological segment comparison, There was no statistical difference (P 0.05), and the scores were comparable. 2VAS: there was no significant difference in VAS score before treatment among the three groups, but there was no significant difference between the three groups (P 0.05). After treatment, the VAS score in each group was lower than that before treatment. There was statistical difference (P 0.05). There was significant difference in the scores of continuous wave group and continuous wave group. There was no statistical difference in ODI score before and after treatment among the three groups, and there was no significant difference in ODI score between the three groups. After treatment, there was no significant difference in ODI score between the three groups. After treatment, there was no significant difference in ODI score between the three groups, and there was no significant difference between the three groups before and after treatment. The scores of ODI in each group were significantly lower than those before treatment (P 0.05), and there was no significant difference in the scores of continuous wave group (P 0.05) and continuous wave group (P 0.05). 4JOA scores were not significantly different among the three groups before treatment, and there was no significant difference in JOA score between the three groups before treatment. The scores of JOA after treatment were higher than those before treatment, and there was statistical difference (P 0.05). There were statistical differences in JOA scores between groups in continuous wave group and continuous wave group, and the improvement rate of P0.05. 5 JOA score: 8 cases were cured in dense wave group after treatment. In the continuous wave group, 4 cases were cured, 17 cases were markedly effective, 5 cases were effective, 4 cases were ineffective, and the total effective rate was 86.67%. In the intermittent wave group, 1 case was cured, 12 cases were markedly effective, 11 cases were effective, 6 cases were ineffective. The total effective rate was 80.000.Compared with the improvement rate of JOA score in the three test groups, there was statistical difference between the continuous wave group and the continuous wave group. Conclusion: different electroacupuncture wave patterns can relieve postoperative pain of lumbar intervertebral disc herniation. The effect of density wave is better than that of continuous wave and intermittent wave.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.3

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本文編號(hào)：1700443