本文選題：中藥熏蒸　切入點：運動員　出處：《東北師范大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：研究目的:慢性下腰痛(chronic Low Back Pain,CLBP)是康復(fù)醫(yī)學(xué)科和骨科最常見的臨床癥狀,是一組以下背、腰椎、臀部疼痛為主要癥狀的綜合癥。運動員由于職業(yè)的特點及訓(xùn)練專項的特殊性,其腰部的運動和負荷的強度要高于非運動人群,慢性下腰痛發(fā)病率更高。運動員慢性下腰痛是長期困擾運動員和教練員的一種痼疾,嚴(yán)重影響運動員的訓(xùn)練及比賽。中藥熏蒸治療,是以中醫(yī)理論為基礎(chǔ),對患者進行辨證用藥,利用藥物煎、煮產(chǎn)生的藥物蒸汽,熏蒸治療部位達到治療目的的一種中醫(yī)外治法。目前關(guān)于中藥熏蒸在治療運動員慢性下腰痛的研究尚不充分,本研究通過臨床干預(yù)治療以探討熏蒸法對運動員慢性下腰痛的治療效果。研究方法:研究將符合慢性下腰痛患者標(biāo)準(zhǔn)的60例20歲-40歲運動員作為研究對象,隨機分為兩組,施加中藥熏蒸和中藥內(nèi)服兩種干預(yù)措施,采用文獻資料法、實驗法、問卷調(diào)查法、數(shù)理統(tǒng)計等方法科學(xué)、客觀的評價兩種治療方法對慢性下腰痛的治療效果。研究結(jié)果:治療后熏蒸組臨床療效明顯,同時在臨床疼痛狀況VAS評分、心理狀態(tài)評價HAMA得分、日常生活能力評價ADL得分,功能障礙指數(shù)ODl得分等指標(biāo)上,治療后一個療程后治療前,癥狀得到明顯改善,而中藥內(nèi)治組僅在VAS評分指標(biāo)有所差異,其他指標(biāo)前后差異不具有顯著性。研究結(jié)論:1.中藥熏蒸療法在治療運動員慢性下腰痛疾患中治療效果明顯,無論是從疼痛的緩解、心理狀態(tài)的適應(yīng)性調(diào)節(jié)、日常生活能力的恢復(fù)、身體活動功能的實現(xiàn)均有明顯的干預(yù)效果,一個月的臨床治療有效率高達93.3%,治療效果明顯優(yōu)于中藥內(nèi)服。2.中藥熏蒸療法在治療運動員慢性下腰痛中,臨床證實其具有效果顯著、安全性高、無痛舒適、易于實施等良好的優(yōu)點,病人在治療過程中配合度高,舒適度高,心理狀態(tài)表現(xiàn)積極,通過蒸汽發(fā)汗、中藥滲透、鎮(zhèn)痛效應(yīng)三個方面表現(xiàn)作用機制,以達到治療疾病的目的,值得臨床上推廣、應(yīng)用。
[Abstract]:Objective: chronic Low Back pain is the most common clinical symptom in rehabilitation department and orthopedics department. It is a group of syndromes with lower back, lumbar vertebra and hip pain. The intensity of waist movement and load is higher than that of non-sports people, and the incidence of chronic low back pain is higher. The Chinese medicine fumigation therapy is based on the theory of traditional Chinese medicine, and it is based on the theory of traditional Chinese medicine to treat patients with drugs based on the differentiation of symptoms and signs, and to make use of the medical steam produced by the decoction and boiling of the drugs. A method of external treatment of traditional Chinese medicine for the purpose of fumigation. At present, the research on the treatment of chronic low back pain in athletes with traditional Chinese medicine fumigation is not sufficient. The purpose of this study was to investigate the effect of fumigation on chronic low back pain in athletes by clinical intervention. Methods: 60 athletes aged 20 to 40 years old who met the criteria of chronic low back pain were randomly divided into two groups. Two kinds of intervention measures, fumigation of traditional Chinese medicine and internal administration of traditional Chinese medicine, were carried out. The methods of literature, experiment, questionnaire, mathematical statistics, etc., were used scientifically. Objective evaluation of the two treatment methods for chronic low back pain. Results: after the treatment of fumigation group clinical efficacy is obvious, at the same time in clinical pain status VAS score, psychological evaluation of HAMA score, daily life ability evaluation of ADL score, After one course of treatment, the symptoms were improved obviously in the index of dysfunction ODl, but only in the VAS score of the Chinese herbal medicine group. Conclusion: 1. Traditional Chinese medicine fumigation therapy is effective in the treatment of athletes' chronic low back pain, whether from the relief of pain, the adaptive regulation of psychological state, The recovery of daily living ability and the realization of physical activity have obvious intervention effects. The effective rate of clinical treatment for one month is as high as 93.33.The therapeutic effect is obviously superior to that of traditional Chinese medicine taking orally .2.Chinese medicine fumigation therapy is used to treat athletes' chronic low back pain. It has been proved to be effective, safe, painless and comfortable, easy to implement and so on. The patient has high degree of cooperation, high degree of comfort, positive psychological state, and permeation of Chinese medicine through steam sweating. Analgesic effect in three aspects of the mechanism of action to achieve the purpose of the treatment of disease, worthy of clinical promotion and application.
【學(xué)位授予單位】：東北師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R87

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