本文關(guān)鍵詞： 腰痛息湯 功能鍛煉 寒濕型 腰椎間盤突出癥　出處：《湖北中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的根據(jù)臨床腰痛息湯內(nèi)服熱熨配合功能鍛煉治療寒濕型腰椎間盤突出癥,觀察患者在治療前后的綜合療效,探討腰痛息湯對改善寒濕型腰椎間盤突出癥下腰痛的作用機(jī)理,為臨床在治療此病寒濕型的方案選擇中提供依據(jù)。方法嚴(yán)格按照病例選入和排除的標(biāo)準(zhǔn),于2014年5月至2015年12月實(shí)習(xí)期間,觀察了宜昌市中醫(yī)醫(yī)院骨傷科的符合納入標(biāo)準(zhǔn)的120例該病患者。按治療方案的不同,將患者分為三組,即治療組、對照1組、對照2組。治療組接受腰痛息湯內(nèi)服熱熨,并配合功能鍛煉和健康宣教及心理溝通治療;對照1組接受海桐皮湯熏洗,并配合功能鍛煉和健康宣教及心理溝通治療;對照2組接受腰痛息湯口服,并配合功能鍛煉和健康宣教及心理溝通治療。一周為一個療程,治療4周后,評定三組的綜合療效。結(jié)果總體療效表明:治療組痊愈19例,好轉(zhuǎn)20例,無效3例,總有效率達(dá)92。9%;對照1組治愈13例,好轉(zhuǎn)23例,無效4例,總有效率為90.0%;對照2組治愈11例,好轉(zhuǎn)22例,無效5例,總有效率為86.8%。治療組療效明顯優(yōu)于對照1組和對照2組。治療組與兩對照組總有效率比較差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論腰痛息湯內(nèi)服熱熨結(jié)合功能鍛煉治療寒濕型腰椎間盤突出癥的方法療效顯著。此治療方法采用中醫(yī)保守治療的方法,具有無創(chuàng)傷、操作簡易方便、價格優(yōu)惠等特點(diǎn),在臨床具有推廣價值。
[Abstract]:Objective according to the clinical treatment of cold and wet lumbar intervertebral disc herniation with hot ironing and functional exercise, to observe the comprehensive curative effect of the patients before and after treatment, and to explore the mechanism of improving the lower back pain of cold and wet lumbar intervertebral disc herniation. Methods according to the criteria of case selection and exclusion, the clinical practice was conducted from May 2014 to December 2015. 120 patients of Yichang traditional Chinese Medicine Hospital according to the inclusion criteria were observed. According to the different treatment schemes, the patients were divided into three groups: treatment group, control group 1, control group 2. In combination with functional exercise, health education and psychological communication treatment, the control group was treated with Haitongpi decoction fumigation and washing, and with functional exercise and health education and psychological communication treatment. Combined with functional exercise, health education and psychological communication, a course of treatment was conducted once a week. After 4 weeks of treatment, the comprehensive efficacy of the three groups was evaluated. Results the overall curative effect showed that 19 cases were cured, 20 cases were improved, and 3 cases were ineffective in the treatment group. The total effective rate was 92.9%; in the control group, 13 cases were cured, 23 cases were improved, 4 cases were ineffective, and the total effective rate was 90.00.The control group 2 was cured in 11 cases, improved in 22 cases, and failed in 5 cases. The total effective rate was 86.8. The curative effect of the treatment group was obviously better than that of the control group 1 and the control group 2. The difference between the total effective rate of the treatment group and the two control groups was statistically significant (P 0.05). The curative effect of intervertebral disc herniation is remarkable. It has the characteristics of no trauma, simple and convenient operation, favorable price and so on. It is worth popularizing in clinic.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9

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