本文選題：回醫(yī)理筋療法　切入點(diǎn)：腰椎間盤突出癥　出處：《寧夏醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的觀察回醫(yī)理筋療法對腰椎間盤突出癥的臨床療效。方法按照隨機(jī)、對照、單盲的臨床試驗(yàn)設(shè)計(jì),選取腰椎間盤突出癥患者200例,隨機(jī)分為試驗(yàn)組和對照組,各100例。試驗(yàn)組采取回醫(yī)理筋療法治療,對照組采取傳統(tǒng)中醫(yī)推拿治療,在治療前、后及治療后2月分別采用臨床癥狀計(jì)分、臨床體征計(jì)分、生活質(zhì)量計(jì)分、VAS疼痛計(jì)分、治療后臨床療效等進(jìn)行評價(jià),并進(jìn)行安全性評價(jià)。結(jié)果1.臨床癥狀、臨床體征、生活質(zhì)量的評價(jià)結(jié)果(1)組內(nèi)比較:組內(nèi)與治療前比較,治療一個療程及治療后兩個月后,試驗(yàn)組與對照組在臨床癥狀、臨床體征、生活質(zhì)量等計(jì)分比較均有顯著性差異(P0.05)。治療后與治療后兩個月后比較,試驗(yàn)組在臨床癥狀、臨床體征、生活質(zhì)量等計(jì)分均有顯著性差異(P0.05),對照組上述計(jì)分無差異(P0.05)。(2)組間比較:上述各項(xiàng)計(jì)分治療前、治療后的組間比較,均無顯著性差異(P0.05)。但治療后2月評價(jià)結(jié)果分析,兩組間具有顯著差異性(P0.05)。2.VAS分值比較(1)組內(nèi)比較:組內(nèi)與治療前比較,治療一個療程及治療后兩個月后,試驗(yàn)組與對照組VAS計(jì)分比較均有顯著性差異(P0.05);治療后與治療后兩個月后比較,試驗(yàn)組VAS計(jì)分有顯著性差異(P0.05),對照組VAS計(jì)分無差異(P0.05)。(2)組間比較:VAS計(jì)分治療前兩組間比較無顯著性差異(P0.05)。但治療后、治療后2月評價(jià)結(jié)果分析,兩組間均有顯著差異性(P0.05)。3.總體療效比較治療結(jié)束后,經(jīng)秩和檢驗(yàn)比較,兩組間療效有差異(Z=2.15,P0.05),回醫(yī)理筋療法較傳統(tǒng)推拿手法療效更顯著。4.安全性評價(jià)治療結(jié)束后,經(jīng)統(tǒng)計(jì)分析得出,兩組間安全性評價(jià)無明顯差異(P0.05),回醫(yī)理筋療法與傳統(tǒng)推拿手法一樣安全可行。結(jié)論回醫(yī)理筋療法治療腰突癥效果確切,在改善癥狀體征、提高生活質(zhì)量、緩解疼痛、提高總體療效等方面與傳統(tǒng)推拿療法療效相近,但回醫(yī)理筋療法治療腰突癥的遠(yuǎn)期療效比傳統(tǒng)推拿療法療效更持久,更穩(wěn)定,效果更佳。
[Abstract]:Objective to observe the clinical effect of Hui Yi Li Jin therapy on lumbar disc herniation. Methods 200 patients with lumbar disc herniation were randomly divided into experimental group and control group according to a randomized, controlled and single-blind clinical trial design. The experimental group was treated with traditional Chinese medicine massage therapy, and the control group was treated with traditional Chinese medicine massage therapy. Before, after and after treatment, the clinical symptom score, clinical signs score, quality of life score and VAS pain score were used respectively in the experimental group and in the control group. Results 1. The evaluation results of clinical symptoms, clinical signs and quality of life were compared within the group: compared with those before treatment, one course of treatment and two months after treatment, There were significant differences in the scores of clinical symptoms, clinical signs and quality of life between the trial group and the control group (P 0.05). After treatment and two months after treatment, the clinical symptoms, clinical signs and signs were compared between the experimental group and the control group. There were significant differences in scores of quality of life and quality of life between the two groups (P 0.05), but there was no significant difference between the control group (P 0.05) and control group (P 0.05): there was no significant difference between the two groups before and after treatment. However, the evaluation results of February after treatment were analyzed. There were significant differences between the two groups (P 0.05N. 2.VAS scores were compared in group 1): compared with before treatment, one course of treatment and two months after treatment, there were significant differences between the two groups. There was significant difference in VAS score between the test group and the control group (P 0.05), and the comparison between the treatment group and the control group after two months. There was no significant difference in VAS score between the two groups before treatment, but there was no significant difference between the two groups before treatment. However, after treatment, the evaluation results on February after treatment were analyzed, and there was no significant difference between the two groups in the score of VAS in the control group (P 0.05), and there was no significant difference in the score between the two groups before and after the treatment (P 0.05), and there was no significant difference between the two groups in the score of VAS in the control group. There was significant difference between the two groups (P0.050.3.After the end of the treatment, there was a difference between the two groups by rank sum test, the curative effect of the two groups was significantly higher than that of the traditional massage. 4. After the safety evaluation, the curative effect of the two groups was significantly higher than that of the traditional massage. Statistical analysis showed that there was no significant difference in safety evaluation between the two groups (P0.05A), and that the therapy of resuscitation was as safe and feasible as that of traditional massage. Conclusion it is effective in the treatment of lumbar protrusion, which can improve the symptoms and signs, improve the quality of life, and improve the quality of life. The effect of relieving pain and improving the overall curative effect was similar to that of the traditional massage therapy, but the long-term effect of the therapy was longer, more stable and better than that of the traditional massage therapy.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R29

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