本文選題：腰段多裂肌　切入點(diǎn)：腰椎間盤突出癥　出處：《河南中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察燕飛式腰背肌鍛煉對(duì)腰椎間盤突出癥患者的影響,以研究“腰背肌鍛煉——腰段多裂肌”的相關(guān)性。方法:本研究選取河南省洛陽正骨醫(yī)院河南省骨科醫(yī)院鄭州院區(qū)頸肩腰腿痛科2015年3月20日--2016年1月20日住院的腰椎間盤突出癥患者40例作為研究對(duì)象。應(yīng)用隨機(jī)排列表分為治療組20例,對(duì)照組20例。其中,治療組除給予常規(guī)治療外,再進(jìn)行為期三個(gè)月的燕飛式腰背肌鍛煉,對(duì)照組僅給予常規(guī)治療。在常規(guī)治療前,將治療組和對(duì)照組的VAS、ODI以及腰段多裂肌A-P、Lat、CSA進(jìn)行統(tǒng)計(jì)分析;在常規(guī)治療三個(gè)月后,將治療組與對(duì)照組的VAS、ODI、以及雙側(cè)多裂肌A-P、Lat、CSA用配對(duì)t檢驗(yàn)進(jìn)行治療前與治療后的統(tǒng)計(jì)分析,將治療組與對(duì)照組的VAS、ODI、以及雙側(cè)多裂肌A-P、Lat、CSA用獨(dú)立樣本t檢驗(yàn)進(jìn)行治療后組間統(tǒng)計(jì)分析。結(jié)果:本研究治療組與對(duì)照組之間,在年齡、病程、體重、VAS評(píng)分、ODI指數(shù)、雙側(cè)多裂肌形態(tài)學(xué)(A-P、Lat、CSA)等方面差異無統(tǒng)計(jì)學(xué)意義(P0.05)。將治療組與對(duì)照組患者的VAS評(píng)分,ODI指數(shù),左側(cè)多裂肌A-P、Lat、CSA,右側(cè)多裂肌A-P、Lat、CSA用配對(duì)t檢驗(yàn)進(jìn)行治療前與治療后的比較分析。除雙側(cè)多裂肌Lat差異無統(tǒng)計(jì)學(xué)意義(P0.05)外,其余評(píng)價(jià)指標(biāo)治療前與治療后對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。將治療組與對(duì)照組患者的VAS評(píng)分,ODI指數(shù),左側(cè)多裂肌A-P、Lat、CSA,右側(cè)多裂肌A-P、Lat、CSA用獨(dú)立樣本t檢驗(yàn)進(jìn)行治療后組間比較分析。除右側(cè)多裂肌Lat差異無統(tǒng)計(jì)學(xué)意義(P0.05)外,其余評(píng)價(jià)指標(biāo)治療組與對(duì)照組在治療后進(jìn)行比較分析,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:燕飛式腰背肌鍛煉是有效的腰段多裂肌鍛煉方式,能更好地緩解腰椎間盤突出癥患者的疼痛和功能活動(dòng)障礙;燕飛式腰背肌鍛煉對(duì)腰段多裂肌橫徑無明顯影響。
[Abstract]:Objective: to observe the effect of Yanfei exercise on lumbar disc herniation. To study the correlation of "lumbar dorsal muscle exercise-psoas polyfissure muscle". Methods: this study was conducted from March 20th 2015 to January 20th 2016 in the Department of neck, shoulder, low back and leg pain, Zhengzhou Hospital, Henan Orthopaedic Hospital, Luoyang Orthopaedic Hospital, Henan Province. Forty patients with lumbar disc herniation were divided into treatment group (n = 20) and treatment group (n = 20). There were 20 cases in the control group. In addition to routine treatment, the treatment group received three months of Yanfei psoas muscle exercise, while the control group only received routine treatment. After three months of routine treatment, the VASA ODI of the treatment group and the control group, and the pairing t test of the bilateral polychisis muscle A-PnP Latn CSA were used to analyze the statistics before and after the treatment, and after three months of routine treatment, the VASA ODI of the treatment group and the control group, and the bilateral polyfissure muscle A-Pia Latchus CSA were analyzed by pairing t test, and the results were compared with those of the control group and the control group. The VASA ODI of the treatment group and the control group, as well as the bilateral polyfissure muscle A-P Latanus CSA, were statistically analyzed after treatment with independent sample t test. Results: the age, course of disease, body weight, VAS score and ODI index of the treatment group and the control group were measured and compared with that of the control group. There was no significant difference in morphology of bilateral polyfissure muscle (P0.05A). The VAS scores of the patients in the treatment group and the control group were compared with those in the control group. The contrastive analysis was made between the left polyfissure muscle A-PnP Latus CSA and the right polyfissure muscle A-PLatn CSA before and after treatment, except that there was no significant difference in Lat between the bilateral polyfissure muscles (P0.05) and the bilateral polyfissure muscle (P0.05), with the exception of the bilateral polyfissure muscle (P0.05). There were significant differences in the other evaluation indexes before and after treatment (P 0.05). The VAS scores of the patients in the treatment group and the control group were compared with those in the control group. The left polyfissure muscle A-PnP Latanus CSA and the right polyfissure muscle A-PLatn CSA were compared with each other after treatment by independent sample t test. Except for the right polyfissure muscle with no significant difference in Lat (P0.05), the other evaluation indexes were compared between the treatment group and the control group after treatment. The difference was statistically significant (P 0.05). Conclusion: Yanfei type of lumbar dorsal muscle exercise is an effective way to exercise the lumbar segmental polyfissure muscle, which can better relieve the pain and dysfunction of patients with lumbar disc herniation. Yanfei type of lumbar dorsal muscle exercise had no significant effect on the transverse diameter of lumbar polyfissure muscle.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R274.9

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