本文選題：腰椎間盤突出癥　切入點：電腦三維牽引　出處：《黑龍江省中醫(yī)藥科學院》2017年碩士論文　論文類型：學位論文

【摘要】：目的:通過收集電腦三維快速牽引下行腰椎斜扳手法治療腰椎間盤突出癥的臨床資料,探究現(xiàn)代三維牽引技術配合中醫(yī)整復手法在腰椎間盤突出癥臨床治療中的作用機理,證明現(xiàn)代醫(yī)學與傳統(tǒng)醫(yī)學結合在診療腰椎間盤突出癥及預防保健領域中的重要性。方法:收集64例門診和住院部中符合標準的腰椎間盤突出癥病人,分成治療組和對照組,治療組32例在電腦三維牽引下行腰椎斜扳法治療,對照組32例予以常規(guī)腰椎斜扳法治療,治療兩周為1療程。觀察兩組患者療效,根據(jù)VAS(視覺模擬評分)、改良JOA評估指標得分情況對兩組治療腰椎間盤突出癥引起的腰腿痛癥狀進行系統(tǒng)療效評價,并對比治療前后椎間盤突出節(jié)段在椎管內的影像學變化,試驗期間通過詳細記錄出現(xiàn)不良反應的幾率,檢驗其安全度,所有數(shù)據(jù)均采用SPSS.17進行統(tǒng)計學分析。結果:1.治療組和對照組分別進行治療前后的對比,統(tǒng)計顯示兩組患者VAS評分、JOA評分、總有效率都有明顯差異(P㩳0.05),具有統(tǒng)計學意義,且治療組療效高于對照組;2.兩組治療前后影像學改變均不明顯;3.治療組不良反應出現(xiàn)例數(shù)明顯低于對照組。結論:1.電腦三維牽引下腰椎斜扳法與常規(guī)腰椎斜扳法治療腰椎間盤突出癥均有臨床療效,而電腦三維牽引下腰椎斜扳法療效優(yōu)于常規(guī)腰椎斜扳法;2.兩組方法在影像學檢查中提示突出的椎間盤存在少許還納或不繼續(xù)突出,但仍不能明顯改變突出物處于椎管的位置;3.治療組不良反應出現(xiàn)率明顯低于對照組,運用腰椎牽引配合中醫(yī)手法治療腰椎間盤突出癥是一種行之有效、安全實用的治療方法,臨床上值得推廣應用。
[Abstract]:Objective: to collect the clinical data of the treatment of lumbar intervertebral disc herniation by computer three dimensional rapid traction with oblique wrench, and to explore the mechanism of modern 3D traction combined with traditional Chinese medicine (TCM) in the clinical treatment of lumbar disc herniation. To prove the importance of the combination of modern medicine and traditional medicine in the field of diagnosis and treatment of lumbar disc herniation and preventive health care. Methods: 64 patients with lumbar disc herniation who met the standard in outpatient and inpatient departments were collected and divided into treatment group and control group. 32 patients in the treatment group were treated with lumbar oblique pull under computer traction, while 32 patients in the control group were treated with routine lumbar oblique pulling for a course of two weeks. The curative effect of the two groups was observed. According to the visual analogue score (VAS) and the score of modified JOA evaluation index, a systematic evaluation was made on the symptoms of lumbago and leg pain caused by lumbar disc herniation in two groups, and the imaging changes of lumbar disc herniation segment in the spinal canal before and after treatment were compared. During the trial, the safety of adverse reactions was tested by recording the probability of adverse reactions in detail. All the data were statistically analyzed by SPSS.17. Results: 1.The treatment group and the control group were compared before and after treatment. Statistics showed that there were significant differences in the total effective rate between the two groups in VAS score and JOA score. 0.05, with statistical significance, The curative effect of the treatment group was higher than that of the control group 2.The imaging changes were not obvious in both groups before and after treatment. The number of adverse reactions in the treatment group was significantly lower than that in the control group. Conclusion 1. The treatment of lumbar disc herniation has clinical effect. The therapeutic effect of computerized three-dimensional traction was better than that of conventional oblique traction. The imaging examination of the two groups showed that the herniated intervertebral disc had little or no herniation. However, the incidence of adverse reactions in the treatment group was significantly lower than that in the control group. It is an effective, safe and practical treatment method to treat lumbar disc herniation with lumbar traction combined with traditional Chinese medicine. It is worth popularizing in clinic.
【學位授予單位】：黑龍江省中醫(yī)藥科學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R244.1

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本文編號：1632602