本文選題：通督正脊術　切入點：電腦中頻電療　出處：《山西省中醫(yī)藥研究院》2016年碩士論文

【摘要】：目的:觀察通督正脊術治療慢性腰肌勞損的近期及遠期臨床療效,比較通督正脊術與電腦中頻電療儀在改善臨床癥狀、體征及提高生活質(zhì)量方面的差異,評價其在治療本病中的有效性及安全性,為治療慢性腰肌勞損提供臨床依據(jù),更好地指導臨床。方法:將63例符合慢性腰肌勞損納入標準的患者按就診順序編號,用SPSS17.0醫(yī)學統(tǒng)計軟件隨機分為通督正脊術組(治療組)32例和電腦中頻電療儀組(對照組)31例。治療組采用通督正脊術推拿療法治療,對照組采用電腦中頻電療儀治療。治療周期為1周3次,10次為一個療程,共計1個療程。以患者的臨床癥狀、體征及視覺模擬評分法(VAS)為觀察指標,采用SPSS17.0醫(yī)學統(tǒng)計軟件做統(tǒng)計學處理,對通督正脊術和電腦中頻電療儀在改善臨床癥狀、體征及提高生活質(zhì)量方面的差異進行比較。結果:1.治療組與對照組總有效率分別為96.9%和87.1%,差異有統(tǒng)計學意義(P0.05),治療組優(yōu)于對照組。2.兩組患者首次治療后組內(nèi)VAS評分比較,差異有統(tǒng)計學意義(P0.05);兩組患者首次治療后組間VAS評分比較,治療組與對照組療效相當,差異無統(tǒng)計學意義(P0.05);兩組患者治療1個療程后,組內(nèi)VAS評分比較,積分均明顯降低,差異有統(tǒng)計學意義(P0.01);兩組患者治療1個療程后,組間VAS評分比較,差異有統(tǒng)計學意義(P0.05),治療組優(yōu)于對照組;兩組患者治療1療程后3個月末,組間VAS評分比較,治療組優(yōu)于對照組,差異有統(tǒng)計學意義(P0.05)。3.兩組患者治療1個療程后,組內(nèi)臨床癥狀比較,積分均明顯降低,差異有統(tǒng)計學意義(P0.01);兩組患者治療1個療程后,組間臨床癥狀比較,差異有統(tǒng)計學意義(P0.05),治療組優(yōu)于對照組;兩組患者治療1療程后3個月末,組間臨床癥狀比較,治療組優(yōu)于對照組,差異有統(tǒng)計學意義(P0.05)。4.兩組患者治療1個療程后,組內(nèi)臨床體征比較,積分均明顯降低,差異有統(tǒng)計學意義(P0.01);兩組患者治療1個療程后,組間臨床體征比較,差異無統(tǒng)計學意義(P0.05),治療組與對照組均能明顯改善患者的臨床體征,且療效相當;兩組患者治療1療程后3個月末,組間臨床體征比較,治療組優(yōu)于對照組,差異有統(tǒng)計學意義(P0.05)。結論:1.運用通督正脊術與電腦中頻電療儀治療慢性腰肌勞損,在改善患者臨床癥狀、體征及提高生活質(zhì)量方面均有較好的臨床療效。2.通督正脊術在提高患者總體療效、改善患者癥狀及提高生活質(zhì)量方面的療效比電腦中頻電療儀更為顯著。
[Abstract]:Objective: to observe the short-term and long-term clinical effects of Tongduzheng chiropractic in the treatment of chronic lumbar muscle strain, and to compare the difference between Tongdu Zhengji operation and computer medium frequency electrotherapy instrument in improving clinical symptoms, signs and quality of life. To evaluate its efficacy and safety in the treatment of chronic lumbar muscle strain, to provide clinical basis for the treatment of chronic lumbar muscle strain, and to better guide clinical practice. Methods: 63 patients who met the criteria of chronic lumbar muscle strain were numbered according to the order of treatment. SPSS17.0 medical statistical software was used to randomly divide the treatment group into two groups: the treatment group (32 cases) and the control group (31 cases). The treatment group was treated with Tongduzheng chiropractic massage therapy. The control group was treated with computer medium frequency electrotherapy instrument. The treatment period was 3 times a week for 10 times as a course of treatment. The clinical symptoms, signs and visual analogue scores of the patients were used as the observation index. Using the SPSS17.0 medical statistics software to do statistical processing, to improve the clinical symptoms of Tongdu Zhengji surgery and computer medium frequency electrotherapy instrument. Results the total effective rates of the treatment group and the control group were 96.9% and 87.1%, respectively. The difference was statistically significant (P 0.05), and the treatment group was superior to the control group (.2.) in the VAS score of the two groups after the first treatment. The difference was statistically significant (P 0.05), the VAS score of the two groups was similar to that of the control group after the first treatment, and the difference was not statistically significant (P 0.05). After one course of treatment, the scores of VAS scores in the two groups were significantly lower than those in the control group. After one course of treatment, the VAS score of the two groups was significantly higher than that of the control group, and that of the treatment group was better than that of the control group, and the VAS score between the two groups was higher than that of the control group at the end of 3 months after one course of treatment. The treatment group was superior to the control group, and the difference was statistically significant (P 0.05). After one course of treatment, the clinical symptoms and scores of the two groups were all significantly reduced, and the difference was statistically significant (P 0.01), and after one course of treatment, the clinical symptoms of the two groups were compared. The difference was statistically significant (P 0.05), the treatment group was superior to the control group, and the two groups were better than the control group after one course of treatment, the clinical symptoms of the treatment group were better than that of the control group, and the difference was statistically significant after one course of treatment. After one course of treatment, there was no significant difference in clinical signs between the two groups (P 0.05). Both the treatment group and the control group could significantly improve the clinical signs of the patients. The clinical signs of the two groups were better than that of the control group at the end of 3 months after one course of treatment, and the difference was statistically significant (P 0.05). Conclusion: 1. The treatment of chronic lumbar muscle strain was treated with Tongdu Zhengji and computer medium frequency electrotherapy. In improving the clinical symptoms, signs and quality of life of patients with better clinical efficacy. 2. Tongduzhengji surgery in improving the overall efficacy of patients, improve symptoms and improve the quality of life, the effect is more significant than the computer medium frequency electrotherapy instrument.
【學位授予單位】：山西省中醫(yī)藥研究院
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R244.1

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