本文選題：循經(jīng)遠(yuǎn)取動法　切入點(diǎn)：電針　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察循經(jīng)遠(yuǎn)取動法治療腰椎間盤突出癥所致坐骨神經(jīng)痛的臨床療效,對比循經(jīng)遠(yuǎn)取動法與單純電針夾脊穴治療腰椎間盤突出癥所致坐骨神經(jīng)痛的臨床療效差異,為臨床上治療腰椎間盤突出癥所致坐骨神經(jīng)痛提供一種有效的治療方法。方法:本研究將符合納入標(biāo)準(zhǔn)的66例腰椎間盤突出癥所致坐骨神經(jīng)痛患者,按隨機(jī)數(shù)字表法分為兩組,即治療組和對照組各33例。對照組采用局部針刺療法治療。治療組在對照組的基礎(chǔ)上結(jié)合循經(jīng)遠(yuǎn)取動法配合,膀胱經(jīng)型選取攢竹穴、天柱穴,膽經(jīng)型選取瞳子毼穴、風(fēng)池穴,同時配合腰部的主動運(yùn)動,針刺后留針30分鐘,每10分鐘行針1次,5天為1個療程,治療4周。采用VAS腿疼視覺模擬評分、健康相關(guān)生活質(zhì)量評分(SF-36)、坐骨神經(jīng)痛頻率與不適指數(shù)(SFBI)作為指標(biāo),記錄評分結(jié)果,并分析對比兩組的治療效果。結(jié)果:1.治療組總有效率為93.75%,而對照組總有效率為70.97%。經(jīng)過統(tǒng)計學(xué)Ridit分析得知U=1.995,P=0.046,差異具有統(tǒng)計學(xué)意義(P0.05)。提示治療組的臨床療效優(yōu)于對照組。2.VAS:兩組治療前比較P0.05,差異不具有統(tǒng)計學(xué)意義,說明治療前兩組患者的VAS評分情況在同一比較基線上。兩組治療后與治療前比較,P0.05,差異具有統(tǒng)計學(xué)意義,說明經(jīng)治療后兩組方法對本病都有顯著效果。治療后,治療組與對照組比較,P0.05,差異具有統(tǒng)計學(xué)意義,說明治療組比對照組在改善VAS方面效果更明顯。3.SF-36:兩組治療前比較P0.05,差異不具有統(tǒng)計學(xué)意義,說明治療前兩組患者的SF-36評分情況在同一比較基線上。兩組治療后與治療前比較,P0.05,差異具有統(tǒng)計學(xué)意義,說明經(jīng)治療后兩組方法對本病SF-36評分方面都有顯著效果。治療后,治療組與對照組兩組間比較,P0.05,差異具有統(tǒng)計學(xué)意義,說明治療組比對照組在改善SF-36方面效果更明顯。4.SFBI:治療前兩組比較,P0.05差異不具有統(tǒng)計學(xué)意義,說明治療前兩組患者的SFBI評分情況在同一比較基線上。治療4周后兩組SFBI比較,P0.05差異具有統(tǒng)計學(xué)意義,說明治療4周后兩組在改善SFBI方面療效都比較顯著。治療4周后,治療組與對照組進(jìn)行組間比較,P0.05,說明治療組比對照組在改善SFBI方面效果更顯著。結(jié)論:1.循經(jīng)遠(yuǎn)取動法治療腰椎間盤突出癥所致坐骨神經(jīng)痛有效,可有效緩解疼痛。2.循經(jīng)遠(yuǎn)取動法在改善腰椎間盤突出癥所致坐骨神經(jīng)痛腿疼視覺模擬評分方面效果更顯著3.循經(jīng)遠(yuǎn)取動法在改善腰椎間盤突出癥所致坐骨神經(jīng)痛健康相關(guān)生活質(zhì)量評分方面效果更顯著4.循經(jīng)遠(yuǎn)取動法在改善腰椎間盤突出癥所致坐骨神經(jīng)痛坐骨神經(jīng)痛頻率與不適指數(shù)方面效果更顯著。
[Abstract]:Objective: to observe the clinical curative effect of distal removal along meridian on sciatica caused by lumbar intervertebral disc herniation, and to compare the difference of clinical curative effect between distal removal along meridian and simple electroacupuncture Jiaji point in treating sciatica caused by lumbar intervertebral disc herniation. Methods: 66 patients with sciatica caused by lumbar disc herniation were divided into two groups according to random digital table. That is, 33 cases in the treatment group and 33 cases in the control group. The control group was treated with local acupuncture therapy. The treatment group combined with the method of far moving along the meridian on the basis of the control group, the type of bladder meridian selected Zanzhu point, Tianzhu point, gallbladder meridian type selected pupil Zhicu point, Fengchi point, At the same time, combined with the active waist movement, the needle was kept for 30 minutes after acupuncture, and every 10 minutes for 5 days as a course of treatment. The treatment was done for 4 weeks. The visual analogue score of VAS leg pain was used. Health related quality of life score (SF-36), sciatica frequency and discomfort index (SFBI) were used to record the score results. Results: 1. The total effective rate of the treatment group was 93.7575, while the total effective rate of the control group was 70.97.The statistical Ridit analysis showed that there was a statistical difference between the two groups, indicating that the clinical efficacy of the treatment group was better than that of the control group. Group 2. Vas: there was no significant difference between the two groups before treatment (P0.05). The results showed that the VAS score of the two groups before treatment was on the same baseline. The difference between the two groups after treatment and before treatment was statistically significant, which indicated that the two groups had significant effect on this disease after treatment. The difference between the treatment group and the control group was statistically significant, indicating that the treatment group was more effective than the control group in improving VAS. 3. SF-36: the difference between the two groups before treatment was not statistically significant (P 0.05). The results showed that the SF-36 score of the two groups before treatment was on the same baseline. The difference between the two groups after treatment and before treatment was statistically significant, which indicated that the two groups had significant effect on the SF-36 score of the disease after treatment. The difference between the treatment group and the control group was statistically significant, which indicated that the treatment group was more effective than the control group in improving SF-36. 4. SFBI: there was no significant difference between the two groups before treatment (P0.05). The results showed that the SFBI scores of the two groups were on the same baseline before treatment. After 4 weeks of treatment, there was a significant difference in SFBI between the two groups compared with P05, which indicated that the two groups were more effective in improving SFBI after 4 weeks of treatment, and after 4 weeks of treatment, there were significant differences between the two groups in the improvement of SFBI. The comparison between the treatment group and the control group shows that the treatment group is more effective than the control group in improving SFBI. Conclusion: 1. The treatment of sciatica caused by lumbar intervertebral disc herniation is effective. It can relieve pain effectively .2.The method of moving along the meridian can improve the visual analogue score of sciatica caused by lumbar intervertebral disc herniation 3.The method of moving along meridian can improve sciatica caused by lumbar intervertebral disc herniation. The results of health related quality of life score were more significant. 4. The method of moving along meridians was more effective in improving the frequency and discomfort index of sciatica caused by lumbar intervertebral disc herniation.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.9

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