本文選題：輸刺　切入點(diǎn)：腰椎間盤突出癥　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:探索“輸刺”治療腰椎間盤突出癥的臨床療效及對肌電圖的影響,并與常規(guī)針刺治療后的影響進(jìn)行比較,從而為“輸刺”治療腰椎間盤突出癥在臨床上的運(yùn)用及療效評價提供客觀的觀察依據(jù)。方法:將60例患者按1:1的原則隨機(jī)分為“輸刺”組(觀察組)和常規(guī)針刺組(對照組)。觀察組采用“輸刺”法,取患側(cè)腰2~腰5夾脊穴,對照組采用與觀察組相同穴位常規(guī)針刺,兩組配穴相同;每天治療1次,6次為一療程,間隔一天,繼續(xù)下一療程,共針刺治療2個療程。治療前和治療2個療程后分別檢測腓總神經(jīng)和脛后神經(jīng)的波幅及F波出現(xiàn)率,進(jìn)行視覺模擬評分。結(jié)果:兩種方法治療本病后均能提高腓總神經(jīng)和脛后神經(jīng)的波幅及F波出現(xiàn)率,較治療前疼痛VAS評分均明顯下降,觀察組和對照組有效率分別為100%,93.33%,觀察組有效率高于對照組;治療后較治療前均有顯著統(tǒng)計學(xué)差異(P0.05),表明兩組治療本病都有明顯的治療效果;兩組治療后相比較均有顯著性差異(P0.05),具有統(tǒng)計學(xué)意義,說明觀察組治療腰椎間盤突出癥的臨床療效高于對照組。結(jié)論:“輸刺”與常規(guī)針刺治療腰椎間盤突出癥,均能提高腓總神經(jīng)和脛后神經(jīng)的波幅及F波出現(xiàn)率,均顯著性地改善了患者的臨床癥狀體征、日常生活活動等各項相關(guān)指標(biāo)。但“輸刺”組在修復(fù)神經(jīng)損傷、消除或減輕疼痛、改善日常生活活動等方面優(yōu)于常規(guī)針刺組。
[Abstract]:Objective: to explore the clinical effect of "acupuncture" in the treatment of lumbar disc herniation and its effect on electromyography (EMG), and compare it with that after routine acupuncture treatment.It can provide objective observation basis for clinical application and curative effect evaluation of lumbar intervertebral disc herniation.Methods: according to the 1:1 principle, 60 patients were randomly divided into "infusion" group (observation group) and routine acupuncture group (control group).The observation group was treated with the method of "needling", the affected side was treated with 2 ~ 5 Jiaji points of waist, the control group was treated with routine acupuncture at the same acupoints as the observation group, and the two groups were matched with the same acupoints, and once a day, 6 times a day as a course of treatment, with an interval of one day, to continue the next course of treatment.Acupuncture was used for 2 courses of treatment.The amplitude of common peroneal nerve and posterior tibial nerve and the occurrence rate of F wave were measured before and after 2 courses of treatment.Results: the amplitude of the common peroneal nerve and the occurrence rate of F wave of the posterior tibial nerve and the common peroneal nerve were increased after the treatment. The VAS score of pain in the observation group and the control group were significantly decreased. The effective rates of the observation group and the control group were 100 and 93.33, respectively. The effective rate of the observation group was higher than that of the control group.There was a significant difference between the two groups after treatment (P 0.05), which indicated that the two groups had obvious therapeutic effect, and there was significant difference between the two groups after treatment (P 0.05), there was significant difference between the two groups (P 0.05), and there was significant difference between the two groups after treatment (P 0.05), and there was significant difference between the two groups (P 0.05).It showed that the clinical effect of treatment of lumbar disc herniation in the observation group was higher than that in the control group.Conclusion: the treatment of lumbar intervertebral disc herniation with "transfusion-acupuncture" and routine acupuncture can increase the amplitude of the common peroneal nerve and the posterior tibial nerve and the occurrence rate of F-wave, and improve the clinical symptoms and signs, daily life activities and other related indexes of the patients.But the acupuncture group was superior to the routine acupuncture group in repairing nerve injury, eliminating or alleviating pain and improving daily life.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9

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