【摘要】：目的:通過系統(tǒng)化的整理以及規(guī)范化的臨床研究,對顫壓法治療第三腰椎橫突綜合征的安全性及臨床療效做出客觀的評價,形成技術規(guī)范,為第三腰椎橫突綜合征的推拿治療提供新的思路和方法。方法:1.本臨床研究以2015年3月——2016年1月前來河南中醫(yī)學院第三附屬醫(yī)院推拿門診就診的,臨床診斷依據(jù)符合診斷標準的年齡在18~65歲之間(含18歲及65歲)確診為第三腰椎橫突綜合征的患者為研究對象,按首次就診的先后順序,收集病例60例。采用單純隨機、對照的研究方法,將60例病人隨機分為治療組和對照組兩組以1:1的比例進行隨機對照試驗。兩組的治療時間均為每日治療一次,連續(xù)7次為一療程。連續(xù)治療兩個療程,療程之間休息兩天。治療期間停用一切與本病有關的藥物和治療方法。2.觀察兩種治療方法治療前后的兩組病人的臨床療效及相關指標數(shù)據(jù)。本臨床研究臨床療效選用改良日本骨科學會下腰痛療效評定表(JOA)和簡化Mcgill疼痛詢問表(MPQ)包括疼痛分級指數(shù)PRI量表、視覺模擬量表VAS評分尺及PPI疼痛狀況表作為臨床療效的觀察參考標準和評價指標。每組治療均對病人采用治療前和治療后的臨床療效評價,懫用隨機方法進行對照評價,參照《中醫(yī)病癥診斷療效標準》評價連續(xù)2個療程采用顫壓法治療第三腰椎橫突綜合征和采用常規(guī)推拿方法治療第三腰椎橫突綜合征的臨床療效,并進行分析總結。結果:1.綜合療效:治療組治愈16例,顯效13例,無效1例,總有效率96.66%;對照組治愈8例,顯效17例,無效5例,總有效率為83.32%;兩組比較,經(jīng)統(tǒng)計學處理(P0.05),有顯著性差異,且治療組明顯優(yōu)于對照組。2.經(jīng)過統(tǒng)計學統(tǒng)計計算,在性別、年齡、病情方面沒有顯著差異(P0.05)數(shù)據(jù)資料具有可比性。兩組治療前和治療后的J0A評分、PRI評分、VAS評分和PPI評分比較,差異具有統(tǒng)計學意義(P0.05)。兩組患者的臨床癥狀皆有所緩解與減輕,但治療組優(yōu)于對照組。結論:1.兩組治療后癥狀評分較治療前均顯著改善,說明兩種治療方法均可有效改善第三腰椎橫突綜合征患者的癥狀。2.治療組療程結束后在JOA、PRI、VAS和PPI評分改善優(yōu)于對照組。與常規(guī)推拿手法相比,顫壓法能明顯改善第三腰椎橫突綜合征患者的癥狀。3.顫壓法治療第三腰椎橫突綜合征無創(chuàng)痛,可明顯提高患者生活質量,并且手法操作簡便,與傳統(tǒng)手法相比易學易記,易于被臨床大夫所復制使用,也易于患者接受,可在臨床中推廣應用。也為今后治療其它脊柱系統(tǒng)相關疾病提供一套新的治療思路。
[Abstract]:Objective:To evaluate objectively the safety and clinical efficacy of trembling and pressing therapy for the third lumbar transverse process syndrome through systematic and standardized clinical research, and to form technical specifications, so as to provide new ideas and methods for the massage treatment of the third lumbar transverse process syndrome. Sixty cases of the third lumbar transverse process syndrome were collected in the order of the first visit to the Third Affiliated Hospital of Henan College of Traditional Chinese Medicine. Sixty patients were randomly divided into treatment group and control group with a ratio of 1:1. Both groups were treated once a day for seven consecutive courses of treatment. Two consecutive courses of treatment were given, with two days'rest between the courses. All the drugs and treatment methods related to the disease were discontinued during the treatment. 2. Observation of the two treatments. The clinical efficacy of the modified Japanese Orthopedic Association Low Back Pain Efficacy Assessment Scale (JOA) and the Simplified Mcgill Pain Questionnaire (MPQ) including the Pain Grading Index (PRI), Visual Analog Scale (VAS) and PPI Pain Status Scale (PPI) were selected as the clinical observation. Reference criteria and evaluation indicators. Each group of patients before and after the treatment of clinical efficacy evaluation, not using randomized methods for comparative evaluation, with reference to < Chinese medicine disease diagnosis efficacy criteria > evaluation of two consecutive courses of treatment using tremor method for the treatment of the third lumbar transverse process syndrome and conventional massage method for the treatment of the third lumbar transverse process syndrome Results: 1. Comprehensive curative effect: 16 cases were cured in the treatment group, 13 cases were markedly effective, 1 case was ineffective, the total effective rate was 96.66%; 8 cases were cured in the control group, 17 cases were markedly effective, 5 cases were ineffective, the total effective rate was 83.32%; two groups were compared, statistically significant difference (P 0.05), and the treatment group was significantly better than the control group.2. There was no significant difference in sex, age and condition between the two groups (P 0.05). The J0A score, PRI score, VAS score and PPI score of the two groups before and after treatment were statistically significant (P 0.05). The clinical symptoms of the two groups were alleviated and alleviated, but the treatment group was better than the control group. Conclusion: 1. After treatment, the symptoms of the two groups were significantly improved, indicating that the two treatment methods can effectively improve the symptoms of the third lumbar transverse process syndrome. 2. After the end of treatment, the improvement of JOA, PRI, VAS and PPI scores in the treatment group was better than that in the control group. Symptoms of symptoms of patients with symptoms. Disease provides a new set of treatment ideas.
【學位授予單位】：河南中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R244.1

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1 閆潔琳;顫壓法治療第三腰椎橫突綜合征的臨床研究[D];河南中醫(yī)藥大學;2016年

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