發(fā)布時(shí)間：2018-08-29 10:49

【摘要】：目的:通過隨機(jī)對(duì)照的方法,評(píng)價(jià)旋扳手法配合針刀松解剝離治療臀上皮神經(jīng)卡壓綜合征的臨床療效,探尋臀上皮神經(jīng)卡壓綜合征的最重要原因,并對(duì)其進(jìn)行靶向性的治療。為尋求治療本病的有效性治療方法提供臨床科學(xué)依據(jù)。方法:本研究的采納的患者均為黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院骨二科門診、哈爾濱醫(yī)科大學(xué)附屬第四院疼痛科門診,就診時(shí)間為2015年01月至2016年03月,符合臀上皮神經(jīng)卡壓癥狀臨床診斷的患者60例。將60例患者按照隨機(jī)數(shù)表法隨機(jī)分為旋扳手法結(jié)合針刀松解剝離組(治療組)和常規(guī)針刀松解剝離(對(duì)照組)各30例。每周治療一次,兩次為一療程。經(jīng)過療前治療評(píng)分以及治療后評(píng)分信息采集,評(píng)定標(biāo)準(zhǔn)依據(jù)JOA下腰痛評(píng)分以及VAS疼痛積分進(jìn)行評(píng)定。結(jié)果:各組在年齡、性別、病程分布上進(jìn)行比較,差別無統(tǒng)計(jì)學(xué)意義(P0.05)治療前兩組VAS評(píng)分和JOA評(píng)分比較無統(tǒng)計(jì)學(xué)意義,具有可比性(P0.05);治療2個(gè)療程后,在臨床療效上,兩組之間的療效的差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。治療前后每組的VAS評(píng)分和JOA評(píng)分比較均有變化,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)而治療組又優(yōu)于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)結(jié)論:小針刀松解剝離的方法療效確切,安全可靠,可以改善患者的疼痛等臨床癥狀,有效地提高病人的工作與生活質(zhì)量。旋扳手法結(jié)合針刀松解剝離方法治療療效優(yōu)于局部松解剝離法�；颊咭子诮邮�,治療徹底,經(jīng)濟(jì)、效果明顯,此方法值得臨床推廣。
[Abstract]:Objective: To evaluate the clinical efficacy of manipulation of rotation and pulling combined with Acupotomy in the treatment of gluteal epithelial nerve entrapment syndrome, to explore the most important cause of gluteal epithelial nerve entrapment syndrome, and to carry out targeted treatment. The study included 60 patients who met the clinical diagnosis of gluteal nerve entrapment symptoms from January 2015 to March 2016. Sixty patients were randomly divided into wrenches according to the random number table method. Methods 30 cases in each group were treated once a week and twice as a course of treatment. After pre-treatment score and post-treatment score information collection, evaluation criteria were evaluated according to JOA low back pain score and VAS pain score. There was no significant difference in VAS score and JOA score between the two groups before and after treatment (P 0.05). After two courses of treatment, there was significant difference in clinical efficacy between the two groups (P 0.05). The difference was statistically significant (P 0.05). Conclusion: The small needle knife release peeling method is effective, safe and reliable, can improve the pain and other clinical symptoms of patients, effectively improve the quality of work and life of patients. Local release and stripping method is easy to be accepted by patients, thorough treatment, economical and effective. This method is worthy of clinical promotion.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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