發(fā)布時間：2018-10-16 11:28

【摘要】：目的:本研究通過觀察懸吊循經(jīng)彈撥法、單一循經(jīng)彈撥法和單一懸吊運動療法對慢性腰肌勞損的康復療效及其遠期療效,探究三種治療方法在治療慢性腰肌勞損時的療效差異并初步探究懸吊循經(jīng)彈撥法治療慢性腰肌勞損的中西醫(yī)結(jié)合療效作用機制,為各級醫(yī)院康復科及門診廣泛使用該技術(shù)提供理論指導,緩解慢性腰肌勞損功能異常狀況并維持遠期療效。方法:本研究篩選出符合納入標準的研究對象,按照隨機數(shù)字表法分成三組,即循經(jīng)彈撥治療組(以下簡稱循經(jīng)組,n=26)、懸吊運動療法組(以下簡稱懸吊組,n=28)、懸吊循經(jīng)彈撥法治療組(以下簡稱觀察組,n=29),三組患者分別給予循經(jīng)彈撥法、懸吊運動療法、懸吊循經(jīng)彈撥法治療3個療程,5天為一個療程,1個月后隨訪。使用VAS評分、JOA評分、腰背伸肌群及下肢柔軟度的測量指標在患者治療前、治療結(jié)束后及治療療程結(jié)束后1個月進行評價,比較不同方法的療效差異,并進行統(tǒng)計學分析。結(jié)果:觀察組的療效高于循經(jīng)彈撥治療組、懸吊運動療法組(P0.05);治療后3組VAS評分均顯著降低,但觀察組降低更明顯(P0.05);治療后3組JOA評分均明顯增加,且觀察組增加比其他兩組顯著(P0.05);治療后3組腰背伸肌群及下肢柔軟度的測量指標均明顯增加,且觀察組增加比其他兩組顯著(P0.05)。一個月后隨訪,觀察組VAS得分、JOA得分及3組腰背伸肌群及下肢柔軟度的測量指標均優(yōu)于其他兩組(P0.05)。結(jié)論:懸吊循經(jīng)彈撥法在治療慢性腰肌勞損方面療效優(yōu)于循經(jīng)彈撥法和懸吊運動療法;懸吊循經(jīng)彈撥法、懸吊運動療法對慢性腰肌勞損患者的功能改善有較好的遠期療效,但懸吊循經(jīng)彈撥法的遠期療效優(yōu)于懸吊運動療法;懸吊循經(jīng)彈撥法有效的減輕了患者的疼痛,改善患者的腰背伸肌群功能狀態(tài)及腰部功能障礙。
[Abstract]:Objective: to observe the rehabilitation effect and long-term effect of suspension pull-along meridian, single meridian plucking and single suspension exercise therapy on chronic lumbar muscle strain. To probe into the difference of curative effect of three kinds of treatment methods in treating chronic lumbar muscle strain and to explore the mechanism of the curative effect of traditional Chinese and western medicine on chronic lumbar muscle strain treated by suspended plucking along the meridian method. To provide theoretical guidance for the extensive use of this technique in rehabilitation departments and outpatients of hospitals at all levels, to alleviate the abnormal condition of chronic lumbar muscle strain and to maintain the long-term curative effect. Methods: according to the random digital table method, the subjects were selected and divided into three groups. That is, the treatment group of pull-up along the meridian (hereinafter referred to as the meridian group, nb26), the group of suspension exercise therapy (hereinafter referred to as the suspension group, nb28), the treatment group of suspension along the meridian plucking method (hereinafter referred to as observation group, ng29), and the three groups of patients who were given the method of plucking along meridian and suspending exercise therapy, respectively. Suspension along meridian plucking treatment for 3 courses, 5 days as a course of treatment, 1 month follow-up. The indexes of VAS score, JOA score, extensor muscle group and lower extremity softness were evaluated before treatment, after treatment and 1 month after treatment. The curative effects of different methods were compared and analyzed statistically. Results: the curative effect of the observation group was higher than that of the meridian plucking group and the suspension exercise therapy group (P0.05), the VAS scores of the three groups were significantly decreased after treatment, but the decrease of the observation group was more obvious (P0.05); after treatment, the JOA scores of the three groups increased significantly. And the observation group increased significantly than the other two groups (P0.05); after treatment, the three groups of extensor lumbar muscle group and the lower limb softness were significantly increased, and the observation group increased significantly compared with the other two groups (P0.05). One month later, the VAS score, JOA score and the measurement index of extensor muscle group and lower limb softness in the observation group were better than those in the other two groups (P0.05). Conclusion: the effect of suspension along meridian plucking on chronic lumbar muscle strain is superior to that of along meridian and suspension exercise therapy, and there is good long-term effect of suspension along meridian and suspension exercise therapy on the improvement of chronic lumbar muscle strain. But the long term curative effect of suspension along meridian pullout method is better than suspension exercise therapy. Suspension along meridian plucking method can effectively alleviate the pain of patients and improve the functional state of extensor muscle group and lumbar dysfunction.
【學位授予單位】：山東中醫(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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