壯藥竹罐與經(jīng)筋手法在腰椎間盤突出癥保守治療中的應(yīng)用效果觀察
發(fā)布時間：2019-06-12 00:37
【摘要】：目的:通過觀察壯藥竹罐與經(jīng)筋手法在腰椎間盤突出癥保守治療中的臨床應(yīng)用效果及其副作用,客觀評價壯藥竹罐與經(jīng)筋手法有效性及安全性。方法:本項試驗采用隨機對照臨床研究的方法。所選病證為腰椎間盤突出癥,病例來源于廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院臨床確診為腰椎間盤突出癥的患者120例,用隨機數(shù)字法分為觀察組1(A組:壯藥竹罐+經(jīng)筋手法+基礎(chǔ)治療)、觀察組2(B組:壯藥竹罐+基礎(chǔ)治療)、觀察組3(C組:經(jīng)筋手法+基礎(chǔ)治療)、對照組(D組:基礎(chǔ)治療)各30例。治療2周為1療程,對治療前后癥狀體征進行JOA及VAS評分,觀察各組療效及安全性。結(jié)果:共120例腰椎間盤突出癥患者隨機分為4組,并順利完成相應(yīng)治療,未發(fā)現(xiàn)不良反應(yīng)。年齡、性別、病程在組間比較均無顯著性差異,無統(tǒng)計學(xué)意義(P0.05),有可比性;治療前JOA評分及VAS評分組間比較差異無統(tǒng)計學(xué)意義(P0.05),有可比性。治療1個療程后腰痛VAS評分,組間進行兩兩對比。結(jié)果顯示,A組優(yōu)于B組、C組、D組(P0.05),壯藥竹罐聯(lián)合經(jīng)筋手法+基礎(chǔ)治療優(yōu)于其他治療組。B組與C組療效相當(dāng)(P0.05),壯藥竹罐+基礎(chǔ)治療與經(jīng)筋手法+基礎(chǔ)治療療效相當(dāng)。B組與C組均優(yōu)于D組(P0.05),壯藥竹罐+基礎(chǔ)治療及經(jīng)筋手法+基礎(chǔ)治療均優(yōu)于對照組。說明在緩解腰痛方面壯藥竹罐與經(jīng)筋手法療效顯著,兩者療效相當(dāng),兩者聯(lián)合有協(xié)同作用。治療1個療程后JOA評分進行組間兩兩對比,結(jié)果顯示,A組優(yōu)于B組、C組、D組(P0.05),壯藥竹罐聯(lián)合經(jīng)筋手法+基礎(chǔ)治療優(yōu)于其他治療組。B組與C組療效相當(dāng)(P0.05),壯藥竹罐+基礎(chǔ)治療與經(jīng)筋手法+基礎(chǔ)治療療效相當(dāng)。B組與C組均優(yōu)于D組(P0.05),壯藥竹罐+基礎(chǔ)治療及經(jīng)筋手法+基礎(chǔ)治療均優(yōu)于對照組。說明在JOA評分方面壯藥竹罐與經(jīng)筋手法療效顯著,兩者療效相當(dāng),兩者聯(lián)合有協(xié)同作用。在整個治療過程中4組病人未發(fā)現(xiàn)不良反應(yīng),壯藥竹罐及經(jīng)筋手法治療腰椎間盤突出癥無明顯副作用。結(jié)論:(1)在緩解腰椎間盤突出癥腰部疼痛VAS評分、JOA評分進行評估,壯藥竹罐與經(jīng)筋療法治療兩者療效均顯著,兩者療效相當(dāng)。兩者聯(lián)合治療有協(xié)同作用,優(yōu)于單獨使用壯藥竹罐或經(jīng)筋療法療法。(2)壯藥竹罐和經(jīng)筋手法治療腰椎間盤突出癥未發(fā)現(xiàn)明顯副作用。
[Abstract]:Objective: to observe the clinical effect and side effects of Zhuang medicine bamboo can and meridian manipulation in the conservative treatment of lumbar disc protrusion, and to objectively evaluate the effectiveness and safety of Zhuang medicine bamboo can and meridian manipulation. Methods: a randomized controlled clinical study was used in this trial. The selected syndrome was lumbar disc protrusion, which came from 120 patients clinically diagnosed as lumbar disc herniation in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into observation group 1 (group A: basic treatment of Zhuangyao bamboo can through tendons), observation group 2 (group B: basic treatment of Zhuangyao bamboo can) and observation group 3 (group C: basic treatment of manual therapy through tendons). There were 30 cases in the control group (group D: basic treatment). Two weeks of treatment was a course of treatment. JOA and VAS scores were used to observe the curative effect and safety of each group before and after treatment. Results: a total of 120 patients with lumbar disc protrusion were randomly divided into 4 groups and successfully completed the corresponding treatment. No adverse reactions were found. There was no significant difference in age, sex and course of disease between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference in JOA score and VAS score before treatment (P 0.05), and there was no significant difference in age, sex and course of disease between the two groups (P 0.05). After one course of treatment, the VAS score of low back pain was compared between the two groups. The results showed that group A was superior to group B, group C, group D (P 0.05), the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot and basic treatment of meridian manipulation was the same as that of group C. Group B and C were superior to group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. It shows that bamboo can and meridian manipulation are effective in relieving low back pain, and the combination of them has synergistic effect. After one course of treatment, the JOA score of group A was better than that of group B, group C, group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot was the same as that of group C. the curative effect of group B and group C was better than that of group D (P 0.05). The basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. The results showed that the curative effect of bamboo can and meridian manipulation was significant in JOA score, and the curative effect was the same, and the combination of the two had synergistic effect. No adverse reactions were found in the four groups during the whole treatment process, and there were no obvious side effects in the treatment of lumbar disc protrusion with Zhuangyao bamboo pot and meridian manipulation. Conclusion: (1) VAS score and JOA score were evaluated in relieving lumbar disc protrusion with low back pain. Zhuangyao bamboo pot and meridian therapy were effective, and the curative effects were the same. The combination of the two treatments has synergistic effect, which is superior to the treatment of Zhuang medicine bamboo pot or meridian bar alone. (2) there are no obvious side effects of Zhuang medicine bamboo can and meridian manipulation in the treatment of lumbar disc protrusion.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R29
本文編號：2497581
[Abstract]:Objective: to observe the clinical effect and side effects of Zhuang medicine bamboo can and meridian manipulation in the conservative treatment of lumbar disc protrusion, and to objectively evaluate the effectiveness and safety of Zhuang medicine bamboo can and meridian manipulation. Methods: a randomized controlled clinical study was used in this trial. The selected syndrome was lumbar disc protrusion, which came from 120 patients clinically diagnosed as lumbar disc herniation in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine. They were randomly divided into observation group 1 (group A: basic treatment of Zhuangyao bamboo can through tendons), observation group 2 (group B: basic treatment of Zhuangyao bamboo can) and observation group 3 (group C: basic treatment of manual therapy through tendons). There were 30 cases in the control group (group D: basic treatment). Two weeks of treatment was a course of treatment. JOA and VAS scores were used to observe the curative effect and safety of each group before and after treatment. Results: a total of 120 patients with lumbar disc protrusion were randomly divided into 4 groups and successfully completed the corresponding treatment. No adverse reactions were found. There was no significant difference in age, sex and course of disease between the two groups, there was no significant difference between the two groups (P 0.05), and there was no significant difference in JOA score and VAS score before treatment (P 0.05), and there was no significant difference in age, sex and course of disease between the two groups (P 0.05). After one course of treatment, the VAS score of low back pain was compared between the two groups. The results showed that group A was superior to group B, group C, group D (P 0.05), the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot and basic treatment of meridian manipulation was the same as that of group C. Group B and C were superior to group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. It shows that bamboo can and meridian manipulation are effective in relieving low back pain, and the combination of them has synergistic effect. After one course of treatment, the JOA score of group A was better than that of group B, group C, group D (P 0.05), and the basic treatment of Zhuangyao bamboo pot combined with meridian manipulation was better than that of other treatment groups. The curative effect of group B was similar to that of group C (P 0.05), and the curative effect of basic treatment of Zhuangyao bamboo pot was the same as that of group C. the curative effect of group B and group C was better than that of group D (P 0.05). The basic treatment of Zhuangyao bamboo pot and the basic treatment of meridian manipulation were better than those of the control group. The results showed that the curative effect of bamboo can and meridian manipulation was significant in JOA score, and the curative effect was the same, and the combination of the two had synergistic effect. No adverse reactions were found in the four groups during the whole treatment process, and there were no obvious side effects in the treatment of lumbar disc protrusion with Zhuangyao bamboo pot and meridian manipulation. Conclusion: (1) VAS score and JOA score were evaluated in relieving lumbar disc protrusion with low back pain. Zhuangyao bamboo pot and meridian therapy were effective, and the curative effects were the same. The combination of the two treatments has synergistic effect, which is superior to the treatment of Zhuang medicine bamboo pot or meridian bar alone. (2) there are no obvious side effects of Zhuang medicine bamboo can and meridian manipulation in the treatment of lumbar disc protrusion.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R29
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