本文關(guān)鍵詞： 腰椎間盤突出癥 保守療法 針灸 推拿 藥罐療法　出處：《遼寧中醫(yī)雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的:探討傳統(tǒng)藥罐療法對寒濕型腰椎間盤突出癥患者的影響。方法:選擇欽州市第一人民醫(yī)院收治的60例寒濕型腰椎間盤突出癥患者,按照隨機數(shù)字表法平均分為對照組與觀察組,每組各30例。對照組采用牽引、針灸、推拿的常規(guī)綜合保守療法,觀察組在對照組基礎上增加藥罐療法。兩組均以6次為1個療程,療程與療程之間間隔1 d,共治療4個療程。比較兩組的臨床療效,觀察兩組治療前后的中醫(yī)證候積分及腰椎功能量表評分(JOA評分)變化情況。結(jié)果:(1)觀察組30例中,臨床痊愈14例,顯效11例,有效4例,無效1例;對照組30例中,臨床痊愈7例,顯效10例,有效12例,無效1例。兩組療效比較,經(jīng)統(tǒng)計學分析,觀察組優(yōu)于對照組(P0.05)。(2)治療前,兩組患者的中醫(yī)證候積分及腰椎功能量表評分(JOA評分)差異無顯著性。治療后,觀察組患者的中醫(yī)證候積分及腰椎功能量表評分(JOA評分)分別為(5.38±1.47)、(25.56±5.27)分,均分別低于和高于對照組的(8.41±2.55)、(20.21±4.25)分,經(jīng)統(tǒng)計學分析,差異均有統(tǒng)計學意義(P0.05)。結(jié)論:常規(guī)綜合保守療法聯(lián)合傳統(tǒng)藥罐療法治療寒濕型腰椎間盤突出癥,其臨床療效更為顯著,值得臨床推廣應用。
[Abstract]:Objective: to investigate the effect of traditional cupping therapy on patients with cold and wet lumbar disc herniation. Methods: 60 patients with cold and wet lumbar disc herniation were selected from the first people's Hospital of Qinzhou City. According to the method of random digital table, they were divided into control group and observation group with 30 cases in each group. The control group was treated with conventional comprehensive conservative therapy of traction, acupuncture and massage. The two groups were treated with 6 times as a course of treatment, the interval between the course of treatment and the course of treatment was 1 day, and a total of 4 courses of treatment were treated. The clinical efficacy of the two groups was compared. Results in the observation group, 14 cases were cured, 11 cases were effective, 4 cases were effective, 1 case was ineffective, and 30 cases in the control group. There were 7 cases of clinical cure, 10 cases of remarkable effect, 12 cases of effective and 1 case of ineffectiveness. By statistical analysis, the observation group was superior to the control group before treatment. There was no significant difference in TCM syndromes score and lumbar function scale score (JOA score) between the two groups. After treatment, the scores of TCM syndromes and lumbar function scales were 5.38 鹵1.470.56 鹵5.27, respectively. All of them were lower than and higher than those of the control group (8.41 鹵2.55) and 20.21 鹵4.25, respectively. The difference was statistically significant (P 0.05). Conclusion: the clinical effect of conventional comprehensive conservative therapy combined with traditional medicine cupping therapy on cold and wet lumbar disc herniation is more significant. It is worth popularizing and applying in clinic.
【作者單位】： 廣西中醫(yī)藥大學第一附屬醫(yī)院推拿科;廣西中醫(yī)藥大學;欽州市第一人民醫(yī)院;
【基金】：國家“十一五”與“十二五”科技支撐計劃項目資助(2007BAI48B07-2;2012BAI27B04-2) 國家公益性行業(yè)(中醫(yī)藥行業(yè))科研專項項目(財教[2007]204號、國中醫(yī)藥發(fā)[2007]56號,200707023) 廣西科學研究與技術(shù)開發(fā)計劃項目(桂科攻1598012-48) 廣西壯族自治區(qū)衛(wèi)生廳重點科研課題(桂衛(wèi)科教[2009]29號,重200937) 廣西中醫(yī)藥大學碩士學位論文課題(自選課題)
【分類號】：R274.9

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