本文選題：腰肌勞損 + 針刺��； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本研究采用隨機(jī)對(duì)照的方法,選取符合西醫(yī)腰肌勞損和中醫(yī)符合腎虛腰痛的腰肌勞損患者作為研究對(duì)象,設(shè)定對(duì)照組為一般針刺治療,治療組在與對(duì)照組相同的一般針刺療法基礎(chǔ)上加用命門(mén)隔鹽灸,觀察針刺結(jié)合命門(mén)隔鹽灸治療腎虛型腰肌勞損的臨床療效,采用視覺(jué)仿真評(píng)定法(VAS)及腰痛評(píng)價(jià)量表ODI指數(shù)(Oswestry Disability Index),做為臨床療效觀察指標(biāo),兩組患者比較治療前后VAS及ODI的變化情形,據(jù)以判斷兩組治療方法的療效。方法:課題組在研究期間一共納入60例符合臨床診斷納入標(biāo)準(zhǔn)的患者60例。隨機(jī)60例受試者分為治療組和對(duì)照組各30例,治療組使用針刺結(jié)合命門(mén)隔鹽灸治療,對(duì)照組使用一般常規(guī)針刺治療。兩組患者進(jìn)行為期3周的治療,療程結(jié)束后,觀察兩組患者在治療前后的VAS評(píng)分及ODI指數(shù)變化的情況,臨床數(shù)據(jù)結(jié)果選擇SPSS19.0統(tǒng)計(jì)軟件進(jìn)行處理。結(jié)果:總體療效:兩組患者經(jīng)過(guò)3周的治療后,對(duì)照組30例中有3例痊愈,痊愈率10.00%,11例顯效,顯效率為36.67%,8例有效,有效率26.67%,無(wú)效者8例,無(wú)效率26.67%,總有效率73.33%。治療組30例中,有7例痊愈,痊愈率23.33%,11例取得明顯療效,顯效率36.67%,9例有效,有效率30.00%,3例無(wú)效,無(wú)效率10.00%,總有效率為90.00%。經(jīng)radit分析,兩組差異有統(tǒng)計(jì)學(xué)意義(p0.05)提示針刺結(jié)合命門(mén)隔鹽灸對(duì)腎虛型腰肌勞損的療效優(yōu)于一般針刺。治療前,把對(duì)照組、治療組的年齡,男女性別,病程等數(shù)據(jù)進(jìn)行對(duì)比,結(jié)果發(fā)現(xiàn)兩組患者基本數(shù)據(jù)具有可比性,無(wú)明顯統(tǒng)計(jì)學(xué)差異(P0.05)。比較ODI指數(shù):在未治療之前,對(duì)照組ODI指數(shù)為76.97±10.91,治療組ODI指數(shù)78.48± 11.62,經(jīng)統(tǒng)計(jì)學(xué)分析,二者的ODI指數(shù)差異,沒(méi)有統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。經(jīng)過(guò)3周的治療,再次比較對(duì)照組,治療組的ODI指數(shù),對(duì)照組為40.91±7.49,治療組為28.41±8.25,與治療前比較,對(duì)照組和治療組的ODI指數(shù)明顯下降,(p0.O1)有顯著差異。在經(jīng)過(guò)治療后,治療組的ODI指數(shù)比對(duì)照組明顯降低(p0.01)。這就說(shuō)明一般針刺和針刺結(jié)合命門(mén)隔鹽灸等兩種治療方法都能改善腰肌勞損患者的功能狀況,但針刺結(jié)合命門(mén)隔鹽灸法較一般針刺法療效更明顯。比較VAS評(píng)分:未經(jīng)治療前,對(duì)照組的平均VAS評(píng)分6.14±2.25,治療組的平均VAS評(píng)分為6.54±2.67,兩者經(jīng)統(tǒng)計(jì)學(xué)分析具有可比性,無(wú)明顯差異(p0.05)。經(jīng)過(guò)3周治療結(jié)束后,對(duì)照組的平均VAS為3.56± 1.64,治療組的平均VAS評(píng)分為2.31±1.84。比較組內(nèi)治療前后,其差異具有統(tǒng)計(jì)學(xué)意義,說(shuō)明兩種治療都能有效的減輕腰肌勞損患者的疼痛,并且針刺結(jié)合命門(mén)隔鹽灸法療效優(yōu)于一般針刺組。結(jié)論:本研究結(jié)果證實(shí),一般針刺和針刺結(jié)合命門(mén)隔鹽灸都能有效的減輕腰肌勞損患者的疼痛,改善腰肌勞損患者的功能,但針刺結(jié)合命門(mén)隔鹽灸療效更確切,止痛和改善功能的效果更好,作為本病的保守治療方案值得臨床推廣。
[Abstract]:Objective: to select the patients with lumbar muscle strain according with western medicine and kidney deficiency and low back pain as the research objects, and set the control group as the general acupuncture treatment. The treatment group was treated with salt-separated moxibustion on the basis of the same general acupuncture therapy as the control group. The clinical effect of acupuncture combined with salt-separated moxibustion on kidney deficiency type lumbar muscle strain was observed. The visual simulation evaluation method was used to evaluate VAS and ODI, and the ODI index of low back pain evaluation scale (ODI index) was used to evaluate the clinical curative effect. The changes of VAS and ODI before and after treatment were compared between the two groups to judge the curative effect of the two groups. Methods: a total of 60 patients who met the criteria of clinical diagnosis were included in the study. Sixty subjects were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupuncture combined with salt-separated moxibustion, while the control group was treated with general acupuncture. Two groups of patients were treated for 3 weeks. After the course of treatment, the changes of VAS score and ODI index were observed before and after the treatment. The clinical data were processed by SPSS19.0 statistical software. Results: after 3 weeks of treatment, 3 of the 30 cases in the control group were cured, the cure rate was 10.00% and 11 cases were effective. The effective rate was 36.677.The effective rate was 26.67%, the ineffective rate was 26.67%, and the total effective rate was 73.33 鈩，

本文編號(hào)：1984332