【摘要】：目的:通過電針陽陵泉聯(lián)合普通針刺阿是穴治療第三腰椎橫突綜合征,觀察該法的臨床療效,驗證該方法具有治療第三腰椎橫突綜合征這類筋傷疾病的肯定作用。方法:本研究共選取2014年12月至2015年12月長春中醫(yī)藥大學(xué)附屬醫(yī)院針灸科門診與吉林友好醫(yī)院康復(fù)科符合第三腰椎橫突綜合征臨床診斷的患者60例,采用簡單隨機分為治療組30例,對照組30例。治療組采用電針陽陵泉聯(lián)合普通針刺阿是穴方法治療,對照組采用單純針刺阿是穴方法治療,10天為一個療程,共觀察兩個療程,治療后隨訪一個月。結(jié)果:治療兩個療程后,比較兩組臨床總有效率,治療組總有效為83.33%。對照組總有效為73.33%。經(jīng)統(tǒng)計學(xué)分析,兩組總有效率差異顯著(p0.05),因此在患者近期療效比較治療組優(yōu)于對照組,詳見表5。經(jīng)統(tǒng)計學(xué)分析兩組受試者治療前JOA積分無明顯差異(P0.05),詳見表3,經(jīng)治療后兩組JOA積分有明顯差異(P0.05),各組之間本組治療前后JOA積分比較有明顯差異(P0.05),詳見表6�；颊呓�(jīng)治療后,兩組JOA積分均有所改善,其中治療組JOA積分改善請況明顯優(yōu)于對照組。經(jīng)統(tǒng)計學(xué)分析兩組受試者治療前VAS分?jǐn)?shù)無明顯差異(P0.05),詳見表3,經(jīng)治療后兩組VAS分?jǐn)?shù)有明顯差異(P0.05),各組之間本組治療前后VAS分?jǐn)?shù)比較有明顯差異(P0.05),詳見表6�；颊呓�(jīng)治療后,兩組VAS分?jǐn)?shù)均有所改善,其中治療組VAS分?jǐn)?shù)改善請況明顯優(yōu)于對照組。兩組受試者治療結(jié)束后,均給予1個月時間隨訪。1個月隨訪后,給予總分比較。經(jīng)對各組隨訪總分統(tǒng)計比較后,發(fā)現(xiàn)治療組隨訪總分略高于治療結(jié)束后總分(P0.05),對照組隨訪總分與治療結(jié)束后無明顯差別(P0.05),兩組之間1個月隨訪總分有明顯差別(P0.05),詳見表8。因此,治療組治療方法對該疾病治療效果較持久,患者可以獲得較長久受益。兩組受試者治療結(jié)束后,均給予VAS分?jǐn)?shù)1個月時間隨訪。1個月隨訪后,給予VAS分?jǐn)?shù)比較。經(jīng)對各組隨訪VAS分?jǐn)?shù)統(tǒng)計比較后,發(fā)現(xiàn)兩組隨訪VAS分?jǐn)?shù)均略低于治療結(jié)束后總分(P0.05),兩組之間1個月隨訪VAS分?jǐn)?shù)有明顯差別(P0.05),詳見表9。結(jié)論:電針陽陵泉聯(lián)合普通針刺阿是穴治療第三腰椎橫突綜合征的近期療效顯著。電針陽陵泉聯(lián)合普通針刺阿是穴治療第三腰椎橫突綜合征1個月后療效優(yōu)于單純針刺阿是穴,說明電針陽陵泉對筋傷疾病具有肯定的長效作用。電針陽陵泉聯(lián)合普通針刺阿是穴治療第三腰椎橫突綜合征的療效顯著,能夠顯著改善JOA、VAS等積分,減輕患者疾病痛苦,提高患者生活質(zhì)量,為針刺方法治療第三腰椎橫突綜合征的方法中,提供新的思路。
[Abstract]:Aim: to observe the clinical efficacy of this method in the treatment of the third lumbar transverse process syndrome by electro-acupuncture of Yanglingquan combined with general acupuncture at Aye point, and to verify the positive effect of this method on the treatment of such diseases as the third lumbar transverse process syndrome. Methods: from December 2014 to December 2015, 60 patients with the third lumbar transverse process syndrome were selected from the outpatient department of acupuncture department of affiliated hospital of Changchun University of traditional Chinese Medicine and the rehabilitation department of Jilin Friendship Hospital. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with electroacupuncture of Yanglingquan combined with common acupuncture at Aye point, while the control group was treated with simple acupuncture at Ashi point for 10 days as a course of treatment. Two courses of treatment were observed and followed up for a month after treatment. Results: after two courses of treatment, the total effective rate of the two groups was 83.33%. The total effective rate of the control group was 73.33%. Statistical analysis showed that the total effective rate of the two groups was significantly different (p0.05). Therefore, the treatment group was superior to the control group in the short-term curative effect, as shown in Table 5. After statistical analysis, there was no significant difference in JOA score before treatment between the two groups (P0.05), details of which were found in Table 3. After treatment, there was a significant difference in JOA score between the two groups (P0.05). There was a significant difference in JOA scores between the groups before and after treatment (P0.05), as shown in Table 6. After treatment, the JOA scores of the two groups were improved, and the improvement of JOA scores in the treatment group was obviously better than that in the control group. There was no significant difference in VAS scores before treatment between the two groups (P0.05), details of which were found in Table 3. After treatment, there was significant difference in VAS scores between the two groups (P0.05). There was a significant difference in VAS scores between the groups before and after treatment (P0.05), as shown in Table 6. After treatment, the VAS scores of the two groups were improved, and the improvement of VAS scores in the treatment group was obviously better than that in the control group. The patients in both groups were followed up for one month after treatment and the total scores were compared after one month's follow-up. After statistical comparison of the total scores of follow-up in each group, it was found that the total score of follow-up in the treatment group was slightly higher than that after the treatment (P0.05). There was a significant difference in the total score of one month follow-up between the two groups (P0.05), as shown in Table 8. Therefore, the treatment group is more effective for the treatment of the disease, patients can obtain longer-term benefits. After treatment, VAS scores were followed up for 1 month and VAS scores were compared after 1 month follow-up. After the statistical comparison of the VAS scores of each group, we found that the VAS scores of the two groups were slightly lower than the total score after the treatment (P0.05), and there was a significant difference in the VAS scores of one month follow-up between the two groups (P0.05), the details of which were shown in Table 9. Conclusion: the short-term curative effect of electro-acupuncture on the third lumbar transverse process syndrome with acupuncture of Yanglingquan combined with general acupuncture is remarkable. The curative effect of electroacupuncture at Yanglingquan combined with general acupuncture on the third lumbar transverse process syndrome after one month was better than that of acupuncture at Aye point, which indicated that electro-acupuncture at Yanglingquan had a definite long-term effect on the disease of tendon injury. Electro-acupuncture of Yanglingquan combined with general acupuncture on the third lumbar transverse process syndrome has a significant effect on the treatment of the third lumbar transverse process syndrome, which can significantly improve the scores of JOA,VAS, alleviate the pain of the disease, and improve the quality of life of the patients. It provides a new idea for the treatment of the third lumbar transverse process syndrome by acupuncture.
【學(xué)位授予單位】：長春中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9

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