三维正脊疗法配合针刺治疗腰椎间盘突出症的临床研究

【作者】 廖伯年；

【导师】 胡幼平；

【作者基本信息】 成都中医药大学 ， 针灸推拿， 2008， 硕士

【摘要】 目的:观察三维正脊疗法配合针刺治疗腰椎间盘突出症的临床疗效。方法:采用随机、对照的试验设计方法,将134名腰椎间盘突出症患者随机分为观察组和对照组。观察组67例,采用三维正脊结合针刺疗法;对照组67例,采用单纯三维正脊疗法。治疗结束后,采用简式Mcgill疼痛量表(MPQ)和腰背痛评分标准分别从疼痛和腰椎间盘突出症特有的症状体征两方面进行疗效评价,并根据不良事件的发生率作出安全性评价。结果:①治疗前两组的基线资料(性别、年龄、病程、PRI-S、PRI-A、PRI-T、VAS、PPI、椎间盘突出部位、腰背痛评分)具有可比性,P＞0.05。②治疗后两组间的疗效比较:治愈率有显著的统计学差异,P＜0.05,总有效率无显著的统计学差异,P＞0.05;疼痛方面,疼痛感觉(PRI-S)、疼痛情绪(PRI-A)、疼痛总分(PRI-T)、视觉模拟评分(VAS)和现有疼痛强度(PPI)均有显著的统计学差异,P＜0.05;腰背痛评分方面:腿痛或麻木感、步态、感觉障碍、运动障碍、日常活动限制情况及腰背痛评分总分有显著的统计学差异,P＜0.05,腰背痛、直腿抬高试验及排尿功能的差异无显著性,P＞0.05。③自身对照:观察组:治疗前后PRI-S、PRI-A、PRI-T、VAS、PPI、腰背痛、腿痛或麻木感、步态、直腿抬高试验、感觉障碍、运动障碍、日常活动限制情况及腰背痛评分总分方面的差异具有显著的统计学意义,P＜0.05,但排尿功能的差异无显著性,P＞0.05。对照组:治疗前后PRI-S、PRI-T、VAS、PPI、腰背痛、直腿抬高试验及腰背痛评分总分方面的差异具有显著的统计学意义,P＜0.05,但PRI-A、腿痛或麻木感、感觉障碍、运动障碍及排尿功能得分方面的差异无显著的统计学意义,P＞0.05。④安全性评价:两组各有1例出现轻度胸部软组织损伤,无统计学差异,P＞0.05。两组均无其它特殊不良事件的记录。结论:三维正脊疗法配合针刺治疗腰椎间盘突出症的治愈率高于单纯三维正脊疗法;在疼痛评定各方面的疗效,优于单纯三维正脊疗法;对腿痛或麻木感、步态、感觉障碍、运动障碍、日常活动限制情况的改善作用优于单纯三维正脊疗法。更多还原

【Abstract】 Objective:To study the effect of Sanwei Zhengji therapy Plus acupuncture on Prolapse of Lumbar intervertebral discMethods:134 cases in the study are randomly divided into two groups:observation group and control group.67 cases in observation group is treated by Sanwei Zhengji therapy Plus acupuncture;67 cases in control group is only treated by Sanwei Zhengji therapy.Short-form of McGill pain questionnaire(SF-MPQ) and lumbago scores standard were applied to evaluated the improvement of physical sign and symptom of Prolapse of Lumbar intervertebral disc.It is to evaluated its safety according to the rate of adverse event.Results:①The basal line data(gender,sex,course of disease, PRI-S,PRI-A,PRI-T,VAS,PPI,the location of Prolapse of Lumbar intervertebral disc,lumbago scores)in two groups are comparability at pretherapy(p＞0.05).②It is compare the curative effective between the two groups after treatment. The cured rate was significantly difference(p＜0.05);the total cured rate was no difference(p＞0.05);in pain(PRI-S,PRI-A,PRI-T,VAS,PPI) were difference;in lumbago scores(skelagia,insensible feeling,gait,feeling disorder,dyscinesia, limitation to daily activities,total lumbago scores) were significantly difference (p＜0.05);lumbodorsal pain,straight-leg raising test and the function of urination were no difference(p＞0.05).③Own control:in the observation group to compare the PRI-SS,PRI-A,PRI-T VAS,PPI,skelagia,insensible feeling,gait, straight-leg raising test,feeling disorder,dyscinesia,limitation to daily activities, total lumbago scores between prior treatment and post treatment were significantly difference(p＜0.05),but the function of urination were no difference(p＞0.05);in the control group to compare PRI-SS,PRI-T VAS,PPI, lumbago,straight-leg raising test,total lumbago scores between prior treatment and post treatment were significantly difference(p＜0.05),PRI-A, skelagia,insensible feeling,feeling disorder,dyscinesia and urination were no difference(p＞0.05).④safety evaluation:There was one case with light soft tissue injure at chest in each group,no other adverse event.Conclusion:The cured rate of Sanwei Zhengji therapy Plus acupuncture on Prolapse of Lumbar intervertebral disc is higher than only by Sanwei zhengji therapy.Sanwei Zhengji therapy Plus acupuncture on Prolapse of Lumbar intervertebral disc is better than only by Sanwei Zhengji therapy in improvement of scores of pain,skelagia,insensible feeling,gait,feeling disorder,dyscinesia,limitation to daily activities.更多还原