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ID:33412417
大小:5.09 MB
页数:48页
时间:2019-02-25
《调整骶髂关节治疗腰椎间盘突出症的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、陕西中医学院硕士学位论文调整骶髂关节治疗腰椎间盘突出症的临床研究姓名:徐创龙申请学位级别:硕士专业:中医骨伤科学指导教师:张根印201205·⋯II111IIIIIIIIIII{Y215397中文摘要目的:腰椎间盘突出症(LumbarintervertebraldiSCherniation,LIDH)是骨伤科临床的常见病和多发病。80—90%的患者可以经过保守治疗缓解症状甚至痊愈,有10%"-26.6%的患者的下腰痛是由于骶髂关节功能的紊乱而引起的。高发病率、高复发率和和疗程长是目前治疗LIDH的主要瓶颈。年轻化趋势和其危害越来越引起
2、社会关注。高效、安全、无创、舒适越来越成为临床医师和患者的追求。本研究从人体生物力学平衡和机体的脏腑平衡入手,运用调整骶髂关节手法,观察在治疗腰椎间盘突出症的临床疗效。为治疗LIDH寻找更好的治疗方法和预防措施。方法:将纳入患者随机分为空白对照组、常规牵引按摩治疗组和骶髂关节调整治疗组,每组40例。对A组患者只采用卧床休息,B、C组分别采用常规推拿牵引治疗组和骶髂关节调整治疗,1次/日,20天后统一评定临床疗效。在治疗前后分别运用日本骨科协会评分标准评估治疗分数(JapaneseOrthopaedicAssociationScores
3、简称JOA)和视觉模拟评分法(VisualAnalogueScale/Score,简称VAS)分别对日常生活功能和疼痛指数进行评定,主要包括主观症状(下腰痛、肢体疼痛或麻木、步态、)和临床体征(直腿抬高试验与加强实验、感觉障碍、运动障碍、日常活动受限度等),所有数据进过SPSS18.0进行处理。结果:三组的治愈率分别为5%、42.5%、62.5%,总有效率分别为67.5%、87.5%、95%,骶髂关节调整治疗组在JOA评分、改善率和恢复率、平均治疗时间等明显优于其它二组,P4、学理论的整体观和脊柱的解剖学、生物学平衡理论,应用中医推拿手法治疗腰椎问盘突出症的有效方法,疗程短、复发率低,安全有效,有良好的远期效果和应用fii『景。关键词:骶髂关节调整:腰椎间盘突出症:临床研究AdjustTheSacroiliacJointTreatmentProlapseOfLumbarIntervertebralDiscClinicalResearchAbstractObjective:Lumbarintervertebraldischerniationisacommondiseaseandfrequentdiseasei5、northopedicclinical.80—90%ofpatientsafterconservativetherapycanalleviatethesymptomsandevenrecovered,10%to26.6%ofpatientswithlowbackpainiscausedduetosacroiliacjointdysfunction.LongercourseandeasyrelapseisthemainbottleneckforthetreatmentofLIDH.Thehighincidenceofadisease,t6、herecurrenceratehigh,anddurationoftreatmentandisthetrea廿nentoflongLIDHmainbottleneck.Youngertrendandtheharmcausedbymoreandmoresocialconcern..Highclinicalcurativeeffect,safety,non.invasive,comfortable,hasbecomeamoreandmoreclinicalphysiciansandpatientspursuit.Inthisstudy,7、useadjustthesacroiliacjointtechnique,toobservedintheclinicalefficacyofthetreatmentoflumbardischemiation.Methods:Patientsweredividedintocontrolgroup,conventionaltractionmassagetherapygroupandadjustthetreatmentofsacroiliacjointgroupsof40cases.Agroupofpatientswithbedreston8、ly,B,Cgroupsweretreatedwithconventionalmassageandtractionadjustmentofthe.sacroiliacjointtreatmentgroup,dailytr
4、学理论的整体观和脊柱的解剖学、生物学平衡理论,应用中医推拿手法治疗腰椎问盘突出症的有效方法,疗程短、复发率低,安全有效,有良好的远期效果和应用fii『景。关键词:骶髂关节调整:腰椎间盘突出症:临床研究AdjustTheSacroiliacJointTreatmentProlapseOfLumbarIntervertebralDiscClinicalResearchAbstractObjective:Lumbarintervertebraldischerniationisacommondiseaseandfrequentdiseasei
5、northopedicclinical.80—90%ofpatientsafterconservativetherapycanalleviatethesymptomsandevenrecovered,10%to26.6%ofpatientswithlowbackpainiscausedduetosacroiliacjointdysfunction.LongercourseandeasyrelapseisthemainbottleneckforthetreatmentofLIDH.Thehighincidenceofadisease,t
6、herecurrenceratehigh,anddurationoftreatmentandisthetrea廿nentoflongLIDHmainbottleneck.Youngertrendandtheharmcausedbymoreandmoresocialconcern..Highclinicalcurativeeffect,safety,non.invasive,comfortable,hasbecomeamoreandmoreclinicalphysiciansandpatientspursuit.Inthisstudy,
7、useadjustthesacroiliacjointtechnique,toobservedintheclinicalefficacyofthetreatmentoflumbardischemiation.Methods:Patientsweredividedintocontrolgroup,conventionaltractionmassagetherapygroupandadjustthetreatmentofsacroiliacjointgroupsof40cases.Agroupofpatientswithbedreston
8、ly,B,Cgroupsweretreatedwithconventionalmassageandtractionadjustmentofthe.sacroiliacjointtreatmentgroup,dailytr
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