推拿治疗腰椎间盘突出症的临床及其机理研究

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1、山东中医药大学硕士学位论文推拿治疗腰椎间盘突出症的临床及其机理研究姓名：李静申请学位级别：硕士专业：针灸推拿学指导教师：王道全2003.4.20提要目的、通过临床观察研究，进一步探讨推拿对腰椎问擞突出症的确切疗效和作用机理。方法÷将临床诊断兔PLD豹50移j悫翥，随梳分为两缮，箕巾治疗缀30铡，予戳攘拿治疗，对照组20铡，予以三缳立傣牵弓l，两组均以30天必一疗程。／结槊螨床观察发现，经治疗后，推拿能明驻减少患者的症状总积分、VAS积分，升高直腿抬高度数，其有效率达93．33％，优于牵引组，与对照组比较麓异最著(P

2、治疗。推拿缀的实验数瓣表骥，对舞离静全盔低诱懿痍、全盘簿滚糕发、焱浆糖痍、经缨藏凝集攒数攥拿奏鹤显的降低作用。雄叁组30铡患者中有5铡患者治疗翡血渍Ig禽量擞著高子正常值(P

3、ratingMechanismStudyofTuiNaTreatmentonProtrusionofLumberDiscSpeciality：AcupunctureandTuiNaAuthor：LiJingTutor：WangDaoquanAbstractobject：ToobservethetherapeuticefficacyofTuiNaintreatingProtrusionofLumberDisc(PLD)anddiscussdeeplyaboutitsoperatingmechanism．Methods：50patientsdiagnosedPLDwere

4、dividedintotwogroupsbyrandom，amongthesepatients，therapeuticgroup(30)weretreatedbyTuiNa,contractgroup(20)weretreatedbyTraction,30dayswasacourseoftreaUnent．Results：ThedinicalobservingshowsthatTuiNacouldobviouslyreducethecumulativescoringofclinicalsymptomsandofVASofpatients，andincreasethen

5、umberofthestrnight-legliftingtest．AfterTuiNatreatment，theeffectiverateWasupto93．3％andthedifferenceWassignificantcomparedtothecontractgroup(P<0．05)．ItexplmnsthatthetreatmentofTuiNaiSbetterthanTractioninimprovingclinicalsymptomsofpatients．TheexperimentdataofTuiNagroupshowsthatTuiNacouldob

6、viouslyreducetIleexcessivehBL，hBH，lapandPAR．ItalsoshowsthatIgcontentinbloodserumof5patientsWSShigherthannormalbeforeTuiNa(P<0．05)．Aftertreatment，IgcontentinbloodserumoftherapeuticgroupWasobviouslylowerthanbefore(P<0．01)．ButthevarietyWaswithinthescopeofnormal．Conclusion：Clinicalstudyshow

7、sthefollows：1．ThecurativeeffectofTuiNaiSbetterthanTractiongroupintreatingPLD．2．TuiNahasthefunctionofimprovingthehaemorheology．3．TuiNac蛆regulatetheabnormalautoimmunesystemandWeshoulddofurtherreachabouthowtodoit．KeyWordsTUiNa；Protrusionoflumberdisc：Clinicalstudy；Mechanismstudy推拿治