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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:

第25卷

期数:

2017年08期

页码:

25-28

栏目:

临床研究

出版日期:

2017-08-03

文章信息/Info

Title:

Study on the Correlation between Manual Treatment Time and Curative Effect of Lumbar Disc Herniation with Different Syndrome

文章编号:

1005-0205(2017)08-0025-04

作者:

张华¹ 贾龙¹ 徐斌^2△

1.甘肃中医药大学(兰州,730000)
2.甘肃中医药大学附属医院
△.通信作者 E-mail:gszyxb@gszy.edu.cn

Author(s):

ZHANG Hua¹ JIA Long¹ XU Bin^2△

1.Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China;
2.Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China.

关键词:

腰椎间盘突出症;  手法;  治疗时间;  不同证型;  疗效对比

Keywords:

lumbar disc herniation;  manipulative therapy;  different syndrome types;  treatment time;  curative effect comparison

分类号:

R681.5

文献标志码:

A

摘要:

目的:观察不同证型腰椎间盘突出症的手法治疗时间与疗效的相关性。方法:选择本院血瘀型、寒湿型、湿热型、肝肾亏虚型的不同证型腰椎间盘突出症患者各60例,共240例。再将每一证型组依临床随机方案,根据SAS软件随机程序分出治疗1周组、治疗2周组、治疗4周组,每组20例,疗程结束后依据中医病症诊断疗效标准,评判不同证型患者施以不同时长手法治疗时间后的临床疗效。结果:四组不同证型腰椎间盘突出症患者不同手法治疗时间组疗效显示:血瘀型优良率,治疗1周组80%,治疗2周组85%,治疗4周组90%; 湿热型优良率,治疗1周组65%,治疗2周组75%,治疗4周组80%; 寒湿型优良率,治疗1周组70%,治疗2周组80%,治疗4周组85%; 肝肾亏虚型优良率:治疗1周组50%,治疗2周组60%,治疗4周组75%.结论:手法治疗对于不同证型腰椎间盘突出症患者均有疗效,不同证型的患者随着手法治疗时间的延长其优良率均逐步提高,手法对于血瘀型患者见效最快,相同治疗时间下疗效提高最快,治疗疗程最短; 寒湿、湿热型患者中治疗2周组疗效提高最为明显,对于肝肾亏虚型患者手法治疗疗程最长,见效最缓慢,相同治疗时间下疗效提高最缓慢。

Abstract:

Objective: To observe the correlation between manual treatment time and curative effect of LDH with different syndrome. Methods: 60 cases of LDH with 4 types of syndromes(blood stasis syndrome, cold-dampness syndrome, dampness-heat syndrome and deficiency of liver and kidney syndrome)were selected in our hospital, totally 240 cases. According to the SAS software random program, the patients of each syndrome was divided into 1 week treatment group, 2 weeks treatment group and 4 weeks treatment group, 20 cases in each group. After the manual treatment, the clinical efficacy of different types of patients treated with different times was evaluated according to the TCM diagnosis and efficacy standard. Results: The excellent rate of blood stasis type was 80% in the 1 week group, 85% in the 2 week group and 90% in the 4 week group. The excellent rate of dampness-heart type was 65% in the 1 week group, 75% in the 2 week group and 80% in the 4 week group. The excellent rate of cold-dampness type was 70% in the 1 week group, 80% in the 2 week group and 85% in the 4 week group. The excellent rate of liver and kidney deficiency type was 50% in the 1 week group, 60% in the 2 week group and 75% in the 4 week group. Conclusion: Massage has the curative effect to the different syndromes of LDH, and the excellent rate increased gradually with the prolongation of manual treatment time. Manipulation has the fastest effect on the blood stasis type patients and the treatment course is the shortest. Next, in cold-dampness and dampness-heat syndrome patients, the efficacy of 2 week group improved most significantly. In the same treatment time, the curative effect of liver and kidney deficiency patients increased most slowly.

备注/Memo

备注/Memo:

基金项目:兰州市科技局科技发展计划项目(2014-1-19)

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更新日期/Last Update: 2017-08-15