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《針刺結(jié)合懸吊運(yùn)動訓(xùn)練治療慢性非特異性腰痛的臨床療效觀察》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、提要目的：通過比較針刺結(jié)合懸吊運(yùn)動訓(xùn)練組與單純的針刺組和單純的懸吊運(yùn)動訓(xùn)練組對慢性非特異性腰痛的臨床療效，驗(yàn)證這三種治療方法在治療慢性非特異性腰痛時(shí)的差異，旨在探討針刺結(jié)合懸吊運(yùn)動訓(xùn)練治療此病的優(yōu)勢，為臨床提供更好的治療思路。方法：①選擇60例符合納入標(biāo)準(zhǔn)的慢性非特異性腰痛患者，用隨機(jī)分組的方法分到三組中，每組20人。②針刺均以委中、腎俞、大腸俞、腰陽關(guān)、阿是穴為基本處方，配以辨證取穴，予以針刺治療，留針30分鐘，每10分鐘行補(bǔ)瀉手法一次。懸吊運(yùn)動訓(xùn)練：使用redcord工作站(Redcord，挪威)在不穩(wěn)定
2、支持下對患者進(jìn)行懸吊運(yùn)動訓(xùn)練。每天治療一次，7次為一療程。③在2、4個(gè)療程后進(jìn)行隨訪，統(tǒng)計(jì)數(shù)據(jù)，建立數(shù)據(jù)庫，運(yùn)用spss17.0進(jìn)行分析。結(jié)果：①三組總療效比較:針刺結(jié)合懸吊運(yùn)動訓(xùn)練組分別與另外兩組比較，差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)，針刺組和懸吊運(yùn)動訓(xùn)練組比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。②組內(nèi)定量療效比較:將三組各自治療前JOA、VAS評分分別與治療后及治療中期時(shí)的這三個(gè)評分比較，經(jīng)配對t檢驗(yàn)，評分變化均有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論：①針刺結(jié)合懸吊運(yùn)動訓(xùn)練治療慢性非特異性腰痛療效優(yōu)于單純的
3、針刺組和單純的懸吊運(yùn)動訓(xùn)練組。②三組在改善慢性非特異性患者的生活質(zhì)量及臨床癥狀方面均有效，且均具有遠(yuǎn)期療效。③針刺的近期療效優(yōu)于懸吊運(yùn)動訓(xùn)練，但遠(yuǎn)期療效二者無顯著差異。關(guān)鍵詞針刺；懸吊運(yùn)動訓(xùn)練；慢性非特異性腰痛ClinicalObservationofAcupunctureCombinedwithScaleofExerciseTherapyintheTreatmentofNonspecificChronicLowBackPainSpeciality:AcupunctureandMoxibustionAutho
4、r:LiuPanTutor:LiliAbstractObjective:TocomparetheacupuncturecombinedwithslingexercisetraininggroupandsimpleacupuncturegroupandsimpleSlingExerciseTrainingGrouponchronicnonspecificlowbackpainofclinicalefficacy,thevalidationofthesethreemethodsinthetreatmentofpa
5、tientswithchronicnonspecificlowbackpainwhenadifference,aimstoexploretheacupuncturecombinedwithexercisetraininginthetreatmentoflowbackpainofsuspensionofsuchadvantages,forclinicaltoprovidebettertreatmentideas.Method:①Choose60patientsmettheinclusioncriteriaofc
6、hronicnonspecificlowbackpainpatients,usingrandomlydividedintothreegroups,eachgroupof20people.②acupunctureareappointed,Shenshu,Dachangshu,pointYaoyangguan,Ashipointsasthebasicprescription,withsyndromedifferentiationacupunctureneedleacupuncturetreatment,tobe,
7、30minutes,10minuteseachrowreinforcing-reducingmethoda.SlingExerciseTraining:theuseofredcordworkstation(Redcord,Norway)inunstablesupportonpatientsundergoingsuspensionmovementtraining.Onadailybasis,7timesasacourseoftreatment.after2and4monthsoffollow-up,statis
8、ticaldata,buildadatabase,usingSPSS17.0analysis.Results:Thetotalcurativeeffectcomparisonofthreegroups:acupuncturecombinedwithslingexercisetraininggrouprespectivelyandtwoothergroups,theranksumtest,thedif
