枢经推拿对腰椎间盘突出症患者神经传导速度影响的临床研究.pdf

枢经推拿对腰椎间盘突出症患者神 经传导速度影响的临床研究 中 文 摘 要 目的：本课题通过观察枢经推拿治疗腰椎间盘突出症的临床疗效， 为枢经推拿治疗腰椎间盘突出症的推广提供有效性临床依据。 方法：将符合标准的60 例患者按单纯随机的原则分配到枢经推拿 干预组和常规推拿对照组各30 例。每次治疗30min，隔日一次，10 次为 一个疗程。于第一次治疗前及第十次治疗后检测患肢胫神经和腓神经的 F 波传导速度。分别观察治疗前后患者的临床疗效，并比较两组治疗前、 后下肢神经传导速度的变化情况。对结果进行分析，以观察枢经推拿法 对腰椎间盘突出症的调治作用。 结果：经过1 个疗程后，治疗组治愈15 例，好转13 例，无效2 例，总有效率90%；对照组治愈7 例，好转15 例，无效8 例，总有效率 73.3%，治疗组总有效率明显高于对照组组；治疗后两组患肢胫神经和腓 神经 F 波传导速度与治疗前比较均明显加快，均具有显著统计学意义(P ＜0.01)，并且治疗组患肢胫神经和腓神经 F 波传导速度快于对照组，表 明枢经推拿法可明显促进腰椎间盘突出症患者患肢胫神经和腓神经传导 速度。 结论：枢经推拿治疗腰椎间盘突出症具有疗效显著、安全可靠、无 不良反应等特点。而且，枢经推拿作为一种自然疗法，没有药物的毒副 作用，更是一种无创伤疗法，经济性好，容易被患者接受，是一种有很 好推广应用价值的疗法。 关键词：枢经推拿，神经传导速度，腰椎间盘突出症 Study on conduction velocity of the nerve influences of Massage on Axis Meridians on patient with Lumbar intervertebral disc herniation ABSTRACT Objective: The purpose of this project is to observe the efficacy of Massage on Axis Meridians treatment of lumbar intervertebral disc herniation so as to provide the medical effective evidence for the popularization of Massage on Axis Meridians treatment of lumbar intervertebral disc herniation. Methods: 60 patients which were confirmed to the criteria were randomized into two groups: treatment group (Massage on Axis Meridians group) and control group (Conventional massage group). Both groups were with 30 patients.30 min each time, every other day and 10 times as a course. At first the tenth before treatment and after treatment to detect limb tibial nerve and peroneal nerve conduction velocity F wave . Then the results were analyzed to observe the modulating effect of Massage on Axis Meridians fo