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Clinical Observation On The Treatment Of Chronic Low Back Pain With Lumbar Intervertebral Disc Herniation

Posted on:2017-03-08Degree:MasterType:Thesis
Country:ChinaCandidate:Z ZhangFull Text:PDF
GTID:2174330482484379Subject:Acupuncture and massage to learn
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Objective:Lumbar disc herniation is due to lumbar disc degeneration, which leads to the rupture of annulus, nucleus pulposus stimulation or nerve root compression, cauda equina caused low back pain and leg pain and a series of symptoms of the nerve syndrome. Patients with symptoms of low back pain, sciatica, numbness or abnormal sensation, difficulty walking, urination and sexual function do not change, which is the majority of patients with lumbago first symptoms, the incidence rate of about 91%, in addition to the earlier time of onset, with the passage of time or not timely treatment, often into chronic low back pain caused by the patient the prevalence of long cycle characteristics, but also affected by the environment, such as cold weather and other factors, easy to relapse. To the quality of life of patients decreased and psychological burden, affect the patient’s normal life and work, also has the characteristics of the disease incidence rate increased with age. Statistics show that about 80% of adults had experienced back pain. Epidemiological investigation showed that in different populations, the disease incidence rate ranging approximately between 7.6%-37%, the teen year cumulative incidence rate of nearly 30%. According to a survey, the European countries the average per person per year spent more than 1300 euros for the treatment or alleviation of pain. Low back pain especially chronic back pain, caused a great impact on the economic development of human society and people’s physical and mental health, so many countries in the world on how to effectively treat lumbago very seriously, put a great deal of capital and energy.For the nine waist experience method of Professor Shen Hongqiang in the treatment of lumbar disc herniation pain more than 20 years are summarized, and has wide application and good therapeutic effect in clinic. This method highlights the characteristics of Acupuncture Acupuncture tutor, this method focuses on the waist the local acupoints, targeted analgesic effect, and easy memory, strong repeatability, convenient popularization and application in clinic. This topic through the collation of relevant literature, and clinical cases of lumbar nine treatment and remission of chronic low back pain caused by lumbar disc herniation observation, curative effect on lumbar nine and indications were analyzed, elaborated the characteristics and advantages of lumbar nine, to evaluate the clinical curative effect of lumbar nine in the treatment of lumbar disc herniation patients and discuss its application prospect.Methods:The clinical experimental method of autogenic control before and after the observation of 60 cases with chronic back pain complaints of lumbar disc herniation patients before and after treatment of 12 lumbar nine pain relief and the changes of symptoms after 2 weeks before treatment, the first end of the 6 course of treatment, after 4 weeks of treatment,the second end of the 12 course of treatment were performed on patients with visual analogue scale (VAS), Chinese version of the Oswestry disability index (CODI) scale and modified JOA score, conclusionResults:Lumbar nine before treatment of patients with low back pain VAS score was 4.53+ 1.171, lumbar nine after 2 weeks of treatment in patients with low back pain VAS score was 3.22+1.027, lumbar nine after 4 weeks of treatment in patients with low back pain VAS score was 2.30+1.239. After 4 weeks of treatment, VAS score of patients decreased the average value is 2.23+1.015, by the analysis of paired T test statistics, before and after treatment VAS score in patients with significant difference (P<0.01).Lumbar nine before treatment of patients with low back pain disability index (CODI) (%) for an average of 35.82 +10.075, nine treatment of lumbar dysfunction index of patients with low back pain after 2 weeks (CODI) (%) for an average of 25.82+9.017, nine treatment of lumbar dysfunction index of patients with low back pain after 4 weeks (CODI) (%) average of 18.52+9.256. After 4 weeks of treatment, patients with disability index (CODI) score decreased total average value of 17.30+6.781, by the analysis of paired T test statistics, before and after treatment in patients with disability index (CODI) (%) had extremely significant difference (P<0.01).Lumbar nine before treatment of patients with low back pain JOA score was 16.83+ 2.618, lumbar nine after 2 weeks of treatment in patients with low back pain JOA score was 19.48+2.849, lumbar nine after 4 weeks of treatment in patients with low back pain JOA score was 22.03+2980. By the analysis of paired T test statistics, before and after treatment JOA score in patients with significant difference (P<0.01)Conclusion:1.Waist nine in the treatment of lumbar disc herniation caused by chronic low back pain with remarkable curative effect, VAS score, CODI score and JOA score were significantly improved in the experimental subjects,0 cured,12 markedly effective,41 effective,7 ineffective, the total effective rate was 88.3%.2.In addition to the therapy of local analgesic effect, the curative effect is to reduce lumbar disc herniation and other symptoms.3.The different sex therapy on patients with chronic low back pain and its curative effect.4.The therapy in different age patients with chronic low back pain and its curative effect.5.Patients, the therapy of relatively short duration significantly.6.Weight factors have significant influence on the therapy,7.The topic for nine treatment and lumbar disc herniation remission of chronic low back pain caused by lumbar provides clinical evidence.
Keywords/Search Tags:low back pain, the waist nine, lumbar disc disease
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