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分析.pdfVIP

velocity of the tibial nerve and the peroneal nerve EMG F-wave after treatment was faster than that of EMG F-wave before treatment. The difference was statistically significant(P ＜0.01). The EMG F-wave conduction velocity in treatment group was faster than that of control group after treatment. Shows that Massage on Axis Meridians can significantly promote lumbar intervertebral disc herniation tibial nerve and peroneal nerve conduction velocity. Conclusions: Massage on Axis Meridians treatment of lumbar disc herniation has a significant effect, safe and reliable, no adverse reactions, etc. Massage on Axis Meridians as a natural therapy without side effects of drugs,it is a non-invasive therapy, the economy is good, easy to accept patients. So Massage on Axis Meridians treatment of lumbar intervertebral disc herniation treatment is a valuable method which deserves popularization. Key words: massage on ais mridians，the EMG F-wave conduction velocity ，lmbar intervertebral disc herniation 目 录 引言 1 正文3 临床研究资料 3 1.1 一般资料3 1.2 诊断标准3 1.2.1 中医诊断标准 3 1.2.2 西医诊断标准 3 1.3 纳入标准4 1.4 排除标准4 1.5 病例的剔除和脱落 5 2 研究方法5 2.1 研究设计的类型 5 2.2 随机对照方法5 2.2.1 随机过程5 2.2.2 分组隐藏5 2.2.3 对照方法 5 2.3 研究的干预措施 5 2.3.1 枢经推拿治疗组 5 2.3.2 常规推拿对照组： 6 2.3.3 疗程7 2.4 观察指标及评定方法 7 2.4.1JOA 下腰痛评分表 7 2.4.2 下肢神经传导速度测定 7 2.4.3 临床疗效评定标准 8 2.5 统计方法9 2.6 技术路线9 3 研究结果9 3.1 一般情况比较 9 3.2 治疗结果10 3.2.1JOA 腰椎功能评分比较 10 3.2.2 临床疗效比较10 3.2.3 两组患者下肢 F 波传导速度11 4 讨论11 4.1 现代医学对腰椎间盘突出症的认识 11 4.1.1 腰椎间盘突出症的诱发因素 11 4.1.2 腰椎间盘突出症的致痛机制 13 4.2 中医对腰椎间盘突出症的认识 14 4.2.1 沿革15 4.2.2 病因病机 15 4.3 治疗16 4.3.1 腰椎间盘突出症的西医治疗 16 4.3.2 腰椎间盘突出症的中医治疗 18 4.4 枢经学说的概述 25 4.4.1 枢的含义 25 4.4.2 枢经学说的内涵 25 4.4.3 枢经生理功能特点 26 4.5 中医理论内涵26 4.6 推拿治疗腰椎间盘突出症的理论基础 29 4.6.1 抗炎和镇痛 29 4.6.2 改善微循环与血液流变学 30 4.6.3 提高局部组织的痛阈 30 4.7 枢经推拿的选