經(jīng)外奇穴與經(jīng)穴配合溫針灸治療膝骨關(guān)節(jié)炎臨床觀察
發(fā)布時間：2018-11-01 20:50
【摘要】：目的:膝骨關(guān)節(jié)炎是老年常見病之一,伴隨著中國人口老齡化、飲食結(jié)構(gòu)、肥胖比例的變化,其發(fā)病率日益升高,使老年人生活質(zhì)量降低,加重社會經(jīng)濟負擔(dān)。因此如何使用中醫(yī)治療方法提高患者生活水平成為熱點。本課題通過隨機對照的科研方法,旨在探討經(jīng)外奇穴溫針灸療法治療因膝關(guān)節(jié)出現(xiàn)的疼痛、僵硬、腫脹臨床療效,進一步完善經(jīng)外奇穴臨床使用內(nèi)容,為臨床治療該種疾病提供全新的理論依據(jù),同時豐富了對膝骨關(guān)節(jié)炎的中醫(yī)治療方法,也為溫針灸經(jīng)外奇穴治療的療效提供臨床證據(jù)。方法:本研究的患者均來自于廣東省第二中醫(yī)院針灸門診及康復(fù)科病房,均符合膝骨關(guān)節(jié)炎的納入標(biāo)準(zhǔn),收集病人時間:2016年6月-2017年2月�，F(xiàn)對60例患者,給予隨機分配成兩組,治療組(30例)為經(jīng)外奇穴溫針灸、對照組(30例)為經(jīng)穴溫針灸。治療時間:1次/日,6次/周為1療程,休息1天,總共治療3個療程。治療前后對患者的WOMAC指數(shù)各種指標(biāo)、Lequesne MG量表及VAS量表進行打分,對病患者治療前后的各項數(shù)據(jù)收集整理,運用SPSS 22.0統(tǒng)計軟件對所收集的數(shù)據(jù)分析統(tǒng)計。結(jié)果:治療前經(jīng)外奇穴溫針灸組、經(jīng)穴溫針灸組的性別、年齡、病程、X線分級等資料經(jīng)統(tǒng)計學(xué)分析,P0.05,說明無顯著差異,兩組患者治療前的一般資料具有可比性。治療前,兩組比較,Lequesne-Mery評分、VAS量表、WOMAC骨關(guān)節(jié)炎指數(shù)積分,顯示P0.05,表明兩組患者有在一起的可比性;治療后,對Lequesne-Mery評分、VAS量表、WOMAC量表各項指標(biāo)進行評定,顯示兩組患者各項指標(biāo)有明顯改善(P0.05);組間比較:經(jīng)外奇穴溫針灸組的積分較經(jīng)穴溫針灸組明顯減少(P0.05),說明兩種療法都可以有效改善患者臨床癥狀,其中經(jīng)外奇穴溫針灸組在改善臨床癥狀方面優(yōu)于經(jīng)穴組。兩組患者療效經(jīng)秩和檢驗比較(P0.05),其中治療組經(jīng)外奇穴溫針灸達到有效以上的有29人,總有效率為96.7%;對照組經(jīng)穴溫針灸有效以上的有26人,總有效率為86.7%。兩組總有效率經(jīng)統(tǒng)計學(xué)分析具有意義(P0.05),綜上說明:對于膝骨關(guān)節(jié)炎的治療,經(jīng)外奇穴溫針灸療效優(yōu)于經(jīng)穴溫針灸。結(jié)論:經(jīng)外奇穴溫針灸及經(jīng)穴溫針灸均能在一定程度上改善膝骨關(guān)節(jié)炎臨床癥狀,但前者的臨床療效優(yōu)于后者。經(jīng)外奇穴溫針對膝骨關(guān)節(jié)炎的治療,不僅有針刺、灸法的作用,更突出經(jīng)外奇穴具有功效顯著、作用相對專一的特性,而且本次研究的治療方法操作相對簡單、取效迅速、具有較高的臨床療效,有應(yīng)用于臨床的價值。
[Abstract]:Objective: knee osteoarthritis is one of the common diseases in the elderly. With the changes of aging population, diet structure and obesity ratio, the incidence of knee osteoarthritis is increasing, which reduces the quality of life of the elderly and increases the social and economic burden. Therefore, how to use traditional Chinese medicine to improve the living standards of patients has become a hot spot. The purpose of this study was to explore the clinical effect of acupuncture and moxibustion therapy on pain, stiffness and swelling of knee joint, and to further improve the clinical use of Meridian Qi point. It provides a new theoretical basis for clinical treatment of this disease, enriches the traditional Chinese medicine treatment method for knee osteoarthritis, and provides clinical evidence for the therapeutic effect of warming acupuncture and moxibustion at Waiqi point. Methods: all the patients in this study were from acupuncture outpatient department and rehabilitation ward of Guangdong Provincial second Hospital of traditional Chinese Medicine. The patients met the inclusion criteria of knee osteoarthritis and collected the patient time from June 2016 to February 2017. 60 patients were randomly divided into two groups. The treatment group (30 cases) was treated with meridian Qi point warming acupuncture and moxibustion, and the control group (30 cases) with meridian point warming acupuncture. Treatment time: once a day, 6 times a week as a course of treatment, rest 1 day, a total of 3 courses of treatment. The WOMAC index, Lequesne MG scale and VAS scale were scored before and after treatment, and the data before and after treatment were collected and sorted, and the collected data were analyzed by SPSS 22.0 software. Results: before treatment, there was no significant difference in sex, age, course of disease and X-ray grading between the two groups. The general data of the two groups before treatment were comparable. Before treatment, Lequesne-Mery score, VAS scale and WOMAC osteoarthritis index score were compared between the two groups, indicating that the two groups were comparable. After treatment, the Lequesne-Mery score, VAS scale, WOMAC scale were evaluated, showing that the two groups of patients with significant improvement in each index (P0.05); Comparison between the two groups: the integral of the acupoint warming group was significantly lower than that of the warm acupuncture group (P0.05), indicating that both treatments could effectively improve the clinical symptoms of the patients. The Meridian Qi-point warming acupuncture group was superior to the Meridian acupoint group in improving clinical symptoms. The curative effect of the two groups was compared by rank sum test (P0.05), among which 29 patients in the treatment group achieved more than effective acupuncture and moxibustion at Waiqi point, the total effective rate was 96.7g. In the control group, 26 patients were above the effective point of warming acupuncture and moxibustion, and the total effective rate was 86.7. The total effective rate of the two groups was statistically significant (P0.05), which showed that: for the treatment of knee osteoarthritis, the acupuncture and moxibustion effect of Waiqi point warming was better than that of acupoint warming acupuncture. Conclusion: both meridian Qi point warming acupuncture and meridian point warming acupuncture can improve the clinical symptoms of knee osteoarthritis to some extent, but the clinical effect of the former is better than that of the latter. The treatment of knee osteoarthritis by Waiqi acupoint temperature not only has the effect of acupuncture and moxibustion, but also highlights the characteristic that Meridian Qi points have remarkable efficacy and relatively specific effect. Moreover, the treatment method in this study is relatively simple and effective. It has high clinical effect and has the value of clinical application.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.9
本文編號：2305066
[Abstract]:Objective: knee osteoarthritis is one of the common diseases in the elderly. With the changes of aging population, diet structure and obesity ratio, the incidence of knee osteoarthritis is increasing, which reduces the quality of life of the elderly and increases the social and economic burden. Therefore, how to use traditional Chinese medicine to improve the living standards of patients has become a hot spot. The purpose of this study was to explore the clinical effect of acupuncture and moxibustion therapy on pain, stiffness and swelling of knee joint, and to further improve the clinical use of Meridian Qi point. It provides a new theoretical basis for clinical treatment of this disease, enriches the traditional Chinese medicine treatment method for knee osteoarthritis, and provides clinical evidence for the therapeutic effect of warming acupuncture and moxibustion at Waiqi point. Methods: all the patients in this study were from acupuncture outpatient department and rehabilitation ward of Guangdong Provincial second Hospital of traditional Chinese Medicine. The patients met the inclusion criteria of knee osteoarthritis and collected the patient time from June 2016 to February 2017. 60 patients were randomly divided into two groups. The treatment group (30 cases) was treated with meridian Qi point warming acupuncture and moxibustion, and the control group (30 cases) with meridian point warming acupuncture. Treatment time: once a day, 6 times a week as a course of treatment, rest 1 day, a total of 3 courses of treatment. The WOMAC index, Lequesne MG scale and VAS scale were scored before and after treatment, and the data before and after treatment were collected and sorted, and the collected data were analyzed by SPSS 22.0 software. Results: before treatment, there was no significant difference in sex, age, course of disease and X-ray grading between the two groups. The general data of the two groups before treatment were comparable. Before treatment, Lequesne-Mery score, VAS scale and WOMAC osteoarthritis index score were compared between the two groups, indicating that the two groups were comparable. After treatment, the Lequesne-Mery score, VAS scale, WOMAC scale were evaluated, showing that the two groups of patients with significant improvement in each index (P0.05); Comparison between the two groups: the integral of the acupoint warming group was significantly lower than that of the warm acupuncture group (P0.05), indicating that both treatments could effectively improve the clinical symptoms of the patients. The Meridian Qi-point warming acupuncture group was superior to the Meridian acupoint group in improving clinical symptoms. The curative effect of the two groups was compared by rank sum test (P0.05), among which 29 patients in the treatment group achieved more than effective acupuncture and moxibustion at Waiqi point, the total effective rate was 96.7g. In the control group, 26 patients were above the effective point of warming acupuncture and moxibustion, and the total effective rate was 86.7. The total effective rate of the two groups was statistically significant (P0.05), which showed that: for the treatment of knee osteoarthritis, the acupuncture and moxibustion effect of Waiqi point warming was better than that of acupoint warming acupuncture. Conclusion: both meridian Qi point warming acupuncture and meridian point warming acupuncture can improve the clinical symptoms of knee osteoarthritis to some extent, but the clinical effect of the former is better than that of the latter. The treatment of knee osteoarthritis by Waiqi acupoint temperature not only has the effect of acupuncture and moxibustion, but also highlights the characteristic that Meridian Qi points have remarkable efficacy and relatively specific effect. Moreover, the treatment method in this study is relatively simple and effective. It has high clinical effect and has the value of clinical application.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.9
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