本文選題：肩周炎 + 阿是穴　； 參考：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過對(duì)比MTrPs干針結(jié)合常規(guī)針刺法和常規(guī)取穴結(jié)合阿是穴針刺法在緩解肩周炎疼痛和功能障礙的療效差異分析兩種療法的特點(diǎn)、療效、安全性。方法:采用隨機(jī)、對(duì)照、單盲的研究方法,將符合納入標(biāo)準(zhǔn)的80例患者,分為對(duì)照組(阿是穴結(jié)合常規(guī)針刺)、試驗(yàn)組(MTrPs干針結(jié)合常規(guī)針刺),每組40例。對(duì)照組在肩毭、肩毼、臂佈、條口、阿是穴針刺并行針;試驗(yàn)組對(duì)肩毭、肩毼、臂佈、條口等穴位運(yùn)用同對(duì)照組一致的常規(guī)針刺,并在激活的MTrPs上進(jìn)行針刺并引出局部抽搐反應(yīng)。每隔一天針灸一次,一周三次為一個(gè)療程,連續(xù)觀察三個(gè)療程。觀察治療前與治療后第一周、第三周時(shí),兩組McGill疼痛評(píng)價(jià)、CMS肩關(guān)節(jié)功能評(píng)分的變化,以判定療效。結(jié)果:1.兩組在性別、年齡、年齡段分布、病程及病位(病情程度,McGill評(píng)分量表,CMS肩關(guān)節(jié)功能評(píng)分)等各方面一致性較好(P0.05),基線水平,數(shù)據(jù)具有可比性。2.兩組進(jìn)行治療前后組內(nèi)比較:McGill疼痛評(píng)分,CMS評(píng)分中疼痛、疼痛范圍均有好轉(zhuǎn),且具有顯著性差異(P0.05)。3.兩組治療一周后組間比較:兩組McGill疼痛評(píng)分和CMS評(píng)分中疼痛、疼痛范圍評(píng)分結(jié)果,試驗(yàn)組優(yōu)于對(duì)照組。兩組差異有統(tǒng)計(jì)學(xué)意義(P0.05)。4.兩組治療三周后組間比較:兩組McGill疼痛評(píng)分和CMS評(píng)分中評(píng)分結(jié)果兩組差異無顯著性(P0.05)。5.第三周治療結(jié)束后,試驗(yàn)組和對(duì)照組的總有效率分別為97.30%和94.74%,組間比較無顯著差異(p0.05),說明兩種干預(yù)方法對(duì)于肩周炎的遠(yuǎn)期療效俱佳。結(jié)論:1、MTrPs干針結(jié)合常規(guī)針刺法和常規(guī)取穴結(jié)合阿是穴針刺均能對(duì)肩周炎患者疼痛和關(guān)節(jié)功能有顯著的改善作用2、在近期的治療效果上,MTrPs干針結(jié)合常規(guī)針刺法優(yōu)于常規(guī)取穴結(jié)合阿是穴針刺3、在遠(yuǎn)期療效上,兩種療法的療效沒有顯著差異。
[Abstract]:Objective: to compare the curative effects of MTrPs dry needle combined with conventional acupuncture and conventional acupoint extraction combined with Ashi acupuncture in relieving shoulder periarthritis pain and dysfunction and analyze the characteristics, efficacy and safety of the two methods. Methods: a randomized, controlled and single-blind study was conducted. 80 patients who met the inclusion criteria were divided into control group (Ashi point combined with conventional acupuncture) and experimental group (40 cases in each group) with MTrPs dry acupuncture combined with routine acupuncture. In the control group, the acupoints of shoulder, shoulder, arm, strip mouth and Ashi were needled simultaneously, while the experimental group used routine acupuncture at shoulder, shoulder, arm cloth, strip mouth and so on, which were consistent with those of the control group. Acupuncture was performed on the activated MTrPs and local convulsions were elicited. Acupuncture and moxibustion once every other day, three times a week as a course of treatment, three consecutive courses of observation. The changes of McGill shoulder function score were observed before treatment and at the first week and the third week after treatment in order to evaluate the curative effect. The result is 1: 1. There was good consistency in sex, age, age distribution, course of disease and disease position (degree of illness, McGill score and CMS shoulder function score) between the two groups (P < 0.05). The baseline level and data were comparable. 2. Before and after treatment, there was a significant difference in the pain range between the two groups (P < 0.05), and there was a significant difference between the two groups before and after treatment (P < 0.05), and there was a significant difference in the pain range between the two groups (P < 0.05). Comparison between the two groups after one week of treatment: McGill pain score and CMS score in the two groups were better than those in the control group. The difference between the two groups was statistically significant (P 0.05). 4. Comparison between the two groups after three weeks of treatment: there was no significant difference between the two groups in McGill pain score and CMS score. At the end of the third week, the total effective rates of the experimental group and the control group were 97.30% and 94.74, respectively. There was no significant difference between the two groups (p 0.05). Conclusion dry acupuncture combined with routine acupuncture and conventional acupoint extraction combined with Ashi acupuncture can significantly improve pain and joint function in patients with periarthritis of shoulder (2). MTrPs dry acupuncture combined with routine acupuncture is superior to traditional acupuncture in the recent treatment effect of shoulder periarthritis patients. [WT5HZ] [WT5HZ] [WT5 "BZ] [WT5" BZ] [WT5 "BZ] [WT5" BZ] The combination of acupoint regulation and Ashi acupuncture 3, in the long-term effect, There was no significant difference in efficacy between the two treatments.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 徐智強(qiáng);丁德光;;針刺阿是穴結(jié)合耳穴壓豆治療肩周炎療效觀察[J];山西中醫(yī)學(xué)院學(xué)報(bào);2016年04期

2 張建斌;鄒洋洋;胡廣勇;武九龍;白潔凈;張樹劍;;受病處:論以臨床為視角的腧穴觀[J];中國(guó)針灸;2014年12期

3 薛建軍;;西方針刺方法和傳統(tǒng)針灸治療慢性疼痛的異與同[J];西部中醫(yī)藥;2013年04期

4 孟立強(qiáng);王衛(wèi)強(qiáng);程艷婷;;透刺法理論探析[J];江蘇中醫(yī)藥;2013年01期

5 虎成;;平衡針灸療法治療肩關(guān)節(jié)周圍炎100例的療效觀察[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專業(yè));2012年15期

6 楊國(guó)法;靳聰妮;原蘇琴;;阿是穴的現(xiàn)代醫(yī)學(xué)解析[J];中國(guó)針灸;2012年02期

7 趙京生;;“以痛為輸”與“阿是穴”:概念術(shù)語考辨[J];針刺研究;2010年05期

8 張必來;;局部封閉結(jié)合按摩治療肩周炎急性期65例[J];中國(guó)中醫(yī)急癥;2010年10期

9 白宇;原林;黃泳;吳金鵬;王軍;戴景興;王春雷;姜雪梅;李東飛;楊春;余美春;楊會(huì)營(yíng);陶暉;沙鷗;姚大衛(wèi);;經(jīng)絡(luò)的解剖學(xué)發(fā)現(xiàn)——筋膜學(xué)新理論[J];世界科學(xué)技術(shù)(中醫(yī)藥現(xiàn)代化);2010年01期

10 柳圍堤;楊衛(wèi)新;;肌筋膜激痛點(diǎn)形成機(jī)制的研究進(jìn)展[J];航空航天醫(yī)藥;2010年01期

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