本文選題：創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直 + 肘關(guān)節(jié)僵硬　； 參考：《浙江中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的通過(guò)規(guī)范化的臨床研究,系統(tǒng)觀察并客觀評(píng)價(jià)運(yùn)動(dòng)療法聯(lián)合針刀治療創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直的療效,觀察其對(duì)肘關(guān)節(jié)疼痛及功能恢復(fù)的影響,明確針刀及運(yùn)動(dòng)療法的部分治療特點(diǎn),討論針刀及運(yùn)動(dòng)療法治療創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直的操作規(guī)范,推廣其應(yīng)用,為非手術(shù)療法治療本病提供一條新的有效途徑。方法臨床研究采用循證醫(yī)學(xué)的方法,標(biāo)準(zhǔn)化的診斷和療效評(píng)價(jià)標(biāo)準(zhǔn),明確和規(guī)范各治療方法參數(shù),以肘關(guān)節(jié)疼痛評(píng)分及肘關(guān)節(jié)功能評(píng)分為觀察指標(biāo),分別運(yùn)用運(yùn)動(dòng)療法聯(lián)合針刀療法及單純針刀療法及單純運(yùn)動(dòng)療法對(duì)105例經(jīng)確診為創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直的患者進(jìn)行對(duì)照治療,以4周為一個(gè)觀察療程。療程前后觀察癥狀評(píng)分的變化。結(jié)果①臨床研究顯示：創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直患者經(jīng)運(yùn)動(dòng)療法聯(lián)合針刀治療后,總有效率達(dá)到97.14%,明顯優(yōu)于單純針刀組和單純運(yùn)動(dòng)療法組。②經(jīng)統(tǒng)計(jì)結(jié)果分析,三種方法治療創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直其癥狀積分治療前后組內(nèi)比較增加明顯(P0.01),療程結(jié)束后組間臨床癥狀積分差值聯(lián)合組要明顯優(yōu)于其余兩組(P0.05),單純針刀組與單純運(yùn)動(dòng)療法組之間無(wú)顯著差異(P0.05)。結(jié)論運(yùn)動(dòng)療法聯(lián)合針刀治療創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直總有效率優(yōu)于單純運(yùn)動(dòng)療法及單純針刀療法。針刀療法和運(yùn)動(dòng)療法治療創(chuàng)傷后肘關(guān)節(jié)強(qiáng)直總有效率無(wú)明顯差異。
[Abstract]:Objective To observe and objectively evaluate the effect of sports therapy combined with needle knife in the treatment of elbow joint ankylosis through standardized clinical study, observe its effect on elbow joint pain and function recovery, clarify part of the treatment characteristics of acupotomy and exercise therapy, and discuss the operation rules of acupotomy and movement therapy in the treatment of elbow joint ankylosis after trauma. To provide a new and effective approach to the treatment of this disease by non operative therapy. Methods the clinical study adopted evidence-based medicine, standardized diagnosis and evaluation criteria, and defined and normalized the parameters of the treatment methods, with the elbow joint pain score and elbow joint work score as the observation index, and the combination of sports therapy combined with exercise therapy. Needle knife therapy, simple needle knife therapy and simple exercise therapy were used to treat 105 patients who had been diagnosed as ankylosis of the elbow joint. A course of observation was taken for 4 weeks. The changes of symptom scores were observed before and after the course of treatment. The efficiency was 97.14%, obviously superior to the simple needle knife group and the simple exercise therapy group. (2) the comparison between the three methods before and after the integral treatment of the ankylosis after trauma was obviously increased (P0.01). The combination group of the clinical symptom integral difference between the groups after the course of treatment was obviously superior to the other two groups (P0.05) and the simple needle knife. There was no significant difference between the group and the simple exercise therapy group (P0.05). Conclusion the total effective rate of motor therapy combined with needle knife in the treatment of post-traumatic elbow ankylosis is better than that of simple exercise therapy and simple needle knife therapy. There is no significant difference in the total effective rate of elbow joint ankylosis after trauma and acupuncture therapy and exercise therapy.

【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R684

【共引文獻(xiàn)】

相關(guān)博士學(xué)位論文 前2條

1 溫家隆;針刀結(jié)合針刺治療坐骨神經(jīng)痛的臨床研究[D];廣州中醫(yī)藥大學(xué);2010年

2 鐘志年;超聲引導(dǎo)下針刀觸激星狀神經(jīng)節(jié)治療椎動(dòng)脈型頸椎病的臨床療效觀察[D];北京中醫(yī)藥大學(xué);2015年

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本文編號(hào)：1801729