本文選題：骨質(zhì)疏松　切入點：椎體壓縮性骨折　出處：《廣州中醫(yī)藥大學(xué)》2010年碩士論文　論文類型：學(xué)位論文

【摘要】： 研究背景 隨著老年人口的不斷增加,作為中老年退行性疾病之一的骨質(zhì)疏松癥及其所引起的骨折己成為一個嚴重的社會問題而備受關(guān)注。骨折是骨質(zhì)疏松癥最常見和最嚴重的并發(fā)癥,它不僅增加病人的痛苦,而且嚴重限制患者的活動,甚至縮短壽命。而骨質(zhì)疏松癥引起的骨折則以脊柱椎體壓縮性骨折最為常見,臨床癥狀主要表現(xiàn)為腰背部疼痛及活動受限。 研究目的 通過比較單純針刺和針刺結(jié)合埋線的治療方法緩解由骨質(zhì)疏松性椎體壓縮性骨折引起的疼痛的療效,探討針刺療法和埋線療法協(xié)同增效的可能性,尋求切合臨床實際的提高針刺療效的方法。 研究方法 以廣州中醫(yī)藥大學(xué)第三附屬醫(yī)院(骨傷科醫(yī)院)住院部的年齡在60歲以上的骨質(zhì)疏松性椎體壓縮性骨折患者為研究對象,采用隨機分組的方法,將60例患者分為單純針刺(A組)和針刺結(jié)合埋線組(B組),每組各30例。針刺和埋線選穴：腎俞(雙)、脾俞(雙)、大腸俞(雙)、夾脊穴(雙)、委中(雙)、足三里(雙)、太沖(雙)、腰痛點(雙)、關(guān)元、氣海、阿是穴。單純針刺組治療方法：上述穴位針刺得氣后留針二十五分鐘。每隔5分鐘行針一次,用捻轉(zhuǎn)彈動,行平補平瀉法。隔天一次,三次為一個療程。針刺結(jié)合埋線組治療方法：腎俞、脾俞、大腸俞、夾脊穴采用埋線療法,其它同針刺組。治療前后分別檢測一次下列疼痛指標：1.自發(fā)性疼痛2.翻身痛3.前后屈痛4.步行痛5.椎體壓痛6.完成翻身動作所需時間。治療前后兩組分別在治療前后采用“疼痛分數(shù)”進行療效評價。 研究結(jié)果 1.A組與B組治療前后比較,患者完成翻身動作所需時間均明顯縮短,差別有顯著性意義(P0.01),說明二組治療后疼痛減輕,活動能力改善。 2.A組與B組治療后,患者完成翻身動作所需時間變化比較,兩組間差別無顯著性意義(P0.05)。 3.A組與B組治療前后比較,臨床觀察的五項疼痛分數(shù)均改善,差別有顯著性意義(P0.01),說明二組在治療后均有效。 4.A組與B組在治療后臨床有效率比較,兩組間差別無顯著性意義(P0.05),說明二組療效無明顯差異。 研究結(jié)論 單純針刺和針刺結(jié)合埋線均能明顯緩解骨質(zhì)疏松性椎體壓縮性骨折引起的疼痛；但比較二組療效,針刺結(jié)合埋線組未見明顯提高。
[Abstract]:Research background. With the continuous increase of the elderly population, osteoporosis, one of the degenerative diseases of the middle-aged and elderly, and its associated fractures have become a serious social problem. Fracture is the most common and serious complication of osteoporosis. It not only increases the patient's pain, but also severely restricts the patient's activity and even shortens the life span. The fracture caused by osteoporosis is the most common fracture of vertebral body compression, and the clinical symptoms are mainly pain in the back and waist and limited movement. Research purpose. By comparing the curative effect of simple acupuncture and acupuncture combined with embedding thread to relieve the pain caused by osteoporotic vertebral compression fracture, the possibility of synergistic effect between acupuncture therapy and catgut embedding therapy was discussed. To find a method to improve the therapeutic effect of acupuncture in accordance with clinical practice. Research method. The patients with osteoporotic vertebral compression fracture, aged over 60 years, in the hospital of the third affiliated Hospital of Guangzhou University of traditional Chinese Medicine (Orthopedics and Trauma Hospital) were studied. 60 patients were divided into simple acupuncture group A (group A) and acupuncture combined with catgut embedding group (group B), 30 cases in each group. Acupuncture and catgut embedding selection points: Shenshu (Shuangzhu, Pi Yu (Shuangli), Dachang Yu (Shuangli), Jiaji points (Shuangli, Huazhong, Zusanli, Zusanli). Shuangzao, Taichung (Shuangli, Kuanyuan), Qihai, Ashi. Treatment method of simple Acupuncture Group: keep the needle for 25 minutes after the acupuncture at the above mentioned acupoints. Once every 5 minutes, move with twist and spring, take the method of leveling and tonifying and reducing. Once every other day, Three times as a course of treatment. Acupuncture combined with catgut embedding group treatment methods: Shenshu, spleen Yu, Dachang Yu, Jiaji point embedding therapy, Other same acupuncture group. Before and after treatment, the following pain indexes: 1: 1. Spontaneous pain 2. Turn over pain 3. Front and back flexion pain 4. Walking pain 5. Vertebral tenderness 6. Time required to complete the turn over. Before and after treatment, the two groups were treated separately. Pain score was used to evaluate the curative effect before and after treatment. Research results. 1.Compared with group B before and after treatment, the time required to complete the turning over was significantly shorter in group A than in group B, and the difference was significant (P 0.01), indicating that the pain and activity ability of the two groups were alleviated after treatment. 2.After the treatment of group A and group B, there was no significant difference between the two groups in the time required to complete the turning over. 3.Compared with group B before and after treatment, the scores of five items of pain in group A were improved, and the difference was significant (P 0.01), which indicated that the two groups were effective after treatment. 4. There was no significant difference in the clinical effective rate between group A and group B after treatment, indicating that there was no significant difference in curative effect between the two groups. Research conclusion. The pain caused by osteoporotic vertebral compression fracture was significantly alleviated by simple acupuncture and acupuncture combined with embedding thread, but compared with the two groups, the acupuncture combined with thread embedding group was not significantly improved.
【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】：2010
【分類號】：R246

【相似文獻】

相關(guān)期刊論文 前10條

1 林軍,鄧倩萍;穴位埋線治療癲癇160例療效觀察[J];中國針灸;2001年11期

2 馬顯杰,艾玉峰,夏煒,魯開化,郭樹忠,韓巖,張琳西,楊力;埋線重瞼術(shù)的并發(fā)癥及治療[J];中國美容醫(yī)學(xué);2002年01期

3 董閩田，曾勉治，唐浩;透穴埋線懸吊法治療面神經(jīng)炎[J];寧夏醫(yī)學(xué)院學(xué)報;1995年02期

4 劉本立 ,李健;穴位埋線治療神經(jīng)根型頸椎病170例臨床觀察[J];湖南中醫(yī)雜志;2003年03期

5 趙鳴,蔣凌,周青;小切口8字埋線重瞼術(shù)[J];眼外傷職業(yè)眼病雜志(附眼科手術(shù));2004年08期

6 陳千里,張澤勝;耳穴貼壓配合穴位埋線治療單純性肥胖癥83例[J];上海針灸雜志;2005年02期

7 庾堯煒,陳光曄;埋線及縫扎治療口腔頰面部血管瘤[J];廣東牙病防治;1998年03期

8 徐繼光,徐華;埋線治愈痙攣性斜頸1例[J];上海針灸雜志;2000年06期

9 鄭祖剛,趙和慶,諸方受;穴位注射加埋線治療腰椎間盤突出癥術(shù)后復(fù)發(fā)21例[J];中醫(yī)正骨;2000年12期

10 唐治安,周振發(fā);穴位埋線配合火針治療類風(fēng)濕性關(guān)節(jié)炎30例[J];河北中醫(yī);2002年09期

相關(guān)會議論文 前10條

1 劉憲俊;林志葦;陳耀祖;吳淑平;張建新;陳敏;黎健;潘文謙;劉蘭英;;脾腎俞埋線防治原發(fā)性骨質(zhì)疏松對血清BGP及尿Ca/Cr的影響[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

2 王俊華;;針刺背俞穴結(jié)合軀干訓(xùn)練對中風(fēng)偏癱患者運動功能的影響[A];中國康復(fù)醫(yī)學(xué)會第十四次腦血管病康復(fù)學(xué)術(shù)會議暨中華中醫(yī)藥學(xué)會第九次養(yǎng)生康復(fù)學(xué)術(shù)會議論文匯編[C];2011年

3 梁清;劉海靜;王光鼎;;針刺加穴位敷貼牽正膏治療面神經(jīng)麻痹的療效觀察[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

4 許東;李瑞;;失眠的針灸臨床應(yīng)用[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

5 盛國濱;;針刺經(jīng)筋結(jié)點治療中風(fēng)后痙攣性癱瘓的臨床觀察[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

6 錢小路;周爽;尤艷利;戰(zhàn)梅;李偉紅;張鑫鑫;顧偉;方凡夫;;針刺夾脊穴配合梅花針刺絡(luò)治療神經(jīng)根型頸椎病臨床觀察[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

7 李文玄;張磊;;下肢動脈硬化閉塞癥非藥物治療研究進展[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

8 宗蕾;;平衡陰陽巤脈配合背俞穴治療失眠的療效觀察[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

9 張繼成;;針灸治療慢性結(jié)腸炎100例療效觀察[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

10 黃文靜;陳瑩;王君南;王瑾;金榮疆;;針刺治療痛證處方配穴方法的研究近況[A];2011中國針灸學(xué)會年會論文集（摘要）[C];2011年

相關(guān)重要報紙文章 前10條

1 李治勇;微創(chuàng)埋線臨床病例介紹[N];農(nóng)村醫(yī)藥報（漢）;2009年

2 上海博愛醫(yī)院針灸科 孫文善;微創(chuàng)埋線:技術(shù)現(xiàn)狀與發(fā)展趨勢[N];農(nóng)村醫(yī)藥報（漢）;2008年

3 yび板逭步，

本文編號：1646915