本文關(guān)鍵詞：斜刺經(jīng)筋法治療膝骨性關(guān)節(jié)炎的臨床觀察　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 斜刺 經(jīng)筋 陽性反應(yīng)點 膝骨性關(guān)節(jié)炎

【摘要】：目的:以常規(guī)針刺穴位為對照,探討從經(jīng)筋角度治療膝骨性關(guān)節(jié)炎的臨床有效性及優(yōu)越性,提高本病治愈率及降低復(fù)發(fā)率。方法:采用隨機(jī)對照試驗的研究方法,將符合研究標(biāo)準(zhǔn)的60例膝骨性關(guān)節(jié)炎患者隨機(jī)分為試驗組和對照組兩組,各30例。試驗組根據(jù)膝關(guān)節(jié)及其周圍疼痛部位,在病變經(jīng)筋路線上尋找陽性反應(yīng)點進(jìn)行針刺;對照組采用傳統(tǒng)穴位治療。兩組療程相同,隔日1次,每周3次,1周為1個療程,療程間休息2天,共4個療程,療程結(jié)束后進(jìn)行第一次療效評估,療程結(jié)束1月后隨訪進(jìn)行第二次療效評估。采用目測類比定級法評分(VAS)、膝關(guān)節(jié)骨性關(guān)節(jié)量表指數(shù)(WOMAC)在治療前、后及隨訪時記錄患者各項評分情況,從而評價其臨床療效。成果:1.患者基本資料方面:治療前兩組的性別、年齡、病程及各項評分等基線情況組間比較,差異無統(tǒng)計學(xué)意義(P0.05),具有可比性。2.總體療效組間比較:(1)治療后:試驗組總有效率96.67%,對照組總有效率86.67%,總體療效組間比較差異有統(tǒng)計學(xué)意義(P0.01)。(2)隨訪時:試驗組總有效率90.00%,對照組總有效率80.00%,總體療效組間比較差異有統(tǒng)計學(xué)意義(P0.01)。3.治療前后各項評分組內(nèi)比較差異有統(tǒng)計學(xué)意義(P0.05)。4.治療后各項評分組間比較差異有統(tǒng)計學(xué)意義(P0.05)。5.隨訪時與治療后各項評分組內(nèi)比較:試驗組:疼痛評分、日常活動難度評分、WOMAC總分組內(nèi)比較差異有統(tǒng)計學(xué)意義(P0.05),僵硬評分組內(nèi)比較無統(tǒng)計學(xué)意義(P0.05)。對照組:疼痛評分組內(nèi)比較差異有統(tǒng)計學(xué)意義(P0.05),僵硬評分、日常活動難度評分、WOMAC總分組內(nèi)比較無統(tǒng)計學(xué)意義(P0.05)。6.隨訪時與治療后疼痛評分、日常活動難度評分、WOMAC總分組間比較差異有統(tǒng)計學(xué)意義(P0.05),僵硬評分組間比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.兩種療法治療膝骨性關(guān)節(jié)炎都有很好的臨床療效,但試驗組的總體療效優(yōu)于對照組。2.試驗組對疼痛、僵硬、日�；顒与y度及整體癥狀的改善均優(yōu)于對照組,且在疼痛、日常活動難度及整體癥狀的改善方面持續(xù)效應(yīng)優(yōu)于對照組,在僵硬改善方面兩組均無明顯持續(xù)效應(yīng)。
[Abstract]:Objective: To investigate the clinical efficacy and superiority of the treatment of knee osteoarthritis from the perspective of meridian tendons, and to improve the cure rate and reduce the recurrence rate. Methods: 60 patients with knee osteoarthritis who met the research criteria were randomly divided into two groups: the experimental group and the control group, with two cases in each group, 30 cases in each group. In the experimental group, the positive reaction points were found on the tendons of the knee and the pain sites around the knee, and the control group was treated with traditional acupoint therapy. The two groups had the same course of treatment, 1 times every other day, 3 times a week, 1 weeks for 1 courses, and 2 days of treatment between them, a total of 4 courses. After the end of the treatment, the first efficacy was evaluated. After the end of the course of treatment, second patients were followed up for curative effect evaluation after January. Visual analogue scale (VAS) and knee osteoarthrosis index (WOMAC) were used to record patients' scores before and after treatment, so as to evaluate their clinical efficacy. Results: 1. patients' basic data: before treatment, there was no statistically significant difference in gender, age, course of disease and score between the two groups in the baseline situation (P0.05). 2., the overall efficacy group comparison: (1) after treatment: the total effective rate of the experimental group was 96.67%, and the total effective rate of the control group was 86.67%, the difference between the overall efficacy group was statistically significant (P0.01). (2) in the follow-up period, the total effective rate of the experimental group was 90%, the total effective rate of the control group was 80%, and the difference between the total therapeutic groups was statistically significant (P0.01). There was a significant difference between the scores of each group before and after treatment (P0.05). (P0.05). 4. after treatment, there were significant differences between the scores of each group (P0.05). 5. there was a difference between the follow-up group and the score group after treatment: the pain score, daily activity difficulty score and WOMAC total score of the experimental group were statistically different (P0.05), and there was no statistically significant difference between the rigid score group (P0.05). Control group: pain score group had statistically significant difference (P0.05), stiffness score, daily activity difficulty score and WOMAC total group had no statistical significance (P0.05). 6. there was a statistically significant difference in the pain score, daily activity difficulty score and WOMAC total score between the follow-up group and the control group (P0.05). There was no significant difference in stiffness score between the two groups (P0.05). Conclusion: 1. two kinds of therapy have good clinical effect on knee osteoarthritis, but the overall effect of the test group is better than that of the control group. 2., the improvement of pain, stiffness, daily activity difficulty and overall symptoms in the experimental group was better than that in the control group, and the continuous effect in pain, daily activity difficulty and overall symptom improvement was better than that in the control group. There was no significant sustained effect in the improvement of stiffness in the two groups.
【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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