本文關(guān)鍵詞：毫火針治療寒濕型腰肌勞損的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腰肌勞損 毫火針 寒濕型 臨床研究

【摘要】：目的：本研究以單純常規(guī)針刺治療腰肌勞損作為對(duì)照組,觀察毫火針療法結(jié)合常規(guī)針刺療法治療寒濕型腰肌勞損的臨床療效,比較兩種方法治療腰肌勞損的療效,探討不同療法,選擇對(duì)本病療效的影響,以期找到治療腰肌勞損的簡(jiǎn)便有效的方法。方法：研究共納入符合寒濕型腰肌勞損患者60例,按隨機(jī)分組方法,將60例患者分成兩組,治療組和對(duì)照組各30例。治療組采用毫火針結(jié)合常規(guī)針刺療法。穴位選擇雙側(cè)腎俞、大腸俞、委中、秩邊、腰陽(yáng)關(guān)及阿是穴,常規(guī)針刺完后,再在雙秩邊、腰陽(yáng)關(guān)及阿是穴上進(jìn)行毫火針刺法,留針5min,隔日治療一次,每周治療3次,2周為一個(gè)療程。對(duì)照組則采用常規(guī)針刺療法,穴位的選擇和操作同治療組。兩組患者均進(jìn)行為期2周的治療,2周結(jié)束后統(tǒng)計(jì)療效。觀察兩組患者治療前后的腰部的VAS評(píng)分、臨床癥狀積分和臨床體征積分的變化。臨床數(shù)據(jù)的分析采用SPSS19.0進(jìn)行統(tǒng)計(jì),比較兩組腰肌勞損患者的臨床療效的差異。結(jié)果：1.基礎(chǔ)資料比較：兩組患者的基本信息比較,兩組患者在性別、年齡、病程,無(wú)明顯差異,具有可比性。2.VAS評(píng)分比較：治療前,治療組患者的VAS評(píng)分為5.25±2.06,對(duì)照組的VAS評(píng)分為5.56±2.15,經(jīng)統(tǒng)計(jì)學(xué)分析,無(wú)明顯差異(PO.05),具有可比性；2周后,治療組的VAS評(píng)分為1.86±0.44,對(duì)照組的為3.18±0.75。兩組患者的VAS評(píng)分分別和治療前比較,均明顯下降(P0.05),說(shuō)明兩組療法均能有效的降低患者的VAS評(píng)分；治療后兩組組間比較,亦有統(tǒng)計(jì)學(xué)意義(P0.05),治療組VAS評(píng)分的改善情況較對(duì)照組明顯。3.臨床癥狀積分比較：治療組治療前的癥狀積分為6.36±1.03,對(duì)照組臨床癥狀積分為6.59±1.37,兩者無(wú)統(tǒng)計(jì)學(xué)意義,具有可比性；治療2周后,治療組和對(duì)照組的臨床癥狀積分分別為2.02±0.44、3.53±0.52。與治療前比較,兩組患者的癥狀積分均明顯下降；治療后組間比較,治療組較對(duì)照組下降更明顯(P0.05)。說(shuō)明兩組療法均能有效改善患者的臨床癥狀,但治療組效果優(yōu)于對(duì)照組。4.臨床體征積分比較：治療前治療組和對(duì)照組的臨床體征積分分別為11.03±2.03、10.98±2.65,均統(tǒng)計(jì)學(xué)分析,無(wú)明顯差異,有可比性。治療后,兩組患者的臨床體征積分分別為4.12±1.44、6.53±1.52,和治療前比較,均明顯下降；治療后組間比較,治療組較對(duì)照組下降更明顯,差異顯著。說(shuō)明兩種方法都能有效的改善腰肌勞損患者的臨床體征,但治療組優(yōu)于對(duì)照組。5.綜合療效比較：一個(gè)療程結(jié)束后,治療組患者中有3例痊愈(10.00%),顯著療效12例(40.00%),有效的有12例(40.00%),無(wú)效3例(10.00%),臨床總有效率為90.00%；對(duì)照組患者中,痊愈患者1例(3.33%),有效9例(30.00%),有效12例(40.00%),無(wú)效8例(26.67%),總有效率為73.33%。兩組比較有顯著性差異,治療組優(yōu)于對(duì)照組。結(jié)論：本課題選用毫火針治療寒濕型腰肌勞損,觀察毫火針的臨床療效,結(jié)果顯示毫火針能夠有效的改善腰肌勞損患者的臨床癥狀和體征,提高生活質(zhì)量,具有較好的溫陽(yáng)補(bǔ)氣、溫經(jīng)散寒、振奮陽(yáng)氣的作用,值得臨床推廣運(yùn)用。
[Abstract]:Objective: To study the simple routine acupuncture treatment of lumbar muscle strain as control group, to observe the clinical efficacy of conventional therapy combined with filiform needle acupuncture therapy in the treatment of cold dampness type lumbar muscle strain, compared the effect of two methods in the treatment of lumbar muscle strain, explore the different influence on the choice of therapy, the therapeutic effect of this disease, in order to find a simple and effective method the treatment of lumbar muscle strain. Methods: the study included 60 patients with cold dampness syndrome lumbar muscle strain were randomly divided, 60 patients were divided into two groups, treatment group and control group with 30 cases in each group. The treatment group used milli fire needle combined with conventional acupuncture therapy, acupoint selection of bilateral Shenshu, Dachangshu, Venezuela, Zhibian, Yaoyangguan, conventional acupuncture after the double Zhibian, Yaoyangguan on fire without acupuncture, needle 5min, day treatment time, treatment 3 times a week, for 2 weeks. In the control group with conventional needle Acupuncture, acupoint selection and manipulation of the same as the treatment group. Two groups of patients for a period of 2 weeks of treatment, the curative effect after 2 weeks. Two groups were observed before and after treatment of patients with lumbar VAS score, changes in clinical symptom and clinical signs scores. The clinical data analysis using SPSS19.0 statistical difference, clinical efficacy comparison of two groups of patients with lumbar muscle strain. Results: compared with the 1. basic data: comparison of two groups of patients with basic information, the two groups in gender, age, course of disease, no significant difference, comparable.2.VAS scores were compared before treatment, the patients in the treatment group the VAS score was 5.25 + 2.06, the control group the VAS score was 5.56 + 2.15, by statistical analysis, no significant difference (PO.05), comparable; after 2 weeks, the treatment group VAS score was 1.86 + 0.44, compared to the control group was 3.18 + 0.75. VAS scores of two groups respectively before treatment, were significantly lower Drop (P0.05), indicating that two groups of therapy can effectively reduce the patient VAS score; after treatment between the two groups, there were statistically significant (P0.05), the improvement of VAS score in treatment group than the control group obviously compared.3. clinical symptom score: the treatment group before treatment, the symptoms integral is 6.36 + 1.03 control group, clinical symptom score was 6.59 + 1.37, which was not statistically significant, comparable; after 2 weeks of treatment, the clinical symptom score of treatment group and control group were 2.02 + 0.44,3.53 + 0.52. compared with before treatment, two groups of patients with symptom scores were significantly decreased after treatment; comparison between groups, treatment group decreased more significantly than the control group (P0.05). The two group therapy can effectively improve the clinical symptoms of the patients, but the treatment group is better than the control group.4. clinical signs integral comparison: treatment before clinical signs score in treatment group and control group were 11.03 + 2.03 ,10.98鹵2.65,鍧囩粺璁″鍒嗘瀽,鏃犳槑鏄懼樊寮，

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