本文關(guān)鍵詞：推拿結(jié)合心理療法治療凍結(jié)肩的臨床觀察　出處：《湖北中醫(yī)藥大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

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【摘要】：研究目的:通過(guò)將推拿療法與推拿結(jié)合心理療法的治療效果進(jìn)行比較,探索臨床治療凍結(jié)肩的優(yōu)化方案。研究方法:將湖北中醫(yī)藥大學(xué)附屬?lài)?guó)醫(yī)堂骨傷科門(mén)診2015年07月到2016年1月收集的符合納入標(biāo)準(zhǔn)的凍結(jié)肩患者60例,用配對(duì)分配的方法,將病患按照1:1的比例,分入A組和B組,A組采用推拿治療(對(duì)照組),B組采用推拿結(jié)合心理技術(shù)的療法(實(shí)驗(yàn)組),A、B兩組均嚴(yán)格按照治療方案進(jìn)行為期8周的治療,觀察患者肩關(guān)節(jié)疼痛、肩關(guān)節(jié)功能、精神癥狀等。治療結(jié)束后,將收集到的資料匯總、整理,用EXCEL軟件建立數(shù)據(jù)庫(kù),然后用SPSS 22.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。統(tǒng)計(jì)學(xué)方法:對(duì)基線資料(性別、年齡、病程、患側(cè)比例等)、有效率采用卡方檢驗(yàn)進(jìn)行假設(shè)檢驗(yàn),對(duì)疼痛評(píng)分、功能評(píng)分、及精神癥狀評(píng)分采用t檢驗(yàn)。研究結(jié)果:1.A、B兩組病例基線情況:在性別、年齡、病程、左右側(cè)人數(shù)、治療前肩關(guān)節(jié)評(píng)分、治療前精神癥狀評(píng)分方面,A、B兩組數(shù)據(jù)經(jīng)統(tǒng)計(jì)學(xué)分析,兩組結(jié)果無(wú)明顯差異(P0.05),可以進(jìn)行其他方面的比較。(α=0.05)2.A、B兩組在肩關(guān)節(jié)疼痛分?jǐn)?shù)、肩關(guān)節(jié)功能活動(dòng)分?jǐn)?shù)、焦慮分?jǐn)?shù)、抑郁分?jǐn)?shù)方面進(jìn)行自身前后比較,有顯著性差異(P0.05);治療后,A、B兩組間在肩關(guān)節(jié)疼痛分?jǐn)?shù)、肩關(guān)節(jié)功能活動(dòng)分?jǐn)?shù)、焦慮分?jǐn)?shù)、抑郁分?jǐn)?shù)方面比較,有顯著性差異(P0.05)。(α=0.05)3.A、B兩組治療后,在有效率方面不具有顯著性差異(P0.05)。(α=0.05)研究結(jié)論:1.推拿療法、推拿結(jié)合心理療法這兩種方法治療凍結(jié)肩均取得了較好的臨床療效,都能改善凍結(jié)肩患者的疼痛、肩關(guān)節(jié)功能活動(dòng)受限情況、焦慮癥狀及抑郁癥狀。2.推拿結(jié)合心理療法在改善凍結(jié)肩患者的疼痛、肩關(guān)節(jié)功能活動(dòng)受限狀況、焦慮癥狀、抑郁癥狀方面優(yōu)于推拿治療組。
[Abstract]:Objective: To compare the massage therapy and massage therapy combined with psychological treatment, optimization of clinical treatment of frozen shoulder exploration. Research methods: Hubei University of TCM affiliated Guoyitang Department of orthopaedics in 2015 07 months to January 2016 collected in accordance with the inclusion criteria of 60 patients with frozen shoulder, pairing method of distribution, the patients in the proportion of 1:1, divided into A group and B group, A group were treated with massage therapy (control group), B group were treated with massage combined with psychological therapy technology (experimental group), A, B two groups are in strict accordance with the treatment plan for a treatment period of 8 weeks, to observe the patients with shoulder pain, shoulder the joint function, psychiatric symptoms. After the treatment, the collected data collection, collation, establish a database with EXCEL software, and then analyzed by SPSS 22 statistical software. Statistical methods: the baseline data (gender, age, course of disease, the affected side The proportion of efficiency), chi square test was used for hypothesis testing, the function of pain score, score, and mental symptom score by t test. Results: 1.A, B two groups in baseline: gender, age, course of disease, the number of left and right side, shoulder score before treatment, before treatment symptom score A, B, two groups of data by statistical analysis, no significant difference between the two groups (P0.05), the results can be compared to other aspects. (alpha =0.05) 2.A, B two groups in shoulder pain score, shoulder function score, anxiety score, depression scores were compared before and after, there was a significant difference (P0.05); after treatment, A, B between the two groups in the shoulder joint pain score, shoulder function score, anxiety score, depression score comparison, there were significant differences (P0.05). (alpha =0.05) 3.A, B two groups after treatment, with no significant difference in efficiency (P0.05) (alpha =0.05). Conclusions: 1. massage therapy, the treatment of frozen shoulder were achieved good clinical efficacy of massage combined with psychological therapy of these two methods can improve the frozen shoulder pain, shoulder joint function limitation of activity, anxiety and depressive symptoms.2. massage combined with psychological therapy in patients with frozen shoulder pain, shoulder joint function activities limited condition, anxiety symptoms, depressive symptoms than massage therapy group.

【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R244.1

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