本文關(guān)鍵詞： 胸椎微調(diào)法 胸椎源性心悸癥 推拿治療　出處：《云南中醫(yī)學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本課題旨在針對(duì)目前推拿治療胸椎源性心悸癥的手法定位不夠精準(zhǔn)、可控性不強(qiáng)的問(wèn)題,結(jié)合導(dǎo)師的臨床經(jīng)驗(yàn),采用胸椎微調(diào)法治療胸椎源性心悸癥,并與常規(guī)推拿治療方法進(jìn)行對(duì)比來(lái)研究胸椎微調(diào)法的療效優(yōu)勢(shì),為推拿治療胸椎源性心悸癥提供安全有效的新方案。方法:將符合納入標(biāo)準(zhǔn)的60例病人采用隨機(jī)對(duì)照的方法分為2組,實(shí)驗(yàn)組、對(duì)照組各30例,實(shí)驗(yàn)組予以胸椎微調(diào)法治療,對(duì)照組予以常規(guī)推拿治療,每日治療一次,以10次為一個(gè)療程,共治療一個(gè)療程。觀察并記錄兩組治療前后癥狀、體征、工作和生活能力評(píng)分以及動(dòng)態(tài)心電圖的變化,并進(jìn)行統(tǒng)計(jì)學(xué)分析處理。結(jié)果:根據(jù)納入標(biāo)準(zhǔn)補(bǔ)齊脫落病例后,實(shí)際完成臨床研究的病例共計(jì)60例,實(shí)驗(yàn)組和對(duì)照組各30例。兩組患者治療前的各項(xiàng)數(shù)據(jù)資料經(jīng)過(guò)對(duì)比,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。1、臨床證候療效比較:兩組治療后在癥狀、體征、工作和生活能力方面與治療前相比均有改善,且積分差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。實(shí)驗(yàn)組:治愈8例,顯效10例,有效9例,無(wú)效3例,總有效率90.00%;對(duì)照組:治愈3例,顯效6例,有效16例,無(wú)效5例,總有效率83.33%;兩組有效率經(jīng)對(duì)比,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),實(shí)驗(yàn)組治療總有效率優(yōu)于對(duì)照組。2、心律失常療效比較:實(shí)驗(yàn)組:顯效16例,有效10例,無(wú)效4例,總有效率86.67%;對(duì)照組:顯效8例,有效15例,無(wú)效7例,總有效率76.67%;兩組有效率經(jīng)對(duì)比,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),實(shí)驗(yàn)組治療總有效率優(yōu)于對(duì)照組。結(jié)論:1、胸椎微調(diào)法和常規(guī)推拿方法治療胸椎源性心悸癥均有臨床療效;2、實(shí)驗(yàn)組在臨床證候療效和心律失常療效以及癥狀、體征、工作和生活能力改善方面均優(yōu)于對(duì)照組,并且兩組治療均無(wú)明顯不良反應(yīng),說(shuō)明胸椎微調(diào)法是一種療效優(yōu)良、安全可靠的治療方案,值得臨床推廣應(yīng)用。
[Abstract]:Objective: to solve the problem that manipulation is not accurate and controllable in the treatment of thoracic vertebrae palpitation, combined with the clinical experience of the tutor, the treatment of chest vertebra palpitation is treated by the method of fine adjustment of thoracic vertebrae. And compared with the conventional massage treatment method to study the advantages of the thoracic vertebra fine adjustment method. Methods: 60 patients with palpitation of thoracic vertebrae were randomly divided into two groups: experimental group (n = 30) and control group (n = 30). The experimental group was treated with fine adjustment of thoracic vertebrae, the control group was treated with routine massage therapy, once a day, 10 times as a course of treatment, a course of treatment. The symptoms and signs of the two groups were observed and recorded before and after treatment. The changes of work and life ability score and dynamic electrocardiogram were analyzed and analyzed statistically. Results: 60 cases of clinical study were actually completed according to the standard of inclusion. There were 30 cases in the experimental group and 30 cases in the control group. The data of the two groups before treatment were compared and the difference was not statistically significant (P 0.05). Comparison of clinical syndromes efficacy: after treatment, the symptoms, signs, work and life ability of the two groups were improved compared with before treatment, and the score difference was statistically significant (P 0.05). Experimental group: 8 cases were cured. The total effective rate was 90.00. In the control group, 3 cases were cured, 6 cases were markedly effective, 16 cases were effective, 5 cases were ineffective, and the total effective rate was 83.33%. The total effective rate of the experimental group was better than that of the control group. The comparison of the effect of arrhythmia: experimental group: 16 cases, effective 10 cases. The total effective rate was 86.67; In the control group, there were 8 cases with remarkable effect, 15 cases with effective effect and 7 cases with no effect, and the total effective rate was 76.67 7 cases. The effective rate of the two groups was compared, the difference was statistically significant (P 0.05). The total effective rate of the experimental group was better than that of the control group. The treatment of thoracic vertebra palpitation with fine adjustment of thoracic vertebrae and conventional massage is effective. 2. The experimental group was superior to the control group in clinical syndromes, arrhythmia, symptoms, signs, work and life ability improvement, and there was no significant adverse reaction in both groups. The results show that the fine adjustment of thoracic vertebrae is a safe and reliable treatment scheme, and it is worth popularizing in clinic.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R244.1

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