本文選題：透灸　切入點：寒濕痹阻型　出處：《河南中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:本文以寒濕痹阻型膝關(guān)節(jié)骨性關(guān)節(jié)炎患者為研究對象,觀察膝部透灸過程中溫度、時間、灸感、透灸時程、WOMAC、VAS、療效、安全性,以探索、總結(jié)膝部透灸控溫技術(shù)及效應。方法:60例寒濕痹阻型膝關(guān)節(jié)骨性關(guān)節(jié)炎患者,隨機分成兩組,各30例,治療組患者予以透灸法治療,對照組患者予以傳統(tǒng)灸治療,治療4個療程,觀察并記錄基礎(chǔ)資料、溫度、時間、灸感、透灸時程、WOMAC、VAS、療效、安全性等相關(guān)數(shù)據(jù),整理數(shù)據(jù),以探索、總結(jié)膝部透灸控溫技術(shù)及效應。結(jié)果:1.基礎(chǔ)資料性別、年齡、病程、體重、身高等基本信息,均p㧐0.05,差異無統(tǒng)計學意義,具有可比性。2.控溫技術(shù)及其效應(1)兩組患者知熱溫度、舒適溫度、知降溫度比較(均P0.05),存在統(tǒng)計學差異,其中透灸組膝部知熱溫度、舒適溫度均值低于傳統(tǒng)灸組;透灸組知降溫度高于傳統(tǒng)灸組;(2)兩組知熱時間、膝部舒適感持續(xù)時間比較(均P0.05),存在統(tǒng)計學差異;降溫時間比較p0.05,不存在統(tǒng)計學差異,且透灸組的知熱時間均值低于傳統(tǒng)灸組,膝部舒適感持續(xù)時間均值高于傳統(tǒng)灸組;(3)兩組灸前溫度比較p0.05,不存在統(tǒng)計學差異,說明具有可比性;灸后溫度、皮溫差比較(均P0.05),存在統(tǒng)計學差異,其中皮溫差透灸組均值低于傳統(tǒng)灸組;(4)兩組從知熱時間到感知溫度滲透到腹股溝的時間(△時間);及此時膝部刻下溫度(△溫度)比較(均P0.05),存在統(tǒng)計學差異,△時間及△溫度透灸組均值低于傳統(tǒng)灸組;(5)兩組在0-10分鐘、10-20分鐘、20-30分鐘、30-40分鐘施灸過程中局部開始出現(xiàn)灸感的頻次經(jīng)檢驗,χ2=4.04,P=0.040.05,差異存在統(tǒng)計學差異,且透灸組總頻數(shù)明顯高于傳統(tǒng)灸組;(6)兩組出現(xiàn)灸感類型及頻次(舒適感、酸脹感、沉重感、傳導感、滲透感、癢感、痛感及其其他患者難以準確描述的灸感),經(jīng)檢驗,χ2=7.27,P=0.000.05,差異有統(tǒng)計學差異,且透灸組每種類型灸感較傳統(tǒng)灸組多;(7)兩組膝部開始滲透溫度、膝部完全滲透溫度比較(均P0.05),存在統(tǒng)計學差異,且透灸組均值低于傳統(tǒng)灸組;(8)兩組透灸時程Ⅰ、透灸時程Ⅱ、透灸時程Ⅲ比較(均P0.05),存在統(tǒng)計學差異;且透灸組的透灸時程Ⅰ、透灸時程Ⅱ、透灸時程Ⅲ值低于傳統(tǒng)灸組;(9)兩組患者治療前WOMAC、VAS積分差異無統(tǒng)計學意義(均P0.05),表明兩組間具有可比性;治療前后組內(nèi)比較:各組治療后WOMAC、VAS積分與治療前相比,差異有統(tǒng)計學意義(均P0.05),且治療后WOMAC、VAS積分優(yōu)于治療前;治療后組間比較:兩組患者治療后WOMAC、VAS積分比較,差異有統(tǒng)計學意義(均P0.05),且透灸組改善優(yōu)于傳統(tǒng)灸組。3.療效及安全性(1)透灸組臨床治愈8例,顯效17例,有效4例,無效1例,有效率為96.67%,傳統(tǒng)灸組臨床治愈4例,顯效13例,有效11例,無效2例,有效率為93.33%,差異有統(tǒng)計學意義(P0.05);(2)兩組在暈針、滯針、彎針、水泡、斷針、血腫等不良反應上不存在差異。結(jié)論:(1)透灸法較傳統(tǒng)灸法對溫度的變化更敏感;(2)透灸法較傳統(tǒng)灸法更容易達到灸感,且灸感持續(xù)的時間更長;(3)透灸法較傳統(tǒng)灸法更容易得到不同類型灸感;(4)透灸法更能改善WOMAC、VAS積分,緩解臨床疼痛癥狀,提高日常生活功能;(5)透灸法療效優(yōu)于傳統(tǒng)灸法;(6)透灸法與傳統(tǒng)灸法不良反應不存在差異。
[Abstract]:Objective: Based on the cold dampness type of knee osteoarthritis patients as the research object, through the observation of knee temperature during moxibustion time through moxibustion moxibustion sensation, duration, WOMAC, VAS, efficacy, safety, and to explore and summarize the knee through moxibustion temperature control technology and effect. Methods: 60 cases of cold dampness resistance type of knee osteoarthritis patients were randomly divided into two groups, each of 30 cases, treatment group received moxibustion therapy, the control group was treated with traditional moxibustion treatment, 4 courses of treatment, observe and record the basic information, temperature, time, duration of moxibustion, moxibustion penetration, WOMAC, VAS, efficacy, safety other relevant data, the data, in order to explore and summarize the knee through moxibustion temperature control technology and effect. Results: 1. basic data of gender, age, duration, body weight, height and other basic information, P? 0.05, the difference was not statistically significant, comparable to the.2. temperature control technology and its effect in two groups (1) heat temperature, comfortable temperature, Know drop temperature (P0.05), there was significant difference, which through the moxibustion group knee Zhire temperature, comfortable temperature is lower than the mean of traditional moxibustion group; through moxibustion group know drop temperature is higher than the traditional moxibustion group; (2) the two groups Zhire time, knee comfort duration (P0.05), there was significant difference in temperature; time is P0.05, there is no significant difference, and the mean time of heat through the moxibustion group than the traditional moxibustion group, knee comfort duration is higher than the traditional moxibustion group; (3) the two groups before moxibustion temperature is P0.05, there is no significant difference, that is comparable; after moxibustion temperature, skin temperature difference (comparison P0.05), there was significant difference among the mean skin temperature difference through moxibustion group was lower than the traditional moxibustion group; (4) two groups from time to heat sensing temperature penetrate into the groin time (a time); and at the moment under the knee temperature (delta temperature) comparison (P0.05), there was significant difference, 鈻蟲椂闂村強鈻蟲俯搴﹂，

本文編號：1653880