本文選題：搖拔戳手法　切入點：肌內(nèi)效貼　出處：《中國中醫(yī)科學(xué)院》2016年碩士論文

【摘要】：目的：研究搖拔戳手法治療陳舊性踝關(guān)節(jié)扭傷的臨床療效,從循證醫(yī)學(xué)的角度評價其有效性及安全性,為今后的臨床推廣提供客觀全面的科學(xué)依據(jù)。方法：對2015.6-2016.2間來自中國中醫(yī)科學(xué)院望京醫(yī)院骨科門診的60例患者,將符合納入標(biāo)準(zhǔn)的患者按照中央隨機的方法分配到試驗組(30例)和對照組(30例)。試驗組予以搖拔戳手法,手法操作為3次,共治療1周；對照組予以肌內(nèi)效貼扎貼,貼扎每日1次,單次貼扎維持約24h左右,療程1周,療程間可休息1日。以治療前、治療后1天、治療后7天、治療后1個月4個時間點作為采集時間節(jié)點,用于采集VAS疼痛評分、腫脹程度及Takakura功能評分以進行療效評價來得到數(shù)據(jù),每位患者的治療周期均為一周。所有收集到的數(shù)據(jù)以SPSS16.0軟件統(tǒng)計：計量資料用卡方檢驗,以t檢驗和單因素方差分析；均數(shù)±標(biāo)準(zhǔn)差做計量指標(biāo)、以例數(shù)及百分比進行統(tǒng)計描述計數(shù)指標(biāo)。結(jié)果：試驗組在VAS疼痛方面,通過T3檢驗的多重比較,從治療后第1天患者的疼痛開始緩解,在治療后第1天、7天疼痛癥狀緩解程度相等,且均小于接受治療1個月后隨訪時的癥狀緩解程度(P0.01)。消除腫脹方面,首次治療后第1天,患肢的腫脹程度未減輕,第1天以后,腫脹開始減輕,并與之后各相鄰時間節(jié)點上腫脹減輕程度相近(P0.05)。在Takakura功能評分方面,從治療第1周后患者Takakura功能評分得到逐漸改善(P0.01)。對照組在VAS疼痛方面,通過T3檢驗的多重比較,從治療后第1天患者的疼痛開始緩解,在治療后第1天、7天疼痛癥狀緩解程度則相等且均小于接受治療1個月后隨訪時的癥狀緩解程度(P0.01)。消除腫脹方面,首次治療后第1天,患肢的腫脹程度未減輕,第1天以后,腫脹開始減輕,并與之后各相鄰時間節(jié)點上腫脹減輕程度相近(P0.05)。在Takakura功能評分方面,從治療第1周后患者Takakura功能評分得到逐漸改善(P0.01)。試驗組與對照組在VAS疼痛評分、腫脹周徑對比、踝關(guān)節(jié)功能Takakura評分方面,比較各組間的訪視時點與基線之間差值差值P0.05,沒有統(tǒng)計學(xué)意義,說明在治療期間試驗組各個時間節(jié)點在改善疼痛、腫脹與關(guān)節(jié)功能的效果上均與對照組相近。在總有效率方面,經(jīng)Wilcoxon秩和檢驗,可得兩組間Takakura功能評分比較并不具顯著的統(tǒng)計學(xué)意義(P0.01),說明試驗組與對照組在Takakura功能評分的總體療效評價上是近似的。結(jié)論：(1)兩種治療方法對陳舊性踝關(guān)節(jié)扭傷的治療均生效,均可達到緩解疼痛、減輕腫脹、改善踝關(guān)節(jié)的功能的目的；(2)從對照結(jié)果來看,試驗組的成績在針對疼痛、腫脹癥狀上與對照組相近(3)就Takakura功能評分的總有效率而言,試驗組愈顯率和有效率與對照組相近。
[Abstract]:Objective: to study the clinical effect of shaking and poking in the treatment of old ankle sprain, and to evaluate its efficacy and safety from the point of view of evidence-based medicine. Methods: 60 cases of orthopedic outpatients from Wangjing Hospital, Chinese Academy of traditional Chinese Medicine, 2015.6-2016.2, were studied. The patients who met the inclusion criteria were assigned to the experimental group (30 cases) and the control group (30 cases) according to the central random method. Once a day, once a day, once a day, a single patch for about 24 hours, a course of treatment for 1 week, and a rest period of 1 day. Before treatment, 1 day after treatment, 7 days after treatment, and 1 month after treatment, 4 time points were used as the collection time node. It was used to collect VAS pain score, swelling degree and Takakura function score to evaluate the curative effect. The treatment cycle of each patient was one week. All the collected data were counted by SPSS16.0 software: the measurement data were chi-square test. T test and single factor analysis of variance, mean 鹵standard deviation as measurement index, and cases and percentages were used to describe the counting index. Results: in VAS pain, the trial group passed the multiple comparison of T3 test. The pain relief began on the first day after treatment, and the degree of relief of pain symptoms was equal on day 1 to day 7 after treatment, and was lower than that at follow-up for 1 month after treatment (P 0.01). In terms of eliminating swelling, the first day after the first treatment, the degree of relief of symptoms was less than that of the first day of treatment. The swelling degree of the affected limb was not alleviated. After the first day, the swelling began to lighten, and the degree of swelling relief was similar to that on the adjacent time nodes (P 0.05). In terms of Takakura function score, From the first week after treatment, the scores of Takakura function of the patients were gradually improved (P 0.01). In the control group, the pain of VAS was alleviated from the first day after treatment through the multiple comparison of T3 test. The degree of relief of pain symptoms was equal on day 1 and 7 days after treatment and was less than that at follow-up for 1 month after treatment. In terms of eliminating swelling, the degree of swelling of the affected limbs did not decrease on the first day after the first treatment, but after the first day, the extent of the swelling of the affected limb did not decrease after the first day of treatment, but after the first day of treatment, The swelling began to lighten, and the degree of swelling relief was similar to that of the adjacent time points (P 0.05). In terms of Takakura function score, the Takakura function score of the patients gradually improved after the first week of treatment. The test group and the control group received the VAS pain score. In terms of swelling circumference contrast, ankle function Takakura score, the difference between the visiting time point and the baseline was compared (P 0.05). There was no statistical significance, which indicated that the pain was improved at each time node in the trial group during the treatment period. The effects of swelling and joint function were similar to those of the control group. The total effective rate was tested by Wilcoxon rank sum test. The comparison of Takakura functional score between the two groups was not statistically significant (P 0.01), which indicated that the overall evaluation of Takakura functional score in the experimental group and the control group was similar. Conclusion the two treatment methods are effective for the treatment of the old ankle sprain. From the control results, the results of the test group were similar to those of the control group in terms of pain, swelling symptoms) and the total effective rate of Takakura score. The effect rate and effective rate of the test group were similar to those of the control group.
【學(xué)位授予單位】：中國中醫(yī)科學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R244.1

【參考文獻】

相關(guān)期刊論文 前10條

1 阿伍提·艾克木;李俊海;林留洋;;宮廷正骨手法治療陳舊性踝關(guān)節(jié)扭傷療效觀察[J];現(xiàn)代中醫(yī)臨床;2016年01期

2 劉群;田強;余波;祁奇;陳文華;;肌內(nèi)效貼配合功能訓(xùn)練改善腦卒中患者下肢功能狀況的療效觀察[J];老年醫(yī)學(xué)與保健;2015年05期

3 宋瑞軍;董莉莉;李明陽;張明;尚明臣;梁海龍;;針灸、超短波聯(lián)合肌內(nèi)效貼治療慢性踝關(guān)節(jié)扭傷的臨床療效觀察[J];中國現(xiàn)代醫(yī)生;2015年21期

4 張素俠;鐘寶權(quán);;肌內(nèi)效貼治療慢性非特異性下背痛的療效研究[J];中國康復(fù)醫(yī)學(xué)雜志;2015年07期

5 周文萍;余波;陳文華;劉合建;陳世動;許軍委;張雯;祁奇;;肌內(nèi)效貼配合運動療法治療肌張力低下型腦癱患兒的臨床療效觀察[J];中國康復(fù)醫(yī)學(xué)雜志;2014年10期

6 劉強;沈莉;朱玉連;陸佳敏;吳澄;朱俞嵐;楊銘;賈杰;;肌內(nèi)效貼布對腰肌勞損患者疼痛及生活質(zhì)量的影響[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2014年06期

7 朱俞嵐;張備;陳亮;白玉龍;;肌內(nèi)效貼治療“產(chǎn)癱肩”畸形的隨機對照臨床研究[J];神經(jīng)損傷與功能重建;2014年02期

8 余波;王人衛(wèi);陳文華;王會儒;祁奇;劉合建;瞿強;屠霞芬;;肌內(nèi)效布貼扎輔助理療治療急性踝關(guān)節(jié)扭傷患者腫脹疼痛療效觀察[J];中國運動醫(yī)學(xué)雜志;2012年09期

9 劉暢;李增炎;侯志勇;馬世云;王懷良;;正常踝關(guān)節(jié)不同位置時應(yīng)力分布的實驗研究[J];中國醫(yī)藥導(dǎo)報;2012年27期

10 余波;馮能;祁奇;何結(jié)實;李躍紅;瞿強;陳文華;;肌內(nèi)效貼短期緩解膝關(guān)節(jié)骨性關(guān)節(jié)炎癥狀的療效研究[J];中國康復(fù)醫(yī)學(xué)雜志;2012年01期

，

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