本文選題：平衡針　切入點：溫針灸　出處：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:觀察比較平衡針結合溫針與溫針兩種療法治療肝腎不足型膝骨關節(jié)炎的臨床療效,評價兩種療法的療效差異,初步探討平衡針結合溫針療法治療肝腎不足型膝骨關節(jié)炎的優(yōu)勢;為臨床中運用針灸療法治療肝腎不足型膝骨關節(jié)炎提供新的思路。方法:以廣東省中醫(yī)院大德路總院和大學城分院針灸科及傳統(tǒng)療法科門診、廣東省第二中醫(yī)院針灸科門診中符合納入標準的患者納入研究,通過隨機對照試驗方法對納入研究的60例肝腎不足型膝骨關節(jié)炎患者進行分組,按1:1的比例隨機分為治療組(平衡針結合溫針組)30例與對照組(溫針組)30例。兩組患者均隔日治療1次,3次為1個療程,連續(xù)觀察治療2個療程。采用VAS、WOMAC量表評分作為療效觀察指標,并在治療前、首次治療后、療程結束后進行評估;療程結束后評定總臨床療效。研究的數(shù)據(jù)用SPSS23.0進行統(tǒng)計分析。結果:兩組患者的年齡、性別、病程、治療前的VAS、WOMAC積分均無統(tǒng)計學意義,具有可比性(P0.05)。兩組患者在VAS首次治療后及療程結束后評分、治療后WOMAC量表各項目評分及總積分較治療前比較,均P0.01,具有統(tǒng)計學意義。平衡針結合溫針治療組患者在VAS首次治療后及療程結束后評分、治療后WOMAC量表各項目評分及總積分均優(yōu)于溫針對照組,均P0.01,具有統(tǒng)計學意義。療程結束后,平衡針結合溫針治療組總有效率為100%,溫針對照組總有效率為90%,經秩和檢驗分析,兩組總療效比較差異具有統(tǒng)計學意義(P0.01)。結論:平衡針結合溫針治療組和溫針對照組兩組的治療方法對改善肝腎不足型膝骨關節(jié)炎患者的關節(jié)疼痛、關節(jié)僵硬和功能活動均有療效,但平衡針結合溫針治療肝腎不足型膝骨關節(jié)炎患者比單純溫針治療效果更為顯著;更特別突出平衡針即刻療效;對臨床治療具有一定的指導意義。
[Abstract]:Objective: to observe and compare the clinical efficacy of balanced acupuncture combined with warm acupuncture and warm acupuncture in the treatment of knee osteoarthritis with deficiency of liver and kidney, and to evaluate the difference between the two therapies.To explore the advantages of balanced acupuncture combined with warm needle therapy in the treatment of knee osteoarthritis with liver and kidney deficiency, and to provide a new way of thinking for the treatment of liver and kidney insufficiency knee osteoarthritis by acupuncture and moxibustion in clinic.Methods: the patients in Department of Acupuncture and traditional Therapy, Department of Acupuncture and traditional Therapy, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of traditional Chinese Medicine, Guangdong Provincial Hospital ofSixty cases of knee osteoarthritis with deficiency of liver and kidney were divided into treatment group (30 cases in balanced acupuncture combined with warm acupuncture group) and control group (30 cases in warm acupuncture group) according to the proportion of 1:1.Two groups of patients were treated every other day for 3 times as a course of treatment, continuous observation treatment for 2 courses.The VAS-WOMAC scale was used as the therapeutic observation index, and the total clinical efficacy was evaluated before treatment, after the first treatment, after the course of treatment, and after the end of the course of treatment.The data were analyzed by SPSS23.0.Results: there was no significant difference in age, sex, course of disease and VAS-WOMAC score before treatment between the two groups.After the first treatment of VAS and the end of the course of treatment, the scores of each item and the total score of the WOMAC scale in the two groups were significantly higher than those before the treatment (P 0.01).After the first treatment of VAS and the end of the course of treatment, the score and total score of WOMAC scale in the balanced acupuncture combined with warm acupuncture treatment group were better than those in the warm acupuncture control group (P0.01), which had statistical significance.After the course of treatment, the total effective rate of the balanced acupuncture combined with warm acupuncture treatment group was 100 and the total effective rate of the warm needle control group was 90. By rank sum test, the difference between the two groups was statistically significant.Conclusion: the treatment of balanced acupuncture combined with warm needle therapy and warm acupuncture control group can improve the joint pain, stiffness and functional activity of knee osteoarthritis with liver and kidney deficiency.But the effect of balanced acupuncture combined with warm acupuncture in treating knee osteoarthritis of liver and kidney deficiency type is more remarkable than that of simple warm acupuncture treatment; especially, the immediate curative effect of balanced acupuncture is more prominent, which has certain guiding significance for clinical treatment.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.9
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本文編號：1718551