本文選題：平衡罐 + 溫針灸�。� 參考：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:本課題采用小樣本隨機對照的研究方法,探討平衡罐結合溫針灸療法治療慢性腰肌勞損的臨床療效及作用機理,為臨床實踐奠定一定的理論基礎支持,擴展平衡罐的功效和適用范圍。方法:將符合納入標準的60例腰肌勞損受試者按1:1的比例隨機分為治療組和對照組,每組各30例。治療組采用平衡罐結合溫針灸療法,對照組采用溫針灸療法,共4個療程。記錄兩組治療前后及組間受試者的疼痛視覺模擬評分(VAS)、功能障礙指數(shù)(CODI)、臨床體征積分,并對其進行統(tǒng)計學分析,分析兩組的治療效果。結果:1.兩組患者的基線資料比較:兩組的性別、年齡、病程,治療前的VAS評分、CODI評分、臨床體征積分進行組間比較,經(jīng)統(tǒng)計分析,差異沒有顯著性(P0.05),表明兩組患者來源于同一個總體,具有可比性。2.VAS評分比較:治療后兩組的VAS評分經(jīng)成組t檢驗分析,差異具有顯著性(P0.05);治療前后組內比較經(jīng)配對t檢驗分析,差異具有顯著性(P0.01)。表明兩組治療方案均可以降低VAS評分,且治療組比對照組更能改善腰肌勞損患者的VAS評分。3.CODI評分比較:治療后兩組的CODI評分經(jīng)成組t檢驗分析,差異具有顯著性(P0.05);治療前后組內CODI評分經(jīng)配對t檢驗分析,差異具有顯著性(P0.01)。表明兩組治療方案均能改善腰肌勞損患者的活動功能,且治療組優(yōu)于對照組。4.臨床體征積分:治療后兩組的臨床體征積分較治療前有顯著性差異(P0.05),且治療組較對照組改善明顯(P0.01)。表明兩組治療方案對腰肌勞損患者的臨床體征均有較明顯的改善作用,且治療組優(yōu)于對照組。5.臨床療效比較:治療組治愈9例,顯效11例,有效8例,無效2例;對照組治愈4例,顯效8例,有效11例,無效7例;經(jīng)秩和檢驗,兩組之間的療效差別有顯著性(P0.05),治療組總有效率為93.33%,高于對照組的76.67%,說明平衡罐結合溫針灸組的療效優(yōu)于單純溫針灸組。結論:臨床研究數(shù)據(jù)表明,兩組治療方案對慢性腰肌勞損均有較好的治療效果;相比于單純溫針灸療法,平衡罐結合溫針灸療法對于慢性腰肌勞損有更好療效,且可明顯改善本病造成的疼痛癥狀和活動功能障礙。
[Abstract]:Objective: to investigate the clinical effect and mechanism of balanced cupping combined with warm acupuncture in the treatment of chronic lumbar muscle strain by using a small sample randomized controlled study, and to lay a theoretical foundation for clinical practice.Expand the efficacy and scope of application of the balance tank.Methods: sixty subjects with lumbar muscle strain were randomly divided into treatment group and control group with 30 cases in each group.The treatment group was treated with balanced cupping combined with warm acupuncture and moxibustion, while the control group was treated with warm acupuncture for 4 courses.The visual analogue score of pain, the index of dysfunction and the score of clinical signs were recorded before and after treatment, and the results of the two groups were analyzed statistically.The result is 1: 1.Comparison of baseline data between the two groups: sex, age, course of disease, VAS score before treatment and clinical signs score were compared between the two groups. There was no significant difference between the two groups by statistical analysis, indicating that the two groups of patients originated from the same population.2.Comparison of VAS scores: after treatment, the VAS scores of the two groups were significantly different by t-test, and the difference between the two groups before and after treatment was significant (P 0.01).The results showed that both groups could decrease the VAS score, and the treatment group could improve the VAS score of the patients with lumbar muscle strain more than the control group. 3. The CODI scores of the two groups were analyzed by t-test after treatment.Before and after treatment, the CODI score in the group was analyzed by paired t test, and the difference was significant (P 0.01).The results showed that both groups could improve the activity function of patients with lumbar muscle strain, and the treatment group was superior to the control group. 4.The scores of clinical signs in the two groups after treatment were significantly different from those before treatment (P 0.05), and the improvement of the treatment group was significantly better than that of the control group (P 0.01).The results showed that the two groups had obvious improvement on the clinical signs of patients with lumbar muscle strain, and the treatment group was better than the control group. 5.Comparison of clinical efficacy: 9 cases were cured, 11 cases were effective, 8 cases were effective, 2 cases were ineffective in the treatment group, 4 cases were cured, 8 cases were effective, 11 cases were effective, 7 cases were ineffective in the control group.The total effective rate of the treatment group was 93.33, which was higher than that of the control group (76.67), which indicated that the curative effect of the balanced cupping combined with warm acupuncture group was better than that of the pure warming acupuncture group.Conclusion: the clinical data show that the two groups have better therapeutic effect on chronic lumbar muscle strain, and the balance cupping combined with warm acupuncture therapy has better effect on chronic lumbar muscle strain than simple warming acupuncture therapy.And can obviously improve the pain caused by the disease and motor dysfunction.
【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：1750779