本文選題：董氏奇穴 + 肩三針��； 參考：《湖北中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本實(shí)驗(yàn)主要通過(guò)隨機(jī)對(duì)照的研究方法,以針刺肩三針為對(duì)照,觀察董氏奇穴結(jié)合肩三針治療肩關(guān)節(jié)周?chē)椎呐R床療效,旨在探討董氏奇穴結(jié)合肩三針與單純肩三針治療肩關(guān)節(jié)周?chē)椎寞熜Р町?以期為臨床多種療法配合使用治療肩周炎提供新的思路和客觀依據(jù)。方法:將60例肩周炎患者按隨機(jī)數(shù)字表法分為治療組和對(duì)照組,兩組各30例,治療組采用董氏奇穴結(jié)合肩三針治療,對(duì)照組單純采用肩三針治療。治療前、治療后1周、治療后2周分別用Constant-Murley肩關(guān)節(jié)功能評(píng)分表對(duì)患者的肩關(guān)節(jié)疼痛、日常生活活動(dòng)能力、肩關(guān)節(jié)活動(dòng)度、肌力四個(gè)方面進(jìn)行量化評(píng)定,并在兩個(gè)療程治療結(jié)束后進(jìn)行總體療效評(píng)定。結(jié)果:治療第一療程結(jié)束后,治療組疼痛得分為(9.53±1.56),對(duì)照組得分為(9.65±1.68),兩組組間比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第二個(gè)療程結(jié)束后,治療組疼痛得分為(15.89±3.25),對(duì)照組得分為(11.34±1.25),兩組比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第一療程結(jié)束后,治療組日常生活活動(dòng)能力得分(10.83±3.24),對(duì)照組得分為(11.25±3.45),兩組組間比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第二個(gè)療程結(jié)束后,治療組日常生活活動(dòng)能力得分為(16.73±2.26),對(duì)照組得分為(14.12±2.53),兩組比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第一療程結(jié)束后,治療組關(guān)節(jié)活動(dòng)度得分為(25.52±2.56),對(duì)照組得分為(25.94±3.48),兩組組間比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第二個(gè)療程結(jié)束后,治療組關(guān)節(jié)活動(dòng)度得分(31.65±2.73),對(duì)照組得分為(28.64±5.73),兩組比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第一療程結(jié)束后,治療組肌力得分為(19.05±1.56),對(duì)照組得分為(18.88±3.47),兩組組間比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05);治療第二個(gè)療程結(jié)束后,治療組肌力得分為(28.58±3.65),對(duì)照組肌力得分為(25.49±4.52),兩組比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05)。上述結(jié)果提示,治療組和對(duì)照組各檢測(cè)指標(biāo)在治療第一療程結(jié)束后,兩組比較,差異無(wú)明顯統(tǒng)計(jì)學(xué)意義(P0.05),而在第二個(gè)療程療程結(jié)束后,兩組比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明治療組與對(duì)照組所選方法在治療初期具有相當(dāng)?shù)寞熜?在治療后期,治療組的療效更加明顯,且優(yōu)于對(duì)照組。兩組治療結(jié)束后,治療組痊愈8人(26.67%),顯效13人(43.33%),有效7人(23.33%),無(wú)效2人(6.67%)總有效率為93.33%;對(duì)照組痊愈11人(36.67%),顯效10人(33.33%),有效4人(13.33%),無(wú)效5人(16.67%),總有效率為83.33%,兩組有效率組間比較,差異有明顯統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:董氏奇穴結(jié)合肩三針能有效緩解肩周炎患者疼痛癥狀,改善患者肩關(guān)節(jié)活動(dòng)功能,與單純運(yùn)用肩三針治療比較,在治療后期具有較明顯優(yōu)勢(shì),提示其是一種治療肩周炎較好的配穴方法,值得臨床推廣。
[Abstract]:Objective: to observe the clinical effect of treating shoulder periarthritis with Dong's Qi point combined with shoulder's three acupuncture points by means of randomized controlled study. The purpose of this study was to explore the difference in the treatment of shoulder periarthritis between Dong Shiqi points combined with three needles of shoulder and simple three needles of shoulder so as to provide a new idea and objective basis for the treatment of shoulder periarthritis with various clinical therapies. Methods: 60 patients with shoulder periarthritis were randomly divided into two groups: treatment group (n = 30) and control group (n = 30). Before treatment, 1 week after treatment and 2 weeks after treatment, the patients' shoulder pain, activities of daily life, range of motion of shoulder joint and muscle strength were quantitatively evaluated with Constant-Murley shoulder function scale. The overall curative effect was evaluated after two courses of treatment. Results: after the first course of treatment, the pain score of the treatment group was 9.53 鹵1.56 and that of the control group was 9.65 鹵1.68. There was no significant difference between the two groups (P 0.05), and after the second course of treatment, there was no significant difference between the two groups. The pain score of the treatment group was 15.89 鹵3.25g, the score of the control group was 11.34 鹵1.25g, the difference between the two groups was statistically significant (P 0.05), after the first course of treatment, the activity of daily living (ADL) score of the treatment group was 10.83 鹵3.24g, the score of the control group was 11.25 鹵3.45g, the comparison between the two groups. At the end of the second course of treatment, the scores of ADL in the treatment group were 16.73 鹵2.26 and those in the control group were 14.12 鹵2.53.After the end of the first course of treatment, the difference was statistically significant. The joint motion score of the treatment group was 25.52 鹵2.56 and that of the control group was 25.94 鹵3.48. There was no significant difference between the two groups (P 0.05). After the second course of treatment, the joint motion score of the treatment group was 31.65 鹵2.73 and that of the control group was 28.64 鹵5.730.The difference between the two groups was significant. At the end of the first course of treatment, the muscle strength score of the treatment group was 19.05 鹵1.56 and that of the control group was 18.88 鹵3.470.There was no significant difference between the two groups, and there was no significant difference between the two groups, and after the end of the second course of treatment, there was no significant difference between the two groups. The score of muscle strength in the treatment group was 28.58 鹵3.65 and that in the control group was 25.49 鹵4.52. The difference between the two groups was statistically significant (P 0.05). These results suggest that there is no significant difference between the two groups after the end of the first course of treatment, but after the end of the second course of treatment, there is no significant difference between the two groups. The difference was statistically significant (P 0.05), which indicated that the treatment group and the control group had the same curative effect at the initial stage of treatment, and at the late stage of treatment, the curative effect of the treatment group was more obvious and better than that of the control group. After treatment, the total effective rate of the treatment group was 93.33. The total effective rate was 93.33; in the control group, 11 patients were cured, 36.67m, 10 were effective, 4 were effective, 13.3333 was effective, 5 were ineffective and 16.6733.The total effective rate was 83.33. The comparison between the two groups showed that the total effective rate was 83.33. The difference was statistically significant (P 0.05). Conclusion: Dong Shiqi point combined with shoulder three needle therapy can effectively relieve the pain symptoms of patients with periarthritis of shoulder and improve the function of shoulder joint movement. It has obvious advantages in the later stage of treatment compared with the treatment of only using three acupuncture points of shoulder. The results suggest that it is a better method to treat periarthritis of shoulder and is worth popularizing.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R246.9

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