本文選題：內(nèi)熱針 + 膝關(guān)節(jié)骨性關(guān)節(jié)炎　； 參考：《濟(jì)南大學(xué)》2017年碩士論文

【摘要】：目的:探究不同溫度下內(nèi)熱針治療膝關(guān)節(jié)骨性關(guān)節(jié)炎(KOA)的臨床療效,科學(xué)客觀的評價(jià)臨床療效,更好的指導(dǎo)臨床。方法:將120例KOA患者隨機(jī)分為四組,四組均采用內(nèi)熱針治療,分別以不加熱(A組)、40℃(B組)、43℃(C組)、46℃(D組)四種溫度下對患者進(jìn)行治療。四組患者治療共分3次,1周1次。四組臨床療效判斷將由膝關(guān)節(jié)疼痛(VAS)評分,膝關(guān)節(jié)活動度檢查,膝關(guān)節(jié)壓痛點(diǎn)數(shù)量,KOA炎癥程度、病情程度WOMAC評分以及參照《中藥新藥臨床研究指導(dǎo)原則》中關(guān)于骨性關(guān)節(jié)炎的療效評定標(biāo)準(zhǔn)制定的綜合療效標(biāo)準(zhǔn)結(jié)果:治療后各組分別與治療前進(jìn)行對比,評分具有統(tǒng)計(jì)學(xué)意義,治療后各組評分之間差異有統(tǒng)計(jì)學(xué)意義。KOA炎癥程度及病情程度治療后WOMAC評分、膝關(guān)節(jié)活動度治療后評分、膝關(guān)節(jié)壓痛點(diǎn)治療后評分:C組=D組B組A組。治療后WOMAC改善情況以C、D兩組最好,療效優(yōu)于A、B兩組。C、D兩組之間差異無統(tǒng)計(jì)學(xué)意義。膝關(guān)節(jié)疼痛治療后VAS評分:不加熱針體組與加熱不同溫度的針體組VAS評分的比較:A、B兩組之間差異無統(tǒng)計(jì)學(xué)意義;A組與C、D兩組之間差異有統(tǒng)計(jì)學(xué)意義;加熱針體組VAS評分的比較:B、C、D三組之間差異無統(tǒng)計(jì)學(xué)意義;膝關(guān)節(jié)治療后療效評分:C組=D組B組A組,治療后膝關(guān)節(jié)療效改善情況C、D兩組下最好,療效優(yōu)于A、B兩組。C、D兩組之間差異無統(tǒng)計(jì)學(xué)意義。反應(yīng)治療手段是否安全體現(xiàn)在治療前后KOA患者不良反應(yīng)上,本研究通過針對A、B、C、D四組的觀察,均無嚴(yán)重不良反應(yīng),經(jīng)情緒疏導(dǎo)或休息等均可獲得緩解。經(jīng)統(tǒng)計(jì),4組患者不良反應(yīng)率均無統(tǒng)計(jì)學(xué)意義。結(jié)論:1.內(nèi)熱針軟組織松解術(shù)治療KOA,臨床療效值得肯定。2.不同溫度下內(nèi)熱針治療KOA臨床效果不同,內(nèi)熱針在43℃和46℃溫度控制臨床效果最佳。3.在不加熱、40℃、43℃、46℃四種內(nèi)熱針溫度控制下,臨床推薦使用43℃內(nèi)熱針作為KOA的治療溫度。
[Abstract]:Objective: to explore the clinical effect of internal heat acupuncture in the treatment of knee osteoarthritis (KOAA) at different temperatures, and to evaluate the clinical effect scientifically and objectively, and to guide the clinical practice better. Methods: one hundred and twenty patients with KOA were randomly divided into four groups. The four groups were treated with internal heat acupuncture under four different temperatures. The patients in the four groups were divided into three groups: once a week. The clinical curative effect of the four groups will be evaluated by VAS-score of knee joint pain, examination of knee motion, number of tenderness points of knee joint and degree of KOA inflammation. The WOMAC score of the degree of illness and the comprehensive curative effect standard of the criteria for evaluating the curative effect of osteoarthritis in reference to the guiding principles of Clinical Research of New drugs of traditional Chinese Medicine (TCM): after treatment, each group was compared with that before treatment. The scores were statistically significant. There were significant differences between the groups after treatment. The WOMAC score after treatment, the score of knee motion after treatment, the score of knee tenderness point after treatment, the score of group D and group B after treatment were statistically significant. After treatment, the improvement of WOMAC was the best in group C and D, and the curative effect was better than that in group A and B. There was no significant difference between group C and group D. VAS score after knee pain treatment: there was no significant difference in VAS score between the unheated needle group and the heated needle body group. There was no significant difference between the two groups. There was no significant difference among the three groups in the score of VAS in the heating needle group, and the score of curative effect in group C was better than that in group B after treatment, and the improvement of curative effect in group C was the best in group C after treatment, and the improvement of curative effect in group C was the best in group D after treatment. There was no significant difference between the two groups. The safety of response therapy is reflected in the adverse reactions of patients with KOA before and after treatment. In this study, no serious adverse reactions were observed in the four groups of KOA patients, and they were alleviated by emotional persuasion or rest. There was no significant difference in adverse reaction rate among the 4 groups. Conclusion 1. The clinical curative effect of internal heat acupuncture soft tissue release in treating KOAis worth affirming. 2. The clinical effect of internal heat acupuncture on KOA was different at different temperature. The best clinical effect was controlled by internal hot needle at 43 鈩，

本文編號：1871202