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  本文選題：推拿通整理法加導(dǎo)引 + 針刺加導(dǎo)引��； 參考：《甘肅中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察推拿通整理法加導(dǎo)引治療血瘀氣滯證急性肩周炎的近、遠(yuǎn)期臨床療效,比較推拿通整理法加導(dǎo)引與針刺加導(dǎo)引在即時止痛和改善肩關(guān)節(jié)功能活動障礙及提高生活質(zhì)量等方面的差異。方法:將84例血瘀氣滯證急性肩周炎患者按就診順序編號,用SPSS19.0軟件隨機(jī)分為推拿通整理法加導(dǎo)引組(治療組)43例、針刺加導(dǎo)引組(對照組)41例。治療組采用推拿通整理法加導(dǎo)引治療;對照組采用針刺加導(dǎo)引進(jìn)行治療。治療每日一次,10次作為一療程,總共治療1療程。以美國Michael Reese醫(yī)療中心肩部評分標(biāo)準(zhǔn)(MR)和視覺模擬評分法(VAS)為觀察指標(biāo),采用統(tǒng)計(jì)學(xué)處理,對推拿通整理法加導(dǎo)引和針刺加導(dǎo)引兩組患者在即時止痛;改善肩關(guān)節(jié)功能活動障礙及提高生活質(zhì)量方面的差異進(jìn)行比較。結(jié)果:(1)治療組(90.70%)總有效率高于對照組(87.80%),差異無顯著性意義(P0.05)。(2)兩組患者首次治療后,VAS得分組內(nèi)比較,差異均有顯著性意義(P0.05);組間比較,對照組優(yōu)于治療組,差異具有顯著性意義(P0.05)。(3)兩組患者治療1療程后,MR總積分進(jìn)行組內(nèi)比較,得分均明顯改善,差異有顯著性意義(P0.05);組間進(jìn)行比較,差異無顯著性意義(P0.05);經(jīng)治療1療程后3個月末,MR總積分進(jìn)行組間比較,推拿通整理法加導(dǎo)引優(yōu)于針刺加導(dǎo)引,差異有顯著性意義(P0.05)。結(jié)論:(1)治療組與對照組治療血瘀氣滯證急性肩周炎的比較得出,兩者均有明顯的治療效果,其中對照組的即時止痛效果要明顯優(yōu)于治療組。(2)治療組與對照組對血瘀氣滯證急性肩周炎的肩關(guān)節(jié)功能活動障礙和生活質(zhì)量方面有很好的改善作用,但治療組的遠(yuǎn)期療效比對照組更為顯著。
[Abstract]:Objective: to observe the near and long term clinical effect of massage therapy combined with guidance in the treatment of acute shoulder periarthritis with blood stasis and qi stagnation syndrome. To compare the differences of massage treatment plus guidance and acupuncture plus guidance in immediate pain relief and improvement of shoulder dysfunction and improve the quality of life. Methods: 84 patients with acute shoulder periarthritis with blood stasis and qi stagnation were randomly divided into treatment group (43 cases) and acupuncture plus guidance group (41 cases) by SPSS19.0 software. The treatment group was treated with massage treatment plus guidance, while the control group was treated with acupuncture plus guidance. Ten times a day as a course of treatment, a total of one course of treatment. The shoulder scoring standard (MRS) and visual analogue score (VAS) of Michael Reese Medical Center of USA were taken as the observation indexes. The patients in the two groups were treated with statistics. The patients in the two groups were treated with massage treatment plus guidance and acupuncture plus guidance immediately. Differences in improving shoulder dysfunction and quality of life were compared. Results the total effective rate of the treatment group was higher than that of the control group (87.80%). There was no significant difference in the total effective rate between the two groups (P 0.05. 05%, P 0. 05, P 0. 05) after the first treatment, the difference was significant (P 0. 05), the control group was better than the treatment group, and the control group was better than the treatment group (P < 0. 05). After one course of treatment, the total Mr scores of the two groups were significantly improved, and there was significant difference between the two groups, and there was a significant difference between the two groups, and there was no significant difference between the two groups. There was no significant difference between the two groups after one course of treatment, the total integral of Mr was compared between the two groups at the end of 3 months after treatment, and the combination of massage and guidance was better than that of acupuncture plus guidance, and the difference was significant (P 0.05). Conclusion the comparison between the treatment group and the control group in the treatment of acute shoulder periarthritis with blood stasis and qi stagnation shows that both of them have obvious therapeutic effects. The immediate analgesic effect of the control group was significantly better than that of the treatment group. (2) the treatment group and the control group had a very good effect on improving the functional disturbance of shoulder joint and the quality of life of acute shoulder periarthritis with blood stasis and qi stagnation syndrome. But the long-term effect of the treatment group was more significant than that of the control group.
【學(xué)位授予單位】：甘肅中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R244.1

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本文編號：1907277