本文選題：膝關(guān)節(jié)骨性關(guān)節(jié)炎 + 隨機(jī)試驗(yàn)療效探討��； 參考：《湖北中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:驗(yàn)證針灸療法是治療KOA的有效療法之一,通過對改良的青龍擺尾針法對于KOA患者療效的驗(yàn)證,推廣改良的青龍擺尾針法,進(jìn)一步指導(dǎo)KOA的臨床治療。方法:選取2014-2015年就診于湖北省中醫(yī)院針灸科的KOA患者40例,隨機(jī)分為青龍擺尾針法組和普通針刺組,兩組取穴均為:血海、犢鼻、內(nèi)膝眼、膝陽關(guān)、太溪、太白、居毼、交信。對照組采用普通針刺法,治療組居毼、交信兩穴采取改良的青龍擺尾針法,余穴采取普通針刺法。分別記錄兩組治療前后的VAS疼痛評分、中醫(yī)癥狀評分、下肢功能評分,并通過統(tǒng)計(jì)學(xué)分析,比較兩組療效的優(yōu)劣。并通過文獻(xiàn)整理闡述青龍擺尾針法、膝關(guān)節(jié)骨性關(guān)節(jié)炎目前國內(nèi)外研究進(jìn)展,對改良的青龍擺尾針法治療KOA的優(yōu)越性進(jìn)一步從理論驗(yàn)證。結(jié)果:1.VAS評分:治療前青龍擺尾針法組與普通針刺組經(jīng)t檢驗(yàn),t=-0.1089,p=0.91380.05,治療前后普通針刺組VAS評分經(jīng)t檢驗(yàn),t=-6.7939,p0.01,具有統(tǒng)計(jì)學(xué)差異,治療前后青龍擺尾針法組VAS評分經(jīng)t檢驗(yàn),t=-8.5099,p0.01,具有統(tǒng)計(jì)學(xué)差異,青龍擺尾針法組與普通針刺組治療前后VAS評分差值的絕對值經(jīng)t檢驗(yàn),t=-2.5501,p=0.01490.05。2.中醫(yī)癥狀評分:治療前青龍擺尾針法組與普通針刺組經(jīng)t檢驗(yàn),t=0.0662,p=0.94750.05,治療前后普通針刺組中醫(yī)癥狀評分經(jīng)t檢驗(yàn),t=-6.5194,p0.01,具有統(tǒng)計(jì)學(xué)差異,治療前后青龍擺尾針法組中醫(yī)癥狀評分經(jīng)t檢驗(yàn),t=-4.9218,p0.01,具有統(tǒng)計(jì)學(xué)差異,青龍擺尾針法組與普通針刺組治療前后中醫(yī)癥狀評分差值的絕對值經(jīng)t檢驗(yàn),t=-3.5324,p=0.00110.01。3.下肢功能評分:治療前青龍擺尾針法組與普通針刺組經(jīng)t檢驗(yàn),t=1.4587,p=0.15290.05,治療前后普通針刺組下肢功能評分經(jīng)t檢驗(yàn),t=--6.0308,p0.01,具有統(tǒng)計(jì)學(xué)差異,治療前后青龍擺尾針法組中醫(yī)癥狀評分經(jīng)t檢驗(yàn),t=12.5626,p0.01,青龍擺尾針法組與普通針刺組治療前后下肢功能評分差值的絕對值經(jīng)t檢驗(yàn),t=-4.1406,p=0.00020.01。4.臨床療效:兩組療效經(jīng)卡方檢驗(yàn),p=0.01650.05,具有可比性。結(jié)論:1.改良的青龍擺尾針法對于治療膝關(guān)節(jié)骨性關(guān)節(jié)炎的療效明顯優(yōu)于普通針刺法。2.總而言之,改良的青龍擺尾針法對于膝關(guān)節(jié)骨性關(guān)節(jié)炎患者的疼痛程度、中醫(yī)癥狀、下肢功能均具有顯著療效,但目前國內(nèi)對其的專項(xiàng)研究較少,應(yīng)進(jìn)一步加大其研究及臨床推廣的力度。
[Abstract]:Objective: to verify that acupuncture and moxibustion therapy is one of the effective treatments for KOA. Through the validation of the effect of modified Azure Dragon wobble tail acupuncture on KOA patients, the modified Azure Dragon wobble tail acupuncture method is extended to guide the clinical treatment of KOA. Methods: forty patients with KOA were randomly divided into two groups: Xuehai, calf nose, inner knee eye, knee Yangguan, Taixi, Taibai, Juyi and Jiaoxin, which were randomly divided into two groups: Xuehai, calf nose, inner knee eye, Yangguan of knee, Taibai, Juyi and Jiaoxin. The control group was treated with common acupuncture, the treatment group was treated with modified Azure Dragon tail acupuncture and the remaining acupoints were treated with common acupuncture. VAS pain score, TCM symptom score and lower limb function score were recorded before and after treatment, and the efficacy of the two groups was compared by statistical analysis. The research progress of Azure Dragon wobble tail acupuncture and knee osteoarthritis at home and abroad was expounded through literature review. The superiority of modified Azure Dragon wobble tail acupuncture in the treatment of KOA was further verified theoretically. Results 1. VAS score: before treatment, the VAS score of Azure Dragon wobble tail acupuncture group and common acupuncture group was t test -0.1089% p0.91380.05, and before and after treatment, the VAS score of common acupuncture group was t test -6.7939% p0.01, there was statistical difference between the two groups. Before and after treatment, the VAS score of the Azure Dragon tail swinging acupuncture group was significantly different by t test (t test). The absolute value of VAS score difference between the Azure Dragon tail swinging acupuncture group and the common acupuncture group was 0.01490.05.2 by t test. The scores of TCM symptoms: before treatment, the scores of TCM symptoms in Azure Dragon tail acupuncture group and ordinary acupuncture group were examined by t test and t test respectively. Before and after treatment, the scores of TCM symptoms in common acupuncture group were t test -6.5194 / p0.01, and there was statistical difference between them, and there were significant differences between the two groups before and after treatment. Before and after treatment, the TCM symptom score of Azure Dragon tail swinging acupuncture group was statistically different by t test (t test). The absolute value of TCM symptom score difference before and after treatment in Azure Dragon tail swinging acupuncture group and common acupuncture group was measured by t test (t test)-3.5324g / 0. 00110.01.3. Lower extremity function score: before treatment, the lower extremity function score of Azure Dragon acupuncture group and common acupuncture group were 1.4587 and 6.0308, respectively, which were significantly different before and after treatment, and 0.15290.05 before and after treatment, and there was statistical difference between the two groups before and after treatment, and there was significant difference between the two groups before and after treatment, and the score of lower extremity function was 0.15290.05before and after treatment, there was statistical difference between the two groups. Before and after treatment, the TCM symptom score of Azure Dragon tail swinging acupuncture group was evaluated by t test 12.5626 p0.01, and the absolute value of lower limb function score difference between Azure Dragon tail swinging acupuncture group and common acupuncture group was measured by t test (t test). Clinical efficacy: the two groups were comparable by chi-square test (P 0.01650.05). Conclusion 1. The effect of modified Azure Dragon method on knee osteoarthritis is better than that of common acupuncture. 2. In a word, the modified Azure Dragon method has a significant effect on the pain degree, TCM symptoms and lower limb function of patients with knee osteoarthritis, but there are few special researches on it in China. Its research and clinical popularization should be further strengthened.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.9

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