本文選題：六指六穴 + 點(diǎn)壓��； 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:在治療膝關(guān)節(jié)慢性滑膜炎的臨床研究中,根據(jù)對(duì)六指六穴點(diǎn)壓結(jié)合消瘀定痛散外敷的治療方案進(jìn)行研究,從而找到一種有效緩解膝關(guān)節(jié)屈伸功能,以及腫脹、疼痛等癥狀的治療方案。這種治療方案以減輕患者的痛苦及經(jīng)濟(jì)負(fù)擔(dān)為目的,具有治療效果最佳,見效最快,創(chuàng)傷最小,能夠最大限度地避免軟骨損傷的特點(diǎn)。方法:在河南中醫(yī)藥大學(xué)第一附屬醫(yī)院骨傷科一區(qū)門診中,根據(jù)《骨傷科學(xué)》及《中藥新藥臨床研究指導(dǎo)原則》而確定的膝關(guān)節(jié)慢性滑膜炎診斷標(biāo)準(zhǔn),選取慢性膝關(guān)節(jié)滑膜炎的患者,并根據(jù)納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)的篩選,從膝關(guān)節(jié)慢性滑膜炎的病人中選取符合納入標(biāo)準(zhǔn)的60例作為觀察對(duì)象,根據(jù)隨機(jī)單盲法將臨床觀察對(duì)象隨機(jī)分為治療組30例和對(duì)照組30例。治療組的患者經(jīng)辨證后給予六指六穴點(diǎn)壓結(jié)合消瘀定痛散外敷的治療方案;對(duì)照組的患者給予滑膜炎片口服結(jié)合消瘀定痛散外敷的治療方案。兩組患者均連續(xù)治療15天,治療期間,兩組患者均在醫(yī)生指導(dǎo)下進(jìn)行規(guī)范的股四頭肌功能鍛煉。通過對(duì)患者WOMAC膝關(guān)節(jié)功能評(píng)估(包括總評(píng)分、疼痛、僵硬、日常功能)、VAS總體疼痛評(píng)分直觀模擬量表,膝關(guān)節(jié)周徑變化、膝關(guān)節(jié)活動(dòng)度變化進(jìn)行觀察并記錄治療前及治療后兩組數(shù)據(jù),根據(jù)兩組患者治療后的有效率情況,然后進(jìn)行統(tǒng)計(jì)學(xué)分析,進(jìn)行組內(nèi)對(duì)比及組間對(duì)比。結(jié)果:治療組治療15d后,5例治愈,效果顯著的有15例,有效8例,無效2例,總有效率93.33%;對(duì)照組治療15d后,3例治愈,7例療效顯著,有效14例,無效6例,總有效率80.00%,兩組經(jīng)治療后總的有效率進(jìn)行比較,治療組六指六穴手法與對(duì)照組滑膜炎片藥物對(duì)膝關(guān)節(jié)慢性滑膜炎療效差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者在膝關(guān)節(jié)VAS評(píng)分、WOMAC評(píng)分上、膝關(guān)節(jié)周徑、膝關(guān)節(jié)活動(dòng)度等觀察指標(biāo)方面,治療后較治療前均有顯著的改善(P0.05),且治療組與對(duì)照組進(jìn)行比較,臨床療效更為顯著,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:通過本課題臨床觀察發(fā)現(xiàn):1.六指六穴點(diǎn)壓結(jié)合消瘀定痛散外敷治療膝關(guān)節(jié)慢性滑膜炎有效,六指六穴點(diǎn)壓結(jié)合外用消瘀定痛散治療膝關(guān)節(jié)慢性滑膜炎臨床療效較口服滑膜炎片結(jié)合外用消瘀定痛散治療相比療效顯著;2.兩組治療方案對(duì)于改善膝關(guān)節(jié)慢性滑膜炎的臨床癥狀、減輕關(guān)節(jié)的疼痛以及關(guān)節(jié)活動(dòng)功能方面均有確切療效,且治療組方案明顯優(yōu)于對(duì)照組。
[Abstract]:Objective: in the clinical study of treating chronic synovitis of knee joint, according to the treatment scheme of point pressure of six fingers and six points combined with external application of Xiaoyu Dingtong Powder, to find a kind of effective relief of knee joint flexion and extension function, as well as swelling. A treatment for symptoms such as pain. The purpose of this treatment is to alleviate the pain and economic burden of patients. It has the characteristics of best effect, quickest effect and minimal trauma, and can avoid cartilage injury to the maximum extent. Methods: the diagnostic criteria of chronic synovitis of knee joint were determined in the first affiliated Hospital of Henan University of traditional Chinese Medicine. Patients with chronic synovitis of knee joint were selected, and 60 patients with chronic synovitis of knee joint were selected according to inclusion criteria and exclusion criteria. According to the random single blind method, the clinical observation objects were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in the treatment group were treated with six fingers and six points of point pressure combined with the external application of Xiaoyu Dingtong Powder after syndrome differentiation; the patients in the control group were given the treatment plan of oral synovitis tablet combined with the external application of Xiaoyu Dingtong Powder. The patients in both groups were treated continuously for 15 days. During the treatment, the patients in both groups underwent regular quadriceps femoris exercise under the guidance of doctors. The knee joint function (including total score, pain, stiffness, daily function, total pain score and total pain score) were evaluated by visual simulation scale, and the changes of knee joint circumference were evaluated. The changes of knee motion were observed and recorded before and after treatment. According to the effective rate of the two groups after treatment, statistical analysis was carried out, and then the intra-group and inter-group comparison were carried out. Results: in the treatment group, 5 cases were cured after 15 days of treatment, 15 cases were effective, 8 cases were effective, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 7 cases were cured after 15 days of treatment, 14 cases were effective, 6 cases were ineffective. The total effective rate was 80.00g. The total effective rate of the two groups was compared after treatment. The curative effect of the treatment group on chronic synovitis of knee joint was significantly different from that of the control group (P 0.05). The VAS score, knee circumference and knee motion of the two groups were significantly improved after treatment than before, and compared with the control group, the clinical curative effect was more significant in the treatment group than in the control group, and compared with the control group, the clinical effect of the treatment group was more significant than that of the control group, and there was no significant difference between the treatment group and the control group. The difference was statistically significant (P 0.05). Conclusion: through the clinical observation of this subject, we found that 1. 1. The treatment of chronic synovitis of knee joint with six fingers and six points of point pressure combined with external application of Xiaoyu Dingtong Powder is effective. The clinical efficacy of Six-finger six-point pressure combined with external application of Xiaoyu Dingtong Powder in the treatment of chronic synovitis of knee joint was significantly higher than that of oral synovitis tablet combined with external application of Xiaoyu Dingtong Powder. The two groups have definite curative effect on improving the clinical symptoms of chronic synovitis of knee joint, relieving joint pain and joint movement function, and the treatment group is obviously superior to the control group.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R274.9

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