本文選題：繆刺法 + 肘靈穴��； 參考：《湖南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的觀察繆刺肘靈穴治療肱骨外上髁炎的臨床療效。方法收集網(wǎng)球肘病例,60例符合納入標(biāo)準(zhǔn)的病例,按隨機(jī)法分為兩組：繆刺肘靈組、常規(guī)針刺組(以下簡稱繆刺組、常規(guī)組),每組30例。繆刺組取肘靈穴,常規(guī)組取阿是穴、曲池、肘髂、手三里、手五里。兩組均留針30分鐘,期間每5分鐘行針1次。每日1次,5日為1療程�？姶探M每隔一日在肘靈穴用無菌注射器迅速點(diǎn)刺3-5刺,放血1-3m1。第一療程結(jié)束后休息1-2天,再治療一個(gè)療程,共兩個(gè)療程。在治療前、第一個(gè)療程結(jié)束及第二療程結(jié)束后,采用VAS疼痛評(píng)分法問卷和Mayo肘關(guān)節(jié)功能評(píng)定表,對(duì)每一位患者進(jìn)行疼痛評(píng)分和肘關(guān)節(jié)功能測(cè)定。在第二療程結(jié)束后55-60天進(jìn)行隨訪。所得出數(shù)據(jù)進(jìn)行分析比較。結(jié)果1.治療后,兩組患者的肘關(guān)節(jié)疼痛VAS評(píng)分均明顯下降,前后差異具有顯著統(tǒng)計(jì)學(xué)意義(P0.01),且第二療程優(yōu)于第一療程；繆刺組比常規(guī)組下降更明顯,具有顯著統(tǒng)計(jì)學(xué)意義(P0.01)。2.治療后,兩組患者的肘關(guān)節(jié)功能Mayo評(píng)分均明顯上升,前后差異具有顯著統(tǒng)計(jì)學(xué)意義(P0.01),且第二療程優(yōu)于第一療程；繆刺組比常規(guī)組上升更明顯,具有顯著統(tǒng)計(jì)學(xué)意義(P0.01)。3.治療后,實(shí)驗(yàn)組顯效27人,有效2人,無效1人,總有效率96.6%：對(duì)照組顯效9人,有效18人,無效3人,總有效率90.0%,兩組鎮(zhèn)痛效果比較,繆刺組優(yōu)于常規(guī)組,具有顯著統(tǒng)計(jì)學(xué)意義(P0.01)。4.第二療程結(jié)束后55-60天進(jìn)行隨訪,繆刺組部分復(fù)發(fā)1人,復(fù)發(fā)為2人,復(fù)發(fā)率為10.3%；常規(guī)組部分復(fù)發(fā)的為2人,復(fù)發(fā)的為3人,復(fù)發(fā)率為18.5%。就復(fù)發(fā)率比較繆刺組明顯低于常規(guī)組,具有統(tǒng)計(jì)學(xué)意義(P0.05)。5.兩組患者在治療過程中均未出現(xiàn)針刺意外和不良反應(yīng),隨訪中亦無不良反應(yīng)。結(jié)論繆刺肘靈穴較針刺常規(guī)穴位治療網(wǎng)球肘的臨床療效明顯,能有效緩解甚至消除患者肘關(guān)節(jié)疼痛,改善肘關(guān)節(jié)功能。療效穩(wěn)定,復(fù)發(fā)率低,安全性良好,患者易于接受,值得推廣。
[Abstract]:Objective to observe the clinical effect of Cuiling point on external epicondylitis of humerus. Methods A total of 60 cases of tennis elbow were randomly divided into two groups: Muci kongling group, routine acupuncture group (hereinafter referred to as Miao acupuncture group, routine acupuncture group, 30 cases in each group). The acupuncture group took the cubital point, and the routine group took Ashi, qu Chi, elbow iliac, three li of the hand and five li of the hand. The needle was kept for 30 minutes in both groups, and the needle was given once every 5 minutes. Once a day, 5 days as a course of treatment. Every other day, 3-5 points were punctured with sterile syringe at cubbling acupoint, bleeding was 1-3 m 1. Rest 1-2 days after the first course of treatment, another course of treatment, a total of two courses. Before, after the first course of treatment and the end of the second course of treatment, VAS pain score questionnaire and Mayo elbow function evaluation table were used to measure the pain score and elbow function of each patient. The patients were followed up 55-60 days after the second course of treatment. The obtained data are analyzed and compared. Result 1. After treatment, the VAS scores of elbow joint pain in the two groups were significantly decreased, the difference before and after treatment was significant (P 0.01), and the second course of treatment was better than the first course, and that in the acupuncture group was significantly lower than that in the routine group (P 0.01). After treatment, the Mayo score of elbow joint function in the two groups increased significantly, and the difference between the two groups was statistically significant (P 0.01), and the second course was better than the first course, and that in the acupuncture group was significantly higher than that in the routine group (P 0.01). 3. After treatment, 27 patients in the experimental group were effective, 2 were effective, 1 was ineffective, and the total effective rate was 96.6. the total effective rate was 90.0 in the control group, 9 in the control group, 18 in the control group and 3 in the control group. The analgesic effect of the two groups was better than that in the routine group. There was significant statistical significance (P 0.01). 4. 55-60 days after the end of the second course of treatment, partial recurrence occurred in 1 patient and recurrence rate was 10.3 in the Miao acupuncture group, while in the routine group, the partial recurrence rate was 2 patients, the recurrence rate was 18.5 in the routine group. The recurrence rate of Miao acupuncture group was significantly lower than that of the routine group, with statistical significance (P 0.05. 5). There were no acupuncture accidents and adverse reactions in both groups, and there were no adverse reactions during follow-up. Conclusion the clinical curative effect of acupuncture on tennis elbow is more obvious than that of acupuncture. It can effectively relieve and even eliminate the pain of elbow joint and improve the function of elbow joint. The curative effect is stable, the recurrence rate is low, the safety is good, the patient is easy to accept, is worth popularizing.
【學(xué)位授予單位】：湖南中醫(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)】：R246.9

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉迪;翟佳麗;邱玲;;繆刺的臨床應(yīng)用概述[J];湖北中醫(yī)雜志;2011年06期

2 陳偉;繆刺法治療闌尾炎[J];浙江中醫(yī)雜志;1997年11期

3 余靖;繆刺法治療偏頭痛的臨床療效觀察[J];上海針灸雜志;2000年02期

4 王敏;《內(nèi)經(jīng)》“繆刺”探新[J];中醫(yī)藥學(xué)報(bào);2001年04期

5 楊改琴,任永新,李宏斌;繆刺法的臨床應(yīng)用[J];上海中醫(yī)藥雜志;2002年07期

6 丁習(xí)益;繆刺治療3例報(bào)告[J];中國臨床康復(fù);2002年16期

7 丁習(xí)益;繆刺法臨證新探[J];上海中醫(yī)藥雜志;2003年07期

8 皮敏,曹雪梅,吳立雄,彭君華,于海波,楊卓欣;面部腧穴繆刺法治療原發(fā)性三叉神經(jīng)痛臨床觀察[J];江西中醫(yī)藥;2003年07期

9 卓廉士,楊國漢;試論水證可以繆刺[J];實(shí)用中醫(yī)藥雜志;2003年03期

10 張樹霞;沈燕;陳祥芳;王舒;;繆刺治療岔氣[J];上海針灸雜志;2006年05期

相關(guān)會(huì)議論文 前9條

1 田寧;;巨刺法與繆刺法治療面部“三病”的臨床研究進(jìn)展[A];中國針灸學(xué)會(huì)臨床分會(huì)第三屆全國代表大會(huì)暨全國針灸臨床學(xué)術(shù)論壇論文集[C];2005年

2 李良;;繆刺配合關(guān)節(jié)活動(dòng)治療粘連期肩周炎的臨床研究[A];廣東省針灸學(xué)會(huì)第十一次學(xué)術(shù)研討會(huì)論文匯編[C];2010年

3 王毅剛;彭支蓮;;面癱后肌痙攣繆刺案[A];巴渝國醫(yī)傳承——重慶市第四批全國老中醫(yī)專家學(xué)術(shù)經(jīng)驗(yàn)繼承文集[C];2012年

4 王玲;;繆刺、巨刺理論探討與臨床運(yùn)用[A];中國針灸學(xué)會(huì)臨床分會(huì)第十五屆全國針灸學(xué)術(shù)研討會(huì)論文集[C];2007年

5 胡中平;洪營東;王罡;張虹;;小議脈診在巨刺與繆刺合理選擇上的重要意義[A];第七屆中華中醫(yī)藥學(xué)會(huì)中醫(yī)外治學(xué)術(shù)年會(huì)論文匯編[C];2011年

6 胡中平;洪營東;王罡;張虹;;小議脈診在巨刺與繆刺合理選擇上的重要意義[A];全國中醫(yī)外治發(fā)展論壇暨全國第六次中醫(yī)外治學(xué)術(shù)年會(huì)與技術(shù)展示論文集[C];2009年

7 毛長興;李廣琦;;繆刺結(jié)合閃罐法治療面肌痙攣15例臨床觀察[A];甘肅省中醫(yī)藥學(xué)會(huì)2013年學(xué)術(shù)年會(huì)論文集[C];2013年

8 田合祿;;五運(yùn)六氣中的太極針法[A];中華中醫(yī)藥學(xué)會(huì)中醫(yī)運(yùn)氣學(xué)學(xué)術(shù)研討會(huì)論文集[C];2009年

9 夏秋芳;東貴榮;;強(qiáng)刺激后溪穴配合繆刺法治療面肌痙攣35例臨床觀察[A];中國針灸學(xué)會(huì)第八屆全國中青年針灸推拿學(xué)術(shù)研討會(huì)論文匯編[C];2008年

相關(guān)博士學(xué)位論文 前1條

1 林鴻琦;繆刺法對(duì)肩周炎的臨床療效評(píng)估[D];廣州中醫(yī)藥大學(xué);2009年

相關(guān)碩士學(xué)位論文 前9條

1 李昆;繆刺治療急性踝關(guān)節(jié)扭傷的臨床研究[D];廣州中醫(yī)藥大學(xué);2016年

2 陳延;繆刺肘靈穴治療肱骨外上髁炎的臨床觀察[D];湖南中醫(yī)藥大學(xué);2016年

3 張亮;《內(nèi)經(jīng)》“繆刺”相關(guān)問題研究[D];北京中醫(yī)藥大學(xué);2007年

4 王執(zhí)悌;繆刺法治療偏頭痛的臨床療效觀察[D];湖南中醫(yī)學(xué)院;2003年

5 范玉網(wǎng);繆刺法治療腰椎間盤突出癥的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2009年

6 丘麗華;針灸繆刺法治療突發(fā)性耳聾的臨床研究[D];廣州中醫(yī)藥大學(xué);2010年

7 季鵬東;應(yīng)用繆刺法治療特發(fā)性面神經(jīng)麻痹的臨床療效觀察[D];山東中醫(yī)藥大學(xué);2011年

8 廖志剛;繆刺法治療急性踝關(guān)節(jié)扭傷的臨床觀察[D];湖北中醫(yī)藥大學(xué);2010年

9 彭家林;繆刺法治療周圍性面神經(jīng)炎的臨床觀察[D];湖北中醫(yī)藥大學(xué);2013年

，

本文編號(hào)：1932346