本文選題：針刀挑割法 + 中藥熏洗��； 參考：《黑龍江中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：探討中醫(yī)學(xué)治療跖管綜合征的機(jī)理,運(yùn)用針刀挑割法配合中藥熏洗治療跖管綜合征,并與局部疼痛點(diǎn)封閉療法對(duì)比,分析臨床觀察結(jié)果,為跖管綜合征的臨床治療提供一種臨床治療方法。方法：將60例符合納入標(biāo)準(zhǔn)的跖管綜合征患者隨機(jī)分為兩組,每組30例,治療組應(yīng)用針刀挑割法配合中藥熏洗治療,對(duì)照組應(yīng)用局部封閉治療。一周一次,2周為一個(gè)治療療程,治療結(jié)束后對(duì)各組治療前后的脛后神經(jīng)傳導(dǎo)速度、踝關(guān)節(jié)AOFAS積分及踝關(guān)節(jié)疼痛VAS評(píng)分進(jìn)行對(duì)比分析。結(jié)果：1.治療前兩組患者脛后神經(jīng)傳導(dǎo)速度、踝關(guān)節(jié)AOFAS、踝關(guān)節(jié)疼痛VAS評(píng)分P0.05,兩組間數(shù)據(jù)差異無(wú)統(tǒng)計(jì)學(xué)意義。2.治療后治療組和對(duì)照組分別進(jìn)行組內(nèi)比較,兩組患者脛后神經(jīng)傳導(dǎo)速度、踝關(guān)節(jié)AOFAS、踝關(guān)節(jié)疼痛VAS評(píng)分均P0.05,組內(nèi)數(shù)據(jù)有差異,有統(tǒng)計(jì)學(xué)意義。3.治療后治療組與對(duì)照組進(jìn)行比較,兩組患者脛后神經(jīng)傳導(dǎo)速度、踝關(guān)節(jié)AOFAS、踝關(guān)節(jié)疼痛VAS評(píng)分P0.05,兩組間對(duì)比有統(tǒng)計(jì)學(xué)意義。4.治療組的治愈率,有效率均明顯高于對(duì)照組,且P0.05,有統(tǒng)計(jì)學(xué)意義。結(jié)論：.1.針刀挑割法配合中藥熏洗治療跖管綜合征的臨床療效明顯,能有效減輕或消除踝部疼痛,行走等活動(dòng)功能明顯改善或恢復(fù)。2.針刀挑割法配合中藥熏洗治療跖管綜合征總療效率高于局部疼痛點(diǎn)封閉療法。3.針刀挑割法配應(yīng)用彎刃針刀操作,極大的提高了安全系數(shù),可有效避免對(duì)局部重要神經(jīng)血管的損傷,值得臨床推廣。
[Abstract]:Objective: To explore the mechanism of traditional Chinese medicine in the treatment of metatarsal canal syndrome, using needle knife cutting method combined with traditional Chinese medicine fumigation to treat metatarsal canal syndrome, and compare with local pain point closed therapy, analyze clinical observation results and provide a clinical treatment method for the clinical treatment of metatarsal canal syndrome. Method: 60 cases of metatarsal canal syndrome were conformed to the standard. The patients were randomly divided into two groups, 30 cases in each group. The treatment group was treated with needle knife cutting and traditional Chinese medicine fumigation. The control group was treated with local closed therapy. One week and 2 weeks was a treatment course. After the treatment, the posterior tibial nerve conduction velocity before and after treatment, the AOFAS score of the ankle joint and the VAS score of ankle joint pain were compared and analyzed. Results: 1. in the first two groups, the velocity of the posterior tibial nerve conduction, the AOFAS of the ankle joint and the ankle joint pain VAS score P0.05, the difference of data between the two groups was not statistically significant. After the.2. treatment, the treatment group and the control group were compared, the two group of patients with the posterior tibial nerve conduction velocity, the ankle joint AOFAS, and the ankle joint pain VAS score were all P0.05, and the data in the group were poor. Different, statistically significant.3. treatment group compared with the control group, the two groups of posterior tibial nerve conduction velocity, ankle joint AOFAS, ankle pain VAS score P0.05, the two groups were statistically significant.4. treatment group cure rate, the effective rate was significantly higher than the control group, and P0.05, statistically significant. Conclusion:.1. needle knife cutting method The treatment of metatarsal canal syndrome with traditional Chinese medicine is effective in the treatment of metatarsal canal syndrome. It can effectively reduce or eliminate the pain of the ankle. The function of walking and other activities is obviously improved or restored with.2. needle knife cutting. The total treatment efficiency of the metatarsal canal syndrome is higher than that of the local pain point closed therapy. The method of.3. needle knife cutting and the operation of the curved blade Acupotomy is great. The safety factor is increased, which can effectively avoid injury to local important nerve and blood vessels, and is worthy of clinical promotion.
【學(xué)位授予單位】：黑龍江中醫(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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