發(fā)布時間：2018-06-08 23:26

  本文選題：肩周炎 + 巨刺法��； 參考：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過觀察巨刺法配合局部刺絡(luò)對肩周炎(瘀滯證)的影響,比較巨刺法配合局部刺絡(luò)和常規(guī)針刺配合局部刺絡(luò)兩種療法的臨床療效、安全性及依從性,為臨床治療肩周炎(瘀滯證)提供新思路新方法。方法：本研究嚴(yán)格采用隨機(jī)、對照的研究方法,將納入的72例患者,隨機(jī)分為對照組(常規(guī)針刺配合局部刺絡(luò)組)、治療組(巨刺法配合局部刺絡(luò)組),每組36例。連續(xù)治療12次,每周3次,隔日1次,觀察治療前與治療后CMS肩關(guān)節(jié)功能評分中疼痛、日常生活能力、肩關(guān)節(jié)活動度、肌力、總分評分以及VAS視覺模擬評分量表評分的變化,以判定療效。結(jié)果：1.兩組基線均衡,兩組受試者在性別、年齡、病程、病情輕重程度均無顯著差異(P0.05),有可比性；兩組治療前VAS視覺模擬評分、CMS肩關(guān)節(jié)功能各項(xiàng)評分均無顯著差異(P0.05),有可比性。2.治療完成后,兩組進(jìn)行治療前后組內(nèi)比較：兩組的CMS評分中疼痛、日常生活能力、肩關(guān)節(jié)活動度、肌力、總分評分以及VAS評分均較治療前有變化,差異具有統(tǒng)計學(xué)意義(P0.05)。3.治療完成后,兩組進(jìn)行治療后組間比較：CMS評分中日常生活能力評分,兩組差異有統(tǒng)計學(xué)差異(P0.05)；兩組VAS評分和CMS評分中疼痛、肩關(guān)節(jié)活動度、肌力及總分積分比較,兩組差異無統(tǒng)計學(xué)意義(P0.05)。4.總療效評定：對照組治愈18例,好轉(zhuǎn)12例,無效5例,總有效率85.71%。治療組治愈11例,好轉(zhuǎn)17例,無效6例,總有效率82.35%。兩組臨床療效比較,P=0.1630.05,差異無統(tǒng)計學(xué)意義,提示兩組臨床療效無顯著性差異。結(jié)論：1.巨刺法配合局部刺絡(luò)和常規(guī)針刺配合局部刺絡(luò)對肩周炎(瘀滯證)均有較好的療效。2.巨刺法配合局部刺絡(luò)在改善日常生活能力方面優(yōu)于常規(guī)針刺配合局部刺絡(luò)組；兩組在改善疼痛、肩關(guān)節(jié)活動度、肌力方面的療效相當(dāng)。3.兩種治療方法的安全性和依從性均較好。
[Abstract]:Objective: to observe the effect of giant needling combined with local pricking on shoulder periarthritis (stagnation syndrome), and to compare the clinical efficacy, safety and compliance of two kinds of therapy, namely, giant needling combined with local pricking and routine acupuncture combined with local pricking. To provide a new method for clinical treatment of shoulder periarthritis (stagnation syndrome). Methods: in this study, 72 patients were randomly divided into control group (routine acupuncture combined with local pricking collaterals) and treatment group (36 cases in each group). The changes of pain, ADL, shoulder motion, muscle strength, total score and VAS visual analogue scale (VAS) were observed before and after treatment for 12 consecutive treatments, 3 times a week and once every other day. To judge the curative effect. The result is 1: 1. There was no significant difference in sex, age, course of disease and severity of illness between the two groups (P 0.05), and there was no significant difference in the visual analogue score (VAS) before treatment between the two groups (P 0.05), and there was no significant difference between the two groups (P 0.05). After the treatment, the two groups were compared before and after the treatment: pain, ADL, shoulder motion, muscle strength, total score and VAS score were significantly different between the two groups before and after the treatment, and the difference was statistically significant (P 0.05. 3). After the treatment, the two groups were compared with each other in the score of daily living (ADL) score in the score of: CMS, the difference was significant (P 0.05), the scores of pain, shoulder motion, muscle strength and total score were compared between the two groups in VAS score and CMS score, and the scores of shoulder motion, muscle strength and total score were compared between the two groups. There was no significant difference between the two groups (P 0.05. 4). Total curative effect evaluation: 18 cases were cured, 12 cases were improved, 5 cases were ineffective in the control group, the total effective rate was 85.71%. In the treatment group, 11 cases were cured, 17 cases were improved, 6 cases were ineffective, the total effective rate was 82.35%. There was no significant difference in clinical efficacy between the two groups, indicating that there was no significant difference in clinical efficacy between the two groups. Conclusion 1. Giant needling method combined with local pricking collaterals and routine acupuncture combined with local pricking collaterals have good curative effect on shoulder periarthritis (stagnation syndrome). 2. The two groups were superior to the routine acupuncture combined with local pricking group in improving the ability of daily living, and the two groups had the same curative effect in improving pain, shoulder motion and muscle strength. The safety and compliance of the two treatments were good.
【學(xué)位授予單位】：成都中醫(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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