本文選題：熱敏灸 + 針刺治療��； 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本課題旨在對(duì)符合納入標(biāo)準(zhǔn)的患者進(jìn)行熱敏灸聯(lián)合普通針刺療法對(duì)肱骨外上髁炎的臨床研究,設(shè)立懸起灸聯(lián)合普通針刺進(jìn)行對(duì)比,兩組均采用疼痛視覺(jué)模擬評(píng)分(VAS)、無(wú)痛握力(PFG)及Mayo肘關(guān)節(jié)功能評(píng)分作為觀察指標(biāo),以期探討熱敏灸聯(lián)合普通針刺對(duì)肱骨外上髁炎患者在鎮(zhèn)痛、無(wú)痛握力、肘關(guān)節(jié)功能方面的臨床療效,進(jìn)一步挖掘并探討中醫(yī)藥對(duì)肱骨外上髁炎治療的新方法。方法：本課題對(duì)2015年1月-2015年10月就診于我院骨傷科門(mén)診且符合納入、排除標(biāo)準(zhǔn)的肱骨外上髁炎患者60例進(jìn)行觀察研究。按隨機(jī)數(shù)字表法接納符合標(biāo)準(zhǔn)的臨床病例入組,治療組及對(duì)照組各30例。治療組予熱敏灸聯(lián)合普通針刺治療,對(duì)照組予懸起灸聯(lián)合普通針刺治療。按5次為1療程,每天治療1次,1個(gè)療程結(jié)束后休息1天,共2個(gè)療程后進(jìn)行療效評(píng)價(jià)。觀察指標(biāo)為VAS評(píng)分、PFG及Mayo肘關(guān)節(jié)綜合評(píng)分,治療前兩組患者年齡、性別及治療前各項(xiàng)觀察指標(biāo)統(tǒng)計(jì)學(xué)無(wú)明顯差異(P≥0.05),具有可比性,通過(guò)進(jìn)行兩組病例治療前后指標(biāo)及有效率進(jìn)行比較,采用SPSS18.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析,以P0.05表示兩組結(jié)果具有統(tǒng)計(jì)學(xué)意義。結(jié)果：1、對(duì)于VAS評(píng)分,入組患者分別接受規(guī)定療程治療后,治療組為1.96±0.96,對(duì)照組為2.66±1.29,分析兩組患者VAS評(píng)分均較前顯著下降,兩組在鎮(zhèn)痛方面均有效,兩組間評(píng)分差異具有統(tǒng)計(jì)學(xué)意義(P0.05),治療組值低于對(duì)照組,說(shuō)明在鎮(zhèn)痛方面治療組優(yōu)于對(duì)照組。2、對(duì)于PFG,接受規(guī)定療程治療后,治療組為20.01±3.09,對(duì)照組為18.41±2.51,兩組PFG均較治療前下降,均能改善患者無(wú)痛握力,兩組間分值差異具有統(tǒng)計(jì)學(xué)意義(P0.05),治療組高于對(duì)照組,說(shuō)明治療組改善無(wú)痛握力效果較對(duì)照組顯著。3、對(duì)于Mayo評(píng)分,接受2療程治療后,治療組為86.83±4.42,對(duì)照組為82.76±5.14,組內(nèi)比較有統(tǒng)計(jì)學(xué)意義,說(shuō)明兩組均能有效改善肘關(guān)節(jié)活動(dòng),兩組間評(píng)分差異具有統(tǒng)計(jì)學(xué)意義(P0.05),治療組較對(duì)照組高,說(shuō)明治療組在改善肘關(guān)節(jié)功能活動(dòng)優(yōu)于對(duì)照組。4、治療組總有效率96.7%,對(duì)照組總有效率90%。經(jīng)秩和檢驗(yàn),P=0.022,兩組間有效率差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。治療組總有效率優(yōu)于對(duì)照組。結(jié)論：1、熱敏灸聯(lián)合針刺療法對(duì)于肱骨外上髁炎患者,具有明顯的鎮(zhèn)痛作用,能夠改善患肢無(wú)痛握力狀況,且能促進(jìn)肘關(guān)節(jié)運(yùn)動(dòng)功能的恢復(fù)。2、熱敏灸聯(lián)合針刺治療肱骨外上髁炎的鎮(zhèn)痛、改善無(wú)痛握力及肘關(guān)節(jié)運(yùn)動(dòng)情況優(yōu)于普通懸灸聯(lián)合針刺治療效果,且治愈率及總有效率顯著優(yōu)于懸灸聯(lián)合針刺治療。
[Abstract]:Objective: to study the clinical effects of heat sensitive moxibustion combined with common acupuncture therapy on patients with external epicondylitis of humerus, and to establish suspension moxibustion combined with common acupuncture to compare the clinical effects of heat sensitive moxibustion and common acupuncture therapy on patients with external epicondylitis of humerus. The pain visual analogue score (VASG), painless grip strength (PFG) and Mayo elbow function score were used as the observation indexes in both groups, in order to explore the analgesic and painless grip strength of patients with external epicondylitis of humerus treated by heat sensitive moxibustion combined with common acupuncture. The clinical curative effect of elbow joint function, further excavate and explore the new method of treating humeral epicondylitis with traditional Chinese medicine. Methods: from January 2015 to October 2015, 60 patients with external epicondylitis of humerus who were admitted to our hospital from January 2015 to October 2015 were studied. According to random digital table, 30 cases were admitted into the group, 30 cases in the treatment group and 30 cases in the control group. The treatment group was treated with heat sensitive moxibustion combined with common acupuncture, while the control group was treated with suspension moxibustion combined with common acupuncture. According to 5 times as a course of treatment, once a day, one course of rest after the end of a course of treatment, a total of 2 courses of curative effect evaluation. VAS score, PFG and Mayo elbow score were observed. There was no significant difference in age, sex and the observed indexes before treatment between the two groups (P > 0.05). Through the two groups of patients before and after treatment indicators and effective rate were compared, SPSS 18.0 software for statistical analysis, P0.05 to indicate the results of the two groups have statistical significance. Results: for the VAS score, the VAS score in the treatment group was 1.96 鹵0.96 and in the control group was 2.66 鹵1.29 respectively after the prescribed course of treatment. The VAS scores of the two groups were significantly lower than those of the former, and the two groups were effective in analgesia. The difference of scores between the two groups was statistically significant (P 0.05), and the value of the treatment group was lower than that of the control group, indicating that the treatment group was superior to the control group in terms of analgesia. The PFG in the treatment group was 20.01 鹵3.09 and 18.41 鹵2.51 after the prescribed course of treatment, and the PFG in both groups was lower than that before treatment. All of them could improve the painless grip strength of the patients, and the difference between the two groups was statistically significant (P 0.05). The treatment group was higher than the control group, indicating that the effect of improving painless grip strength in the treatment group was significantly higher than that in the control group. For the Mayo score, after two courses of treatment, the effect of the treatment group was significantly higher than that of the control group. 86.83 鹵4.42 in the treatment group and 82.76 鹵5.14 in the control group. The results showed that both groups could improve the elbow joint activity effectively. The difference of the score between the two groups was statistically significant (P 0.05), and that in the treatment group was higher than that in the control group. The results showed that the treatment group was superior to the control group in improving the function of elbow joint. The total effective rate of the treatment group was 96.70.The total effective rate of the control group was 90.1%. By rank sum test, the difference of effective rate between the two groups was statistically significant (P 0.05). The total effective rate of the treatment group was better than that of the control group. Conclusion the thermosensitive moxibustion combined with acupuncture therapy has obvious analgesic effect on the patients with external epicondylitis of humerus and can improve the painless grip strength of the affected limb. It can promote the recovery of motor function of elbow joint. 2. The analgesic effect of heat sensitive moxibustion combined with acupuncture in treating external epicondylitis of humerus is better than that of common hanging moxibustion combined with acupuncture. The cure rate and total effective rate were significantly better than that of suspension moxibustion combined with acupuncture treatment.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 姜旭東;楊渝平;;網(wǎng)球肘的手術(shù)治療進(jìn)展[J];中國(guó)運(yùn)動(dòng)醫(yī)學(xué)雜志;2014年12期

2 王春明;劉思嘉;;彈撥屈伸手法治療肱骨外上髁炎91臨床觀察[J];中國(guó)傷殘醫(yī)學(xué);2013年12期

3 郭豐存;;疏筋止痛湯內(nèi)服聯(lián)合活絡(luò)止痛酊外搽治療肱骨外上髁炎163例[J];中醫(yī)研究;2013年11期

4 楊海洲;;傍刺結(jié)合溫針灸治療網(wǎng)球肘的臨床研究[J];北方藥學(xué);2013年11期

5 吳曉娟;楊麗;;用圍針刺加熱敏灸治療網(wǎng)球肘30例的臨床療效觀察[J];求醫(yī)問(wèn)藥(下半月);2013年06期

6 朱毅;朱黎婷;勵(lì)建安;程潔;劉春龍;張志杰;曾育山;;富血小板血漿療法的生物機(jī)理及其在骨關(guān)節(jié)疾病中的臨床應(yīng)用[J];中國(guó)運(yùn)動(dòng)醫(yī)學(xué)雜志;2013年04期

7 祁良;李鋒;艾飛;王德杭;夏黎明;胡道予;王仁法;;肱骨外上髁炎臨床表現(xiàn)與伸肌總腱損傷程度的相關(guān)性研究[J];放射學(xué)實(shí)踐;2012年11期

8 李春;杜星男;孫磊;潘峰;田寶忠;;小切口微血管神經(jīng)束切斷治療頑固性肱骨外上髁炎[J];中國(guó)實(shí)用醫(yī)藥;2012年31期

9 吳耀持;汪崇淼;張峻峰;黃承飛;葉楓;;基于灸法原理的eMoxa電子灸治療肩周炎臨床研究[J];上海針灸雜志;2012年10期

10 張瑾;張順喜;溫璐璐;王新亮;鞠洪斌;鄧衛(wèi)兵;王東山;劉月萍;陳鈺杰;;無(wú)痛握力在肱骨外上髁炎功能評(píng)定中的應(yīng)用價(jià)值[J];廣州醫(yī)藥;2012年02期

相關(guān)博士學(xué)位論文 前1條

1 司徒萬(wàn)德;毫火針配合康復(fù)訓(xùn)練治療肱骨外上髁炎的臨床觀察[D];南方醫(yī)科大學(xué);2014年

相關(guān)碩士學(xué)位論文 前3條

1 張寶厚;小針刀治療肱骨外上髁炎的臨床研究[D];黑龍江省中醫(yī)研究院;2012年

2 楊志金;超聲波促進(jìn)大鼠骨骼肌挫傷修復(fù)的實(shí)驗(yàn)研究[D];第三軍醫(yī)大學(xué);2010年

3 岳永彬;肘外側(cè)軟組織痛的臨床解剖學(xué)研究[D];南方醫(yī)科大學(xué);2010年

，

本文編號(hào)：2046077