藥線點(diǎn)灸治療肱骨外上髁炎的臨床研究
發(fā)布時(shí)間：2018-11-19 19:45
【摘要】：目的:采用隨機(jī)對(duì)照的臨床試驗(yàn)研究方法,探討藥線點(diǎn)灸法治療肱骨外上髁炎的臨床療效,對(duì)藥線點(diǎn)灸療法的安全性和療效進(jìn)行分析,為在臨床普及此種中醫(yī)特色外治法提供科學(xué)依據(jù),造福更多肱骨外上髁炎患者。方法:將廣州中醫(yī)藥大學(xué)一附院門診及廣州市老年干部大學(xué)收集到的60例患者隨機(jī)的分配到治療組(藥線點(diǎn)灸)及對(duì)照組(普通針刺)。治療組采用壯醫(yī)特制的藥線進(jìn)行點(diǎn)灸治療,通過(guò)在肘關(guān)節(jié)附近采取按壓的方法找出阿是穴,并在阿是穴及周邊穴位,配合遠(yuǎn)端合谷穴上施以藥線點(diǎn)灸。對(duì)照組選擇普通針刺,選穴依據(jù)中國(guó)中醫(yī)藥出版社高樹中主編的"十二五"規(guī)劃教材《針灸治療學(xué)》中肱骨外上髁炎的標(biāo)準(zhǔn)處方,選取阿是穴、曲池、肘毼、手三里等穴。治療時(shí)間都是2個(gè)星期,藥線點(diǎn)灸及針灸均隔天一次,觀察指標(biāo)選擇為VAS疼痛評(píng)分、Mayo肘關(guān)節(jié)功能評(píng)分及中醫(yī)病癥診斷療效標(biāo)準(zhǔn),分別在治療前、第1次接受治療后及2周治療后利用量表及評(píng)分表進(jìn)行觀測(cè)指標(biāo)評(píng)分,使用SPSS19.0進(jìn)行統(tǒng)計(jì)學(xué)處理,做出系統(tǒng)分析和評(píng)價(jià)。結(jié)果:兩組間受試者的性別、年齡、病程,以及在接受治療前的VAS疼痛評(píng)分、Mayo肘關(guān)節(jié)功能評(píng)分經(jīng)比較均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明二組之間相關(guān)基線資料具有均衡性。兩組組內(nèi)的VAS評(píng)分相互比較,治療1次與治療前,治療2周后與治療前、治療1次對(duì)比,均具有統(tǒng)計(jì)學(xué)意義(P0.05)。說(shuō)明兩組治療方法對(duì)于肱骨外上髁炎導(dǎo)致的疼痛都有很好的止痛效果,隨著治療次數(shù)及時(shí)間的增加,療效也越來(lái)越好。在兩組間的比較上,藥線點(diǎn)灸的治療組治療1次后的VAS評(píng)分與對(duì)照組比較有統(tǒng)計(jì)學(xué)意義(P0.05),這說(shuō)明藥線點(diǎn)灸在治療一次后的止痛效果比普通針刺的效果明顯,即即時(shí)效果較好。兩組2周治療后的VAS評(píng)分比較并不具有統(tǒng)計(jì)意義(P0.05),說(shuō)明藥線點(diǎn)灸及普通針刺在2周治療結(jié)束后的疼痛改善上未見(jiàn)明顯差異。兩組受試者M(jìn)ayo肘關(guān)節(jié)功能評(píng)分比較,各組內(nèi)治療后與治療前比較,均具有統(tǒng)計(jì)學(xué)意義(P0.05);組間比較方面,治療1次、治療2周后兩組間的評(píng)分比較未見(jiàn)明顯差異(P0.05),說(shuō)明藥線點(diǎn)灸及普通針刺都能夠改善關(guān)節(jié)功能、緩解疼痛,提高生活質(zhì)量,但在緩解疼痛方面,由VAS評(píng)分比較,藥線點(diǎn)灸的即時(shí)止痛效果好于普通針刺。兩者在Mayo肘關(guān)節(jié)功能評(píng)分療效以及中醫(yī)療效評(píng)定上的對(duì)比,也無(wú)統(tǒng)計(jì)學(xué)意義(P0.0S),說(shuō)明兩者在2周的治療后療效未見(jiàn)明顯差異。結(jié)論:二種方法治療肱骨外上髁炎都是有效的,均能很好的緩解疼痛、改善肘關(guān)節(jié)的功能狀態(tài)。藥線點(diǎn)灸組在緩解疼痛方面起效更快,而且在第1次治療后療效要優(yōu)于對(duì)照組,因此,藥線點(diǎn)灸法在治療肱骨外上髁炎方面具有很好的即時(shí)止痛效果。Mayo肘關(guān)節(jié)功能評(píng)分的優(yōu)良率及中醫(yī)療效評(píng)價(jià)的總有效率對(duì)比,兩組并無(wú)明顯差異。藥線點(diǎn)灸在臨床操作中,簡(jiǎn)單、耗時(shí)短,價(jià)格低廉,患者普遍接受度更高,是臨床值得推廣的一種特色外治法。
[Abstract]:Objective: to investigate the clinical effect of moxibustion therapy on lateral epicondylitis of humerus by randomized controlled clinical trial, and to analyze the safety and efficacy of moxibustion therapy. To provide scientific basis for popularizing the characteristic external treatment of traditional Chinese medicine and to benefit more patients with external epicondylitis of humerus. Methods: 60 patients were randomly assigned to the treatment group (drug thread moxibustion) and the control group (common acupuncture). In the treatment group, the point moxibustion was done with the special medicine line made by Zhuang doctor. The Ashi point was found out by pressing the points near the elbow joint, and the points of Ashi and the surrounding acupoints were found, and the moxibustion of the medicine line was applied on the distal Hegu point. The control group selected common acupuncture, selected points according to the standard prescription of humeral external epicondylitis in the 12th Five-Year Plan textbook "Acupuncture and moxibustion Therapeutics" edited by Gao Shizhong of Chinese traditional Chinese Medicine Publishing House, and selected Ashi points, Quchi points, cubital points and hand Sanli points. The treatment time was 2 weeks, and moxibustion were used every other day. The observation indexes were VAS pain score, Mayo elbow function score and diagnostic curative effect standard of TCM symptoms, respectively, before treatment. After the first treatment and 2 weeks of treatment, the scale and scoring table were used to score the observation index, and the SPSS19.0 was used to carry out statistical processing, and to make systematic analysis and evaluation. Results: there was no significant difference in sex, age, course of disease, VAS pain score and Mayo elbow function score between the two groups (P0.05). The VAS scores in the two groups were compared with each other. There were significant differences in the VAS scores between the two groups before and after treatment 2 weeks and before treatment (P0.05). The results showed that the two groups had good analgesic effect on the pain caused by external epicondylitis of humerus, and with the increase of treatment times and time, the curative effect was better and better. Compared with the control group, the VAS score of the treatment group was significantly higher than that of the control group (P0.05), which indicated that the analgesic effect of the moxibustion was more effective than that of the common acupuncture. That is, the immediate effect is better. The comparison of VAS scores between the two groups after 2 weeks of treatment had no statistical significance (P0.05), indicating that there was no significant difference in pain improvement between the two groups after 2 weeks of treatment. The scores of Mayo elbow function in the two groups were statistically significant after treatment and before treatment (P0.05). There was no significant difference in the scores between the two groups after 2 weeks of treatment (P0.05), indicating that both moxibustion and acupuncture could improve joint function, relieve pain and improve the quality of life. But in the aspect of relieving pain, compared with VAS score, the instant analgesic effect of moxibustion with drug thread is better than that with common acupuncture. There was no significant difference between the two groups in the evaluation of Mayo elbow function and traditional Chinese medicine (P0.0S), which indicated that there was no significant difference between the two groups after 2 weeks of treatment. Conclusion: both methods are effective in the treatment of lateral epicondylitis of humerus and can relieve pain and improve the function of elbow joint. The moxibustion group was more effective than the control group in relieving pain, and after the first treatment, the effect was better than that in the control group. The treatment of external epicondylitis of humerus with moxibustion has a good immediate analgesic effect. There is no significant difference between the two groups in the excellent and good rate of Mayo elbow joint function score and the total effective rate of traditional Chinese medicine curative effect evaluation. In clinical practice, moxibustion is simple, short time consuming, low price and generally accepted by patients. It is a characteristic external treatment method worth popularizing in clinic.
【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】：2017
【分類號(hào)】：R246.9
，
本文編號(hào)：2343250
[Abstract]:Objective: to investigate the clinical effect of moxibustion therapy on lateral epicondylitis of humerus by randomized controlled clinical trial, and to analyze the safety and efficacy of moxibustion therapy. To provide scientific basis for popularizing the characteristic external treatment of traditional Chinese medicine and to benefit more patients with external epicondylitis of humerus. Methods: 60 patients were randomly assigned to the treatment group (drug thread moxibustion) and the control group (common acupuncture). In the treatment group, the point moxibustion was done with the special medicine line made by Zhuang doctor. The Ashi point was found out by pressing the points near the elbow joint, and the points of Ashi and the surrounding acupoints were found, and the moxibustion of the medicine line was applied on the distal Hegu point. The control group selected common acupuncture, selected points according to the standard prescription of humeral external epicondylitis in the 12th Five-Year Plan textbook "Acupuncture and moxibustion Therapeutics" edited by Gao Shizhong of Chinese traditional Chinese Medicine Publishing House, and selected Ashi points, Quchi points, cubital points and hand Sanli points. The treatment time was 2 weeks, and moxibustion were used every other day. The observation indexes were VAS pain score, Mayo elbow function score and diagnostic curative effect standard of TCM symptoms, respectively, before treatment. After the first treatment and 2 weeks of treatment, the scale and scoring table were used to score the observation index, and the SPSS19.0 was used to carry out statistical processing, and to make systematic analysis and evaluation. Results: there was no significant difference in sex, age, course of disease, VAS pain score and Mayo elbow function score between the two groups (P0.05). The VAS scores in the two groups were compared with each other. There were significant differences in the VAS scores between the two groups before and after treatment 2 weeks and before treatment (P0.05). The results showed that the two groups had good analgesic effect on the pain caused by external epicondylitis of humerus, and with the increase of treatment times and time, the curative effect was better and better. Compared with the control group, the VAS score of the treatment group was significantly higher than that of the control group (P0.05), which indicated that the analgesic effect of the moxibustion was more effective than that of the common acupuncture. That is, the immediate effect is better. The comparison of VAS scores between the two groups after 2 weeks of treatment had no statistical significance (P0.05), indicating that there was no significant difference in pain improvement between the two groups after 2 weeks of treatment. The scores of Mayo elbow function in the two groups were statistically significant after treatment and before treatment (P0.05). There was no significant difference in the scores between the two groups after 2 weeks of treatment (P0.05), indicating that both moxibustion and acupuncture could improve joint function, relieve pain and improve the quality of life. But in the aspect of relieving pain, compared with VAS score, the instant analgesic effect of moxibustion with drug thread is better than that with common acupuncture. There was no significant difference between the two groups in the evaluation of Mayo elbow function and traditional Chinese medicine (P0.0S), which indicated that there was no significant difference between the two groups after 2 weeks of treatment. Conclusion: both methods are effective in the treatment of lateral epicondylitis of humerus and can relieve pain and improve the function of elbow joint. The moxibustion group was more effective than the control group in relieving pain, and after the first treatment, the effect was better than that in the control group. The treatment of external epicondylitis of humerus with moxibustion has a good immediate analgesic effect. There is no significant difference between the two groups in the excellent and good rate of Mayo elbow joint function score and the total effective rate of traditional Chinese medicine curative effect evaluation. In clinical practice, moxibustion is simple, short time consuming, low price and generally accepted by patients. It is a characteristic external treatment method worth popularizing in clinic.
【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】：2017
【分類號(hào)】：R246.9
，
本文編號(hào)：2343250
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