MTrPs干针结合常规针刺治疗爱尔兰群众肩周炎的临床研究

发布时间：2018-05-05 20:59

本文选题：肩周炎 + 阿是穴　；参考：《南京中医药大学》2017年硕士论文

【摘要】：目的:通过对比MTrPs干针结合常规针刺法和常规取穴结合阿是穴针刺法在缓解肩周炎疼痛和功能障碍的疗效差异分析两种疗法的特点、疗效、安全性。方法:采用随机、对照、单盲的研究方法,将符合纳入标准的80例患者,分为对照组(阿是穴结合常规针刺)、试验组(MTrPs干针结合常规针刺),每组40例。对照组在肩毭、肩毼、臂佈、条口、阿是穴针刺并行针;试验组对肩毭、肩毼、臂佈、条口等穴位运用同对照组一致的常规针刺,并在激活的MTrPs上进行针刺并引出局部抽搐反应。每隔一天针灸一次,一周三次为一个疗程,连续观察三个疗程。观察治疗前与治疗后第一周、第三周时,两组McGill疼痛评价、CMS肩关节功能评分的变化,以判定疗效。结果:1.两组在性别、年龄、年龄段分布、病程及病位(病情程度,McGill评分量表,CMS肩关节功能评分)等各方面一致性较好(P0.05),基线水平,数据具有可比性。2.两组进行治疗前后组内比较:McGill疼痛评分,CMS评分中疼痛、疼痛范围均有好转,且具有显著性差异(P0.05)。3.两组治疗一周后组间比较:两组McGill疼痛评分和CMS评分中疼痛、疼痛范围评分结果,试验组优于对照组。两组差异有统计学意义(P0.05)。4.两组治疗三周后组间比较:两组McGill疼痛评分和CMS评分中评分结果两组差异无显著性(P0.05)。5.第三周治疗结束后,试验组和对照组的总有效率分别为97.30%和94.74%,组间比较无显著差异(p0.05),说明两种干预方法对于肩周炎的远期疗效俱佳。结论:1、MTrPs干针结合常规针刺法和常规取穴结合阿是穴针刺均能对肩周炎患者疼痛和关节功能有显著的改善作用2、在近期的治疗效果上,MTrPs干针结合常规针刺法优于常规取穴结合阿是穴针刺3、在远期疗效上,两种疗法的疗效没有显著差异。
[Abstract]:Objective: to compare the curative effects of MTrPs dry needle combined with conventional acupuncture and conventional acupoint extraction combined with Ashi acupuncture in relieving shoulder periarthritis pain and dysfunction and analyze the characteristics, efficacy and safety of the two methods. Methods: a randomized, controlled and single-blind study was conducted. 80 patients who met the inclusion criteria were divided into control group (Ashi point combined with conventional acupuncture) and experimental group (40 cases in each group) with MTrPs dry acupuncture combined with routine acupuncture. In the control group, the acupoints of shoulder, shoulder, arm, strip mouth and Ashi were needled simultaneously, while the experimental group used routine acupuncture at shoulder, shoulder, arm cloth, strip mouth and so on, which were consistent with those of the control group. Acupuncture was performed on the activated MTrPs and local convulsions were elicited. Acupuncture and moxibustion once every other day, three times a week as a course of treatment, three consecutive courses of observation. The changes of McGill shoulder function score were observed before treatment and at the first week and the third week after treatment in order to evaluate the curative effect. The result is 1: 1. There was good consistency in sex, age, age distribution, course of disease and disease position (degree of illness, McGill score and CMS shoulder function score) between the two groups (P < 0.05). The baseline level and data were comparable. 2. Before and after treatment, there was a significant difference in the pain range between the two groups (P < 0.05), and there was a significant difference between the two groups before and after treatment (P < 0.05), and there was a significant difference in the pain range between the two groups (P < 0.05). Comparison between the two groups after one week of treatment: McGill pain score and CMS score in the two groups were better than those in the control group. The difference between the two groups was statistically significant (P 0.05). 4. Comparison between the two groups after three weeks of treatment: there was no significant difference between the two groups in McGill pain score and CMS score. At the end of the third week, the total effective rates of the experimental group and the control group were 97.30% and 94.74, respectively. There was no significant difference between the two groups (p 0.05). Conclusion dry acupuncture combined with routine acupuncture and conventional acupoint extraction combined with Ashi acupuncture can significantly improve pain and joint function in patients with periarthritis of shoulder (2). MTrPs dry acupuncture combined with routine acupuncture is superior to traditional acupuncture in the recent treatment effect of shoulder periarthritis patients. [WT5HZ] [WT5HZ] [WT5 "BZ] [WT5" BZ] [WT5 "BZ] [WT5" BZ] The combination of acupoint regulation and Ashi acupuncture 3, in the long-term effect, There was no significant difference in efficacy between the two treatments.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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