针灸推拿配合半导体激光治疗退行性膝关节炎的临床疗效观察

发布时间：2018-06-05 10:21

本文选题：退行性膝关节炎 + 推拿　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过观察针灸推拿配合半导体激光治疗退行性膝关节炎与单纯西医物理治疗对比,为临床治疗退行性膝关节炎筛选疗效更好的方法,进而优化治疗方法,有效提高治愈率。方法:将符合纳入标准的黑龙江中医药大学附属第二医院的膝关节炎门诊患者62例,年龄最小42岁,最高不超过70岁。采用随机分组的方法,分为观察组,对照组。采用的治疗方法是:观察组,推拿温针灸结合半导体激光照射治疗方法;对照组,单纯的西医物理治疗方法,半导体激光,微波加TDP照射,7天为一个疗程,连续治疗2个疗程。主要采用VAS评分比较,WOMAC评分比较,JOA评分比较,在治疗前后均需要填写治疗量表,综合疗效分为治愈、显效、有效、未愈。资料整理和统计方法:由SPSS19.0软件统计分析完成。计量数据采用X±S表示、采用t检验,及计数资料采用x2检验,等级变量比较应用秩和检验,以p0.05为差异显著、有统计学意义,疗效分析用Ridit分析。结果:两组患者在治疗之前的性别,年龄,病程方面无显著差异,具有可比性,治疗之后观察组的治愈率为58%,总有效率为93%,对照组的治愈率为45%,总有效率为74%,P0.01,具有统计学意义。结论.·两组治疗方法对于退行性膝关节炎均有效果,针灸推拿配合半导体激光治疗在改善膝关节疼痛、生理功能、生存质量方面疗效显著,优于纯西医物理治疗。
[Abstract]:Objective: to compare acupuncture, moxibustion and massage with semiconductor laser in the treatment of degenerative knee arthritis. Improve the cure rate effectively. Methods: 62 outpatients with knee arthritis were selected from the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The age was 42 years old and the maximum was not more than 70 years old. The group was randomly divided into two groups: observation group and control group. The treatment methods were as follows: observation group, massage warm moxibustion combined with semiconductor laser irradiation, control group, simple western medicine physical therapy, semiconductor laser, microwave plus TDP irradiation for 7 days as a course of treatment, two consecutive courses of treatment. The VAS score was compared with that of WOMAC score. It was necessary to fill in the treatment scale before and after treatment. The comprehensive curative effect was divided into cured, effective, effective and uncured. Data collation and statistical method: completed by SPSS19.0 software statistical analysis. The measurement data were expressed by X 卤S, t test, count data by x2 test, rank sum test by rank variable comparison, p0. 05 as the significant difference, there was statistical significance. Ridit analysis was used to analyze the curative effect. Results: there was no significant difference in sex, age and course of disease between the two groups before treatment. After treatment, the cure rate of observation group was 58 and the total effective rate was 933. The cure rate of control group was 45, and the total effective rate was 74. 01, which was statistically significant. Conclusion: the two treatment methods are effective for degenerative knee arthritis. Acupuncture and massage combined with semiconductor laser therapy can improve knee pain, physiological function and quality of life, which is superior to physical therapy of pure western medicine.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R684.3

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