推拿结合肩三针温针治疗肩凝症的临床研究
发布时间：2018-08-09 17:31
【摘要】：目的:应用推拿结合肩三针温针治疗肩凝症的临床观察,并对此方法与肩三针温针治疗对肩凝症的客观疗效进行总结比较,以期对此做出科学、客观、系统、可靠的疗效评价,试图寻找一个行之有效、经济安全的治疗肩凝症的最好方法,以减轻患者的痛苦,提高其生活质量,为临床治疗肩凝症提供科学依据。方法:本研究将符合纳入标准的60例肩凝症患者按照简单随机分为治疗组30例,对照组30例。治疗组予推拿结合肩三针温针治疗,对照组予肩三针温针治疗,经过2周治疗,通过视觉模拟评分法(VAS)、Constant-Murley肩关节评定表评估治疗效果,及两组患者疗效差异。结果:(1)推拿结合肩三针温针和肩三针温针治疗肩凝症都有良好的疗效,治疗组总有效率,对照组总有效率96.7%,对照组总有效率86.7%,两组疗效结果经Ridit分析,差异具有统计学意义(P0.05),说明治疗组采用的方法在提高有效率方面明显优于对照组方法。(2)两组患者治疗后肩关节VAS评分均较治疗前明显降低(P0.05),治疗后组间比较,VAS评分有显著差异(P0.05),说明推拿结合肩三针温针更能有效缓解肩凝症患者疼痛症状。(3)两组患者治疗后Constant-Murley肩关节功能评分均较治疗前有显著提高(P0.05),治疗后组间对比,Constant-Murley肩关节功能评分有显著差异P0.05),说明推拿结合肩三针温针更能有效改善肩凝症患者肩关节功能,提高患者生活质量。结论:(1)本研究证明,推拿结合肩三针温针及肩三针温针治疗肩凝症疗效确切,均可有效缓解肩凝症患者肩关节疼痛,改善肩关节功能,提高患者生活质量。(2)推拿结合肩三针温针组和肩三针温针组两组间的疗效比较,经治疗后,治疗组的VAS评分较对照组显著降低,且治疗组的Constant-Murley肩关节功能评分较对照组显著提高,结果说明,推拿结合肩三针温针治疗肩凝症较肩三针温针疗效更佳,值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of massage combined with three needle warming acupuncture on shoulder coagulation, and to summarize and compare the objective curative effect of this method with that of shoulder three needle warming acupuncture in order to make a scientific, objective, systematic and reliable evaluation of the curative effect. This paper attempts to find an effective, economical and safe way to treat shoulder coagulation in order to alleviate the pain of patients, improve their quality of life, and provide scientific basis for clinical treatment of shoulder coagulation. Methods: 60 patients with shoulder coagulation were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with massage combined with three needles of warm acupuncture of shoulder, and the control group was treated with warm acupuncture of three needles of shoulder. After 2 weeks of treatment, the curative effect was evaluated by visual analogue score (VAS) and Constant-Murley shoulder joint evaluation table, and the difference of curative effect between the two groups. Results: (1) the treatment of shoulder coagulation with massage combined with three needle warm needle and three needle warm needle has good effect. The total effective rate of the treatment group is 96.77.The total effective rate of the control group is 86.7.The results of the two groups were analyzed by Ridit. The difference was statistically significant (P0.05), which indicated that the treatment group was superior to the control group in improving the effective rate. (2) the shoulder joint VAS scores of the two groups after treatment were significantly lower than those before treatment (P0.05). There was significant difference between the two groups (P0.05), which indicated that massage combined with three needle warm needles could relieve the pain symptoms of patients with shoulder coagulation more effectively. (3) after treatment, the scores of Constant-Murley shoulder joint function in the two groups were significantly higher than those before treatment (P0.05), and the comparison between the two groups after treatment was compared with Constant-Murley shoulder closure. There was significant difference in the score of segment function (P0.05), which indicated that massage combined with three needle warm needles could effectively improve the shoulder function of patients with shoulder coagulation. Improve the quality of life of patients. Conclusion: (1) this study proved that massage combined with three needle warm needle and three needle warm needle can effectively relieve shoulder pain and improve shoulder function in patients with shoulder coagulation. Improve the quality of life of patients. (2) the curative effect comparison between massage and shoulder three needle warm acupuncture group, after treatment, the VAS score of the treatment group was significantly lower than that of the control group. The score of Constant-Murley shoulder joint function in the treatment group was significantly higher than that in the control group. The results showed that the treatment of shoulder coagulation with massage combined with three needle warming acupuncture was more effective than that of shoulder three needle warm acupuncture, which was worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R246.9
本文编号：2174804
[Abstract]:Objective: to observe the clinical effect of massage combined with three needle warming acupuncture on shoulder coagulation, and to summarize and compare the objective curative effect of this method with that of shoulder three needle warming acupuncture in order to make a scientific, objective, systematic and reliable evaluation of the curative effect. This paper attempts to find an effective, economical and safe way to treat shoulder coagulation in order to alleviate the pain of patients, improve their quality of life, and provide scientific basis for clinical treatment of shoulder coagulation. Methods: 60 patients with shoulder coagulation were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with massage combined with three needles of warm acupuncture of shoulder, and the control group was treated with warm acupuncture of three needles of shoulder. After 2 weeks of treatment, the curative effect was evaluated by visual analogue score (VAS) and Constant-Murley shoulder joint evaluation table, and the difference of curative effect between the two groups. Results: (1) the treatment of shoulder coagulation with massage combined with three needle warm needle and three needle warm needle has good effect. The total effective rate of the treatment group is 96.77.The total effective rate of the control group is 86.7.The results of the two groups were analyzed by Ridit. The difference was statistically significant (P0.05), which indicated that the treatment group was superior to the control group in improving the effective rate. (2) the shoulder joint VAS scores of the two groups after treatment were significantly lower than those before treatment (P0.05). There was significant difference between the two groups (P0.05), which indicated that massage combined with three needle warm needles could relieve the pain symptoms of patients with shoulder coagulation more effectively. (3) after treatment, the scores of Constant-Murley shoulder joint function in the two groups were significantly higher than those before treatment (P0.05), and the comparison between the two groups after treatment was compared with Constant-Murley shoulder closure. There was significant difference in the score of segment function (P0.05), which indicated that massage combined with three needle warm needles could effectively improve the shoulder function of patients with shoulder coagulation. Improve the quality of life of patients. Conclusion: (1) this study proved that massage combined with three needle warm needle and three needle warm needle can effectively relieve shoulder pain and improve shoulder function in patients with shoulder coagulation. Improve the quality of life of patients. (2) the curative effect comparison between massage and shoulder three needle warm acupuncture group, after treatment, the VAS score of the treatment group was significantly lower than that of the control group. The score of Constant-Murley shoulder joint function in the treatment group was significantly higher than that in the control group. The results showed that the treatment of shoulder coagulation with massage combined with three needle warming acupuncture was more effective than that of shoulder three needle warm acupuncture, which was worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R246.9
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