麻醉下推拿松解整体疗法与传统推拿手法治疗肩关节周围炎临床疗效对比

发布时间：2018-04-05 20:38

本文选题：麻醉下推拿　切入点：推拿手法　出处：《北京中医药大学》2014年硕士论文

【摘要】：目的 1.探讨麻醉下推拿松解整体疗法及单纯推拿手法对肩关节周围炎患者症状的改善情况；2.对比观察麻醉下推拿松解整体疗法和单纯推拿手法治疗肩关节周围炎的临床疗效。方法 1.通过CNKI、万方数据知识服务平台等文献检索工具查阅大量近年来有关单纯推拿手法治疗肩关节周围炎的文献资料；2.按照随机分组原则,将60例肩关节周围炎患者随机分为治疗组和对照组进行临床观察。治疗组采用麻醉下推拿松解整体疗法治疗,对照组采用单纯推拿手法进行治疗,观察分析对比治疗前后患者疼痛程度、ADL评价、关节活动范围等指标。结果 1.分析整理了近年来采用单纯推拿手法治疗肩关节周围炎的文献资料；2.与治疗前相比,治疗后2组患者肩关节活动范围、VAS评分、ADL的指数有不同程度的改善,差异均有显著性(P0.05),治疗组的临床疗效明显优于对照组的临床疗效。结论 1.单纯推拿手法治疗相对其他疗法,有舒适、绿色、患者依从性高、手法安全性高、基本无副作用、费用低等优势,患者不会产生像手术、针灸、针刀等治疗所带来的恐惧心理,不会产生膏药或中药外敷可能带来的皮肤过敏反应等,并且避免了口服药物带来的副作用,临床上可作为轻中度肩关节周围炎的首选治疗方案推广使用。2.麻醉下推拿松解整体疗法治疗肩关节周围炎总体疗效确切,具有安全性和实用性,在减轻疼痛,改善肩关节活动度方面优于传统的单纯推拿手法治疗。
[Abstract]:Purpose1.To explore the improvement of the symptoms of patients with periarthritis of shoulder under anesthesia by massage therapy and massage manipulation alone.To observe the clinical effect of massotherapy under anesthesia and massage manipulation alone in the treatment of periarthritis of shoulder.Method1.Through CNKI, Wanfang data knowledge service platform and other literature retrieval tools to consult a large number of recent literature about the treatment of shoulder periarthritis by massage manipulation alone.According to the principle of random grouping, 60 patients with periarthritis of shoulder were randomly divided into treatment group and control group for clinical observation.The treatment group was treated with the whole therapy of massage release under anesthesia, while the control group was treated with simple massage manipulation. The pain degree of the patients before and after treatment was evaluated by ADL, and the range of joint movement was compared and observed.Result1.The literature data of treating shoulder periarthritis with massage manipulation in recent years were analyzed.Compared with before treatment, the ADL index of VAS score was improved in different degree in the two groups after treatment, and the difference was significant (P 0.05). The clinical effect of the treatment group was obviously better than that of the control group.Conclusion1.Compared with other therapies, simple massage therapy has the advantages of comfort, green, high patient compliance, high manipulation safety, basically no side effects, low cost, and so on. Patients will not have the fear of treatment such as surgery, acupuncture, needle knife, etc.It can not produce skin allergic reaction caused by plaster or traditional Chinese medicine, and avoid the side effects of oral medicine. It can be used as the first choice of treatment for mild to moderate periarthritis of shoulder.The whole treatment of shoulder periarthritis under anesthesia is effective, safe and practical. It is superior to the traditional massage therapy in alleviating pain and improving the range of motion of shoulder joint.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R246.2

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