艾灸结合耳穴贴压治疗运动性疲劳的临床观察

发布时间：2018-04-13 06:52

本文选题：运动性疲劳 + 艾灸　；参考：《广州中医药大学》2017年硕士论文

【摘要】：现代竞技体育事业发展迅猛,运动训练变得更加严格,若运动员长期进行高强度训练后疲劳产生又得不到及时恢复就会出现运动性疲劳,严重影响运动员技术水平的发挥和运动能力的提高。对于运动性疲劳的治疗,西医以补充能量为主,虽能提高运动成绩,消除疲劳,但对运动员身体有一定的毒副作用,对肝肾功能的损害更是不可逆转的。中医对运动性疲劳的治疗效果日益得到广泛的关注。艾灸和耳穴疗法作为中医学科中的重要组成部分,具有很大的优势,因其可激发人体自身机能,刺激经络腧穴,具有良性双向调节作用,其防治运动性疲劳的独特优势逐渐显现出来,值得我们广泛研究。目的:在实际临床中发现艾灸和耳穴单独运用对运动性疲劳的恢复疗效尚可,在查阅历年文献研究中也看到相关记载。为进一步研究探讨艾灸结合耳穴贴压对治疗运动性疲劳的联合作用及其临床效果,为运动员提供有效改善运动性疲劳的新思路和新方法。方法:在广州大学城各个高校的男性田径运动员中纳入合格受试者90例,年龄在18-27岁,身体健硕,每日的运动量接近。按照excel随机数表法随机分为艾灸组、耳穴组和艾灸加耳穴组。艾灸组30例,耳穴组30例,艾灸加耳穴组30例。每天训练结束后,艾灸组灸关元穴、足三里穴位;耳穴组取脾、肾、心、肝、交感、肺、内分泌耳穴进行常规贴压;艾灸加耳穴组使用以上两种方法共同治疗。三组受试对象从每周训练第一天训练结束后开始接受治疗,共治疗两个训练周期(4周),分别对各组在第一天训练结束后治疗前及两个训练周期结束最后一次训练结束后即刻进行疲劳主观感觉评分(RPE)、症状体征评分的测评。艾灸和耳穴均是每2天治疗一次,治疗2周为一个疗程,持续观察2个疗程。疗程结束后,比较受试对象前后的疲劳主观感觉评分值(即RPE值)、症状体征评分情况。成果:经过4周的实验研究后,艾灸组、耳穴组和艾灸加耳穴组的疲劳主观感觉评分(RPE)、症状体征评分测评在首次与末次对比中呈现明显降低趋势,且艾灸加耳穴组均优于其他两组。治疗后,各组症状在治疗疗效对比中艾灸加耳穴组总有效率为93.33%,艾灸组总有效率为66.67%,耳穴组总有效率为26.67%。表明艾灸结合耳穴组治疗运动性疲劳优势明显,其疗效明显优于艾灸组和耳穴组。结论:在艾灸结合耳穴贴压疗法治疗下,艾灸加耳穴组和其他两组在疲劳主观感觉评分(RPE)、症状体征评分的测评中有显著性差异。进行艾灸结合耳穴贴压疗法治疗后,与其余各组相比,体力及竞技能力明显改善,治疗运动性疲劳的效果明显,证明艾灸结合耳穴贴压疗法可以有效地治疗运动性疲劳。
[Abstract]:With the rapid development of modern competitive sports, sports training becomes more rigorous. If athletes get tired after a long period of high-intensity training and can't recover in time, there will be sports-induced fatigue.It seriously affects the development of athletes' technical level and the improvement of their sports ability.For the treatment of sports fatigue, western medicine to supplement energy, although it can improve the performance of sports, eliminate fatigue, but the athletes have certain toxic side effects, the damage to liver and kidney function is more irreversible.The therapeutic effect of traditional Chinese medicine (TCM) on exercise fatigue has been paid more and more attention.Moxibustion and auricular acupoint therapy, as an important part of traditional Chinese medicine, have great advantages, because they can stimulate the function of human body, stimulate acupoints of meridians and collaterals, and have the function of good two-way regulation.Its unique advantages of preventing and curing exercise fatigue gradually appear, which is worthy of our extensive study.Objective: to find the recovery effect of moxibustion and auricular point alone on exercise fatigue in clinical practice.To further study the combined effect of moxibustion combined with auricular point plaster on the treatment of exercise fatigue and its clinical effect, to provide new ideas and methods for athletes to effectively improve exercise fatigue.Methods: a total of 90 male athletes, aged 18-27 years, were included in the male athletes in Guangzhou University City.According to excel's random number table method, they were randomly divided into three groups: moxibustion group, auricular point group and moxibustion plus auricular point group.30 cases in moxibustion group, 30 cases in auricular point group and 30 cases in moxibustion plus auricular point group.After training every day, moxibustion group moxibustion Guanyuan point, Zusanli acupoint; ear point group take spleen, kidney, heart, liver, sympathetic, lung, endocrine auricular points for routine pressing; moxibustion plus auricular point group with the above two methods of treatment.The three groups began to receive treatment after the first day of training each week.A total of two training cycles were treated for 4 weeks. After the first day of training and immediately after the last training of the two training cycles, the scores of fatigue subjective sensation and symptoms and signs were evaluated.Moxibustion and auricular acupoints were treated once every 2 days and 2 weeks as a course of treatment.After the course of treatment, the subjective feeling score (RPE), symptom and sign scores of subjects were compared before and after the treatment.Results: after 4 weeks of experimental study, the scores of fatigue subjective sensation in moxibustion group, auricular point group and moxibustion plus auricular point group were significantly decreased in the first and last comparison.The moxibustion plus auricular point group was superior to the other two groups.After treatment, the total effective rate of moxibustion plus auricular point group was 93.33, the total effective rate of moxibustion group was 66.67, and the total effective rate of auricular acupoint group was 26.67.The results showed that moxibustion combined with auricular acupoint had obvious advantages in treating exercise fatigue, and its curative effect was better than that of moxibustion group and auricular point group.Conclusion: under the treatment of moxibustion combined with auricular point plaster therapy, there is a significant difference between the moxibustion plus auricular acupoint group and the other two groups in the evaluation of the subjective feeling score of fatigue and the score of symptoms and signs.After the treatment of moxibustion combined with auricular point plaster therapy, compared with other groups, physical strength and competitive ability were obviously improved, and the effect of treating exercise fatigue was obvious, which proved that moxibustion combined with ear point plaster therapy could effectively treat exercise fatigue.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R87

【参考文献】