毫火针治疗寒湿型腰肌劳损的临床研究

发布时间：2018-01-02 03:19

  本文关键词：毫火针治疗寒湿型腰肌劳损的临床研究　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 腰肌劳损 毫火针 寒湿型 临床研究

【摘要】：目的：本研究以单纯常规针刺治疗腰肌劳损作为对照组,观察毫火针疗法结合常规针刺疗法治疗寒湿型腰肌劳损的临床疗效,比较两种方法治疗腰肌劳损的疗效,探讨不同疗法,选择对本病疗效的影响,以期找到治疗腰肌劳损的简便有效的方法。方法：研究共纳入符合寒湿型腰肌劳损患者60例,按随机分组方法,将60例患者分成两组,治疗组和对照组各30例。治疗组采用毫火针结合常规针刺疗法。穴位选择双侧肾俞、大肠俞、委中、秩边、腰阳关及阿是穴,常规针刺完后,再在双秩边、腰阳关及阿是穴上进行毫火针刺法,留针5min,隔日治疗一次,每周治疗3次,2周为一个疗程。对照组则采用常规针刺疗法,穴位的选择和操作同治疗组。两组患者均进行为期2周的治疗,2周结束后统计疗效。观察两组患者治疗前后的腰部的VAS评分、临床症状积分和临床体征积分的变化。临床数据的分析采用SPSS19.0进行统计,比较两组腰肌劳损患者的临床疗效的差异。结果：1.基础资料比较：两组患者的基本信息比较,两组患者在性别、年龄、病程,无明显差异,具有可比性。2.VAS评分比较：治疗前,治疗组患者的VAS评分为5.25±2.06,对照组的VAS评分为5.56±2.15,经统计学分析,无明显差异(PO.05),具有可比性；2周后,治疗组的VAS评分为1.86±0.44,对照组的为3.18±0.75。两组患者的VAS评分分别和治疗前比较,均明显下降(P0.05),说明两组疗法均能有效的降低患者的VAS评分；治疗后两组组间比较,亦有统计学意义(P0.05),治疗组VAS评分的改善情况较对照组明显。3.临床症状积分比较：治疗组治疗前的症状积分为6.36±1.03,对照组临床症状积分为6.59±1.37,两者无统计学意义,具有可比性；治疗2周后,治疗组和对照组的临床症状积分分别为2.02±0.44、3.53±0.52。与治疗前比较,两组患者的症状积分均明显下降；治疗后组间比较,治疗组较对照组下降更明显(P0.05)。说明两组疗法均能有效改善患者的临床症状,但治疗组效果优于对照组。4.临床体征积分比较：治疗前治疗组和对照组的临床体征积分分别为11.03±2.03、10.98±2.65,均统计学分析,无明显差异,有可比性。治疗后,两组患者的临床体征积分分别为4.12±1.44、6.53±1.52,和治疗前比较,均明显下降；治疗后组间比较,治疗组较对照组下降更明显,差异显著。说明两种方法都能有效的改善腰肌劳损患者的临床体征,但治疗组优于对照组。5.综合疗效比较：一个疗程结束后,治疗组患者中有3例痊愈(10.00%),显著疗效12例(40.00%),有效的有12例(40.00%),无效3例(10.00%),临床总有效率为90.00%；对照组患者中,痊愈患者1例(3.33%),有效9例(30.00%),有效12例(40.00%),无效8例(26.67%),总有效率为73.33%。两组比较有显著性差异,治疗组优于对照组。结论：本课题选用毫火针治疗寒湿型腰肌劳损,观察毫火针的临床疗效,结果显示毫火针能够有效的改善腰肌劳损患者的临床症状和体征,提高生活质量,具有较好的温阳补气、温经散寒、振奋阳气的作用,值得临床推广运用。
[Abstract]:Objective: To study the simple routine acupuncture treatment of lumbar muscle strain as control group, to observe the clinical efficacy of conventional therapy combined with filiform needle acupuncture therapy in the treatment of cold dampness type lumbar muscle strain, compared the effect of two methods in the treatment of lumbar muscle strain, explore the different influence on the choice of therapy, the therapeutic effect of this disease, in order to find a simple and effective method the treatment of lumbar muscle strain. Methods: the study included 60 patients with cold dampness syndrome lumbar muscle strain were randomly divided, 60 patients were divided into two groups, treatment group and control group with 30 cases in each group. The treatment group used milli fire needle combined with conventional acupuncture therapy, acupoint selection of bilateral Shenshu, Dachangshu, Venezuela, Zhibian, Yaoyangguan, conventional acupuncture after the double Zhibian, Yaoyangguan on fire without acupuncture, needle 5min, day treatment time, treatment 3 times a week, for 2 weeks. In the control group with conventional needle Acupuncture, acupoint selection and manipulation of the same as the treatment group. Two groups of patients for a period of 2 weeks of treatment, the curative effect after 2 weeks. Two groups were observed before and after treatment of patients with lumbar VAS score, changes in clinical symptom and clinical signs scores. The clinical data analysis using SPSS19.0 statistical difference, clinical efficacy comparison of two groups of patients with lumbar muscle strain. Results: compared with the 1. basic data: comparison of two groups of patients with basic information, the two groups in gender, age, course of disease, no significant difference, comparable.2.VAS scores were compared before treatment, the patients in the treatment group the VAS score was 5.25 + 2.06, the control group the VAS score was 5.56 + 2.15, by statistical analysis, no significant difference (PO.05), comparable; after 2 weeks, the treatment group VAS score was 1.86 + 0.44, compared to the control group was 3.18 + 0.75. VAS scores of two groups respectively before treatment, were significantly lower Drop (P0.05), indicating that two groups of therapy can effectively reduce the patient VAS score; after treatment between the two groups, there were statistically significant (P0.05), the improvement of VAS score in treatment group than the control group obviously compared.3. clinical symptom score: the treatment group before treatment, the symptoms integral is 6.36 + 1.03 control group, clinical symptom score was 6.59 + 1.37, which was not statistically significant, comparable; after 2 weeks of treatment, the clinical symptom score of treatment group and control group were 2.02 + 0.44,3.53 + 0.52. compared with before treatment, two groups of patients with symptom scores were significantly decreased after treatment; comparison between groups, treatment group decreased more significantly than the control group (P0.05). The two group therapy can effectively improve the clinical symptoms of the patients, but the treatment group is better than the control group.4. clinical signs integral comparison: treatment before clinical signs score in treatment group and control group were 11.03 + 2.03 ,10.98卤2.65,鍧囩粺璁″�﹀垎鏋�,鏃犳槑鏄惧樊寮，

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