子午流注纳子法针灸治疗膝骨性关节炎（肾虚型）的临床疗效观察

发布时间：2018-01-04 04:28

本文关键词：子午流注纳子法针灸治疗膝骨性关节炎（肾虚型）的临床疗效观察　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察子午流注纳子法针灸治疗KOA(肾虚型)的临床疗效。方法:本试验采用随机对照研究方法,纳入研究对象88例,试验组和对照组各44例。两组患者在性别、年龄、病程、患膝情况、影像分级情况方面均具有可比性(P0.05)。试验组予以子午流注纳子法针灸治疗结合健康宣教,对照组给予常规针刺治疗结合健康宣教。分别在治疗前、治疗结束、治疗结束4周,比较分析两组患者VAS值、FTSST得分、WOMAC评分、中医证候积分、SF-36生活质量调查评分情况,评估病情及治疗效果。结果:最终共有80例进入结果统计,试验组对照组各40例,在治疗结束、治疗结束4周两个时间点,试验组WOMAC评分(P0.05)、中医症候积分(P0.01)均小于对照组,SF-36生活质量调查两组无明显差异(P0.05);治疗结束4周,试验组VAS评分(P0.05)、五次坐立试验(P0.05)均优于对照组。结论:子午流注纳子法针灸治疗膝关节骨性关节炎(肾虚型)临床疗效确切,对于改善膝关节骨性关节炎症候体征效果优于常规针刺法,但其远期疗效仍需进一步的临床研究来验证。
[Abstract]:Objective: to observe the clinical curative effect of acupuncture and moxibustion on KOA( Kidney deficiency) with Ziwu flow injection method. Methods: 88 cases of KOA-deficiency were included in this study by a randomized controlled study. There were 44 cases in the test group and 44 cases in the control group. The patients in the two groups were gender, age, course of disease and knee condition. The image grading was comparable (P 0.05). The experimental group was treated with acupuncture and moxibustion combined with health education, while the control group was treated with routine acupuncture combined with health education. At the end of the treatment and 4 weeks after the treatment, the VAS scores of the two groups were compared and analyzed, and the scores of TCM syndromes and SF-36 quality of life (QOL) were compared and analyzed. Results: a total of 80 cases were included in the final results statistics, the experimental group of 40 cases each, at the end of the treatment, the end of 4 weeks of treatment at two time points. The WOMAC score and TCM symptom score of the test group were lower than that of the control group (P 0.05). There was no significant difference in the quality of life between the two groups. At the end of 4 weeks, the VAS score of the test group was 0.05). Conclusion: the effect of acupuncture and moxibustion on knee osteoarthritis (kidney deficiency type) is definite. In order to improve the symptoms and signs of osteoarthritis of knee joint, the effect is better than that of routine acupuncture, but its long term effect still needs further clinical research to verify.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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