推拿结合心理疗法治疗冻结肩的临床观察

发布时间：2018-01-15 08:01

本文关键词：推拿结合心理疗法治疗冻结肩的临床观察　出处：《湖北中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：研究目的:通过将推拿疗法与推拿结合心理疗法的治疗效果进行比较,探索临床治疗冻结肩的优化方案。研究方法:将湖北中医药大学附属国医堂骨伤科门诊2015年07月到2016年1月收集的符合纳入标准的冻结肩患者60例,用配对分配的方法,将病患按照1:1的比例,分入A组和B组,A组采用推拿治疗(对照组),B组采用推拿结合心理技术的疗法(实验组),A、B两组均严格按照治疗方案进行为期8周的治疗,观察患者肩关节疼痛、肩关节功能、精神症状等。治疗结束后,将收集到的资料汇总、整理,用EXCEL软件建立数据库,然后用SPSS 22.0统计软件进行统计分析。统计学方法:对基线资料(性别、年龄、病程、患侧比例等)、有效率采用卡方检验进行假设检验,对疼痛评分、功能评分、及精神症状评分采用t检验。研究结果:1.A、B两组病例基线情况:在性别、年龄、病程、左右侧人数、治疗前肩关节评分、治疗前精神症状评分方面,A、B两组数据经统计学分析,两组结果无明显差异(P0.05),可以进行其他方面的比较。(α=0.05)2.A、B两组在肩关节疼痛分数、肩关节功能活动分数、焦虑分数、抑郁分数方面进行自身前后比较,有显著性差异(P0.05);治疗后,A、B两组间在肩关节疼痛分数、肩关节功能活动分数、焦虑分数、抑郁分数方面比较,有显著性差异(P0.05)。(α=0.05)3.A、B两组治疗后,在有效率方面不具有显著性差异(P0.05)。(α=0.05)研究结论:1.推拿疗法、推拿结合心理疗法这两种方法治疗冻结肩均取得了较好的临床疗效,都能改善冻结肩患者的疼痛、肩关节功能活动受限情况、焦虑症状及抑郁症状。2.推拿结合心理疗法在改善冻结肩患者的疼痛、肩关节功能活动受限状况、焦虑症状、抑郁症状方面优于推拿治疗组。
[Abstract]:Objective: To compare the massage therapy and massage therapy combined with psychological treatment, optimization of clinical treatment of frozen shoulder exploration. Research methods: Hubei University of TCM affiliated Guoyitang Department of orthopaedics in 2015 07 months to January 2016 collected in accordance with the inclusion criteria of 60 patients with frozen shoulder, pairing method of distribution, the patients in the proportion of 1:1, divided into A group and B group, A group were treated with massage therapy (control group), B group were treated with massage combined with psychological therapy technology (experimental group), A, B two groups are in strict accordance with the treatment plan for a treatment period of 8 weeks, to observe the patients with shoulder pain, shoulder the joint function, psychiatric symptoms. After the treatment, the collected data collection, collation, establish a database with EXCEL software, and then analyzed by SPSS 22 statistical software. Statistical methods: the baseline data (gender, age, course of disease, the affected side The proportion of efficiency), chi square test was used for hypothesis testing, the function of pain score, score, and mental symptom score by t test. Results: 1.A, B two groups in baseline: gender, age, course of disease, the number of left and right side, shoulder score before treatment, before treatment symptom score A, B, two groups of data by statistical analysis, no significant difference between the two groups (P0.05), the results can be compared to other aspects. (alpha =0.05) 2.A, B two groups in shoulder pain score, shoulder function score, anxiety score, depression scores were compared before and after, there was a significant difference (P0.05); after treatment, A, B between the two groups in the shoulder joint pain score, shoulder function score, anxiety score, depression score comparison, there were significant differences (P0.05). (alpha =0.05) 3.A, B two groups after treatment, with no significant difference in efficiency (P0.05) (alpha =0.05). Conclusions: 1. massage therapy, the treatment of frozen shoulder were achieved good clinical efficacy of massage combined with psychological therapy of these two methods can improve the frozen shoulder pain, shoulder joint function limitation of activity, anxiety and depressive symptoms.2. massage combined with psychological therapy in patients with frozen shoulder pain, shoulder joint function activities limited condition, anxiety symptoms, depressive symptoms than massage therapy group.

【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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