回医理筋疗法治疗肩关节周围炎疗效评价研究

发布时间：2018-01-17 19:07

本文关键词：回医理筋疗法治疗肩关节周围炎疗效评价研究　出处：《宁夏医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的评价回医理筋疗法治疗肩关节周围炎的临床疗效。方法按照随机、对照、单盲的临床试验设计,选取肩周炎患者200例,随机分为试验组和对照组,每组各100例。对照组采取传统中医推拿治疗,试验组采取回医理筋疗法治疗,在治疗前、后及治疗后2个月分别采用活动能力计分、肩关节活动范围计分、VAS疼痛计分、功能总分计分及总体有效率等进行评价,并在治疗后进行安全性评价。结果1.活动范围计分比较两组治疗后的活动范围计分均优于治疗前(P0.05);两组治疗后2个月的活动范围计分均优于治疗前(P0.05);治疗后与治疗后2个月,试验组的活动范围计分均优于对照组(P0.05)。2.VAS分值比较试验组治疗前、治疗后及治疗后2个月VAS计分经方差分析比较得出,治疗后及治疗后两个月VAS分值均小于治疗前(P0.05);对照组治疗前、治疗后及治疗后2个月VAS计分经方差分析比较得出,治疗后及治疗后两个月VAS分值均小于治疗前(P0.05)。试验组在治疗后VAS计分低于对照组(P0.05)。3.活动能力计分比较两组治疗后的活动能力计分均优于治疗前(P0.05);两组治疗后2个月的活动能力计分均优于治疗前(P0.05);治疗后与治疗后2个月,试验组的活动能力计分均优于对照组(P0.05)。4.安全性评价治疗期间,两组均未出现任何安全问题,安全评价等级均为一级。结论回医理筋疗法对肩关节周围炎的疗效确切,在改善肩关节活动度、缓解肩关节局部疼痛、提高肌力、改善局部形态及提高总体治疗有效率等方面均有显著优势,临床上值得推广和应用。
[Abstract]:Objective to evaluate the clinical effect of the treatment of periarthritis of shoulder by resuscitation therapy. Methods 200 patients with periarthritis of shoulder were randomly divided into experimental group and control group according to the randomized, controlled and single-blind clinical trial design. There were 100 cases in each group. The control group was treated with traditional Chinese medicine massage, while the experimental group was treated with traditional Chinese massage therapy. Before, after treatment and 2 months after treatment, the patients in the experimental group were scored with the ability of movement and the range of shoulder joint movement. VAS pain score, total functional score and overall effective rate were evaluated. Results 1.Compared with the two groups, the score of activity scope after treatment was better than that before treatment (P 0.05). The score of activity range 2 months after treatment in both groups was better than that before treatment (P 0.05). After treatment and 2 months after treatment, the score of activity range in the experimental group was better than that in the control group (P 0.05). 2. The VAS score was higher than that in the experimental group before treatment. The VAS scores after treatment and 2 months after treatment were compared by ANOVA. The VAS scores after treatment and 2 months after treatment were lower than those before treatment (P 0.05). The scores of VAS before, after and 2 months after treatment in the control group were compared by ANOVA. The VAS score after treatment and two months after treatment was lower than that before treatment (P 0.05). The VAS score in the test group was lower than that in the control group (P 0.05). Comparing the score of activity ability between the two groups after treatment, the score of activity ability was better than that before treatment (P 0.05). Two months after treatment, the score of activity ability in both groups was better than that before treatment (P 0.05). After treatment and 2 months after treatment, the score of activity ability in the test group was better than that in the control group (P 0.05. 4). During the period of safety evaluation, there were no safety problems in both groups. Conclusion the curative effect of medical treatment on shoulder periarthritis is definite, which can improve shoulder motion, relieve local pain of shoulder joint, and improve muscle strength. There are significant advantages in improving the local morphology and the overall effective rate of treatment, so it is worth popularizing and applying in clinic.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R29

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