胸椎微调法治疗胸椎源性心悸症的临床研究

发布时间：2018-01-28 21:07

本文关键词： 胸椎微调法胸椎源性心悸症推拿治疗　出处：《云南中医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本课题旨在针对目前推拿治疗胸椎源性心悸症的手法定位不够精准、可控性不强的问题,结合导师的临床经验,采用胸椎微调法治疗胸椎源性心悸症,并与常规推拿治疗方法进行对比来研究胸椎微调法的疗效优势,为推拿治疗胸椎源性心悸症提供安全有效的新方案。方法:将符合纳入标准的60例病人采用随机对照的方法分为2组,实验组、对照组各30例,实验组予以胸椎微调法治疗,对照组予以常规推拿治疗,每日治疗一次,以10次为一个疗程,共治疗一个疗程。观察并记录两组治疗前后症状、体征、工作和生活能力评分以及动态心电图的变化,并进行统计学分析处理。结果:根据纳入标准补齐脱落病例后,实际完成临床研究的病例共计60例,实验组和对照组各30例。两组患者治疗前的各项数据资料经过对比,差异均无统计学意义(P0.05),具有可比性。1、临床证候疗效比较:两组治疗后在症状、体征、工作和生活能力方面与治疗前相比均有改善,且积分差异具有统计学意义(P0.05)。实验组:治愈8例,显效10例,有效9例,无效3例,总有效率90.00%;对照组:治愈3例,显效6例,有效16例,无效5例,总有效率83.33%;两组有效率经对比,差异具有统计学意义(P0.05),实验组治疗总有效率优于对照组。2、心律失常疗效比较:实验组:显效16例,有效10例,无效4例,总有效率86.67%;对照组:显效8例,有效15例,无效7例,总有效率76.67%;两组有效率经对比,差异具有统计学意义(P0.05),实验组治疗总有效率优于对照组。结论:1、胸椎微调法和常规推拿方法治疗胸椎源性心悸症均有临床疗效;2、实验组在临床证候疗效和心律失常疗效以及症状、体征、工作和生活能力改善方面均优于对照组,并且两组治疗均无明显不良反应,说明胸椎微调法是一种疗效优良、安全可靠的治疗方案,值得临床推广应用。
[Abstract]:Objective: to solve the problem that manipulation is not accurate and controllable in the treatment of thoracic vertebrae palpitation, combined with the clinical experience of the tutor, the treatment of chest vertebra palpitation is treated by the method of fine adjustment of thoracic vertebrae. And compared with the conventional massage treatment method to study the advantages of the thoracic vertebra fine adjustment method. Methods: 60 patients with palpitation of thoracic vertebrae were randomly divided into two groups: experimental group (n = 30) and control group (n = 30). The experimental group was treated with fine adjustment of thoracic vertebrae, the control group was treated with routine massage therapy, once a day, 10 times as a course of treatment, a course of treatment. The symptoms and signs of the two groups were observed and recorded before and after treatment. The changes of work and life ability score and dynamic electrocardiogram were analyzed and analyzed statistically. Results: 60 cases of clinical study were actually completed according to the standard of inclusion. There were 30 cases in the experimental group and 30 cases in the control group. The data of the two groups before treatment were compared and the difference was not statistically significant (P 0.05). Comparison of clinical syndromes efficacy: after treatment, the symptoms, signs, work and life ability of the two groups were improved compared with before treatment, and the score difference was statistically significant (P 0.05). Experimental group: 8 cases were cured. The total effective rate was 90.00. In the control group, 3 cases were cured, 6 cases were markedly effective, 16 cases were effective, 5 cases were ineffective, and the total effective rate was 83.33%. The total effective rate of the experimental group was better than that of the control group. The comparison of the effect of arrhythmia: experimental group: 16 cases, effective 10 cases. The total effective rate was 86.67; In the control group, there were 8 cases with remarkable effect, 15 cases with effective effect and 7 cases with no effect, and the total effective rate was 76.67 7 cases. The effective rate of the two groups was compared, the difference was statistically significant (P 0.05). The total effective rate of the experimental group was better than that of the control group. The treatment of thoracic vertebra palpitation with fine adjustment of thoracic vertebrae and conventional massage is effective. 2. The experimental group was superior to the control group in clinical syndromes, arrhythmia, symptoms, signs, work and life ability improvement, and there was no significant adverse reaction in both groups. The results show that the fine adjustment of thoracic vertebrae is a safe and reliable treatment scheme, and it is worth popularizing in clinic.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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