一指禅推拿抗眩晕效应的动力学参数优化研究

发布时间：2018-01-29 12:25

  本文关键词： 推拿 一指禅 抗眩晕效应 动力学参数 量化　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:优化一指禅穴位推拿抗眩晕效应的动力学参数,为推拿手法量化、标准化、规范化提供参考依据和研究思路。方法:选择符合纳入标准的54例颈性眩晕患者为研究对象,先采用单因素试验设计初步筛选出单个因素的较佳水平,再以单因素试验结果为基础按照L9(34)的正交表进行三因素三水平的正交试验,一指禅穴位推拿施术于患者双侧风池穴,治疗前后记录患者眩晕症状和功能量表的评分值,并以眩晕改善指数为评价指标,对一指禅穴位推拿动力学参数-力量、频率、时间进行优化研究。经过单因素优化试验和正交试验,优化筛选出一指禅穴位推拿抗眩晕效应的最佳动力学参数组合。结果:单因素试验得出的单个因素的较佳水平依次为:压力16N、时间9mmin、频率100次/分,正交试验得出各因素对眩晕改善指数的影响顺序为:A(力量)C(频率)B(时间),最佳参数组合为A3B2C2,即力量18.5N,时间9min,频率100次/分,利用最佳参数组合的一指禅穴位推拿手法对提高眩晕的改善指数最为显著。结论:动力学力量、时间、频率任意水平的匹配组合都可以改善眩晕的症状和功能;但不同水平的参数组合的一指禅穴位推拿手法改善眩晕的程度是不同的,其中以力量18.5N,时间9min,频率100次/分的动力学参数组合为抗眩晕效应的最佳组合;盲目的加大一指禅穴位推拿的力度,延长操作时间、加快手法频率并不能提高手法抗眩晕效应。
[Abstract]:Objective: to optimize the dynamic parameters of the anti-vertigo effect of Yichang acupoint massage, and to quantify and standardize the massage manipulation. Methods: 54 patients with cervical vertigo who met the inclusion criteria were selected as the study subjects, and the better level of single factor was preliminarily selected by single factor test design. Based on the results of single factor test, the orthogonal experiment of three factors and three levels was carried out according to the orthogonal table of L9Y34), and the first finger point massage was applied to the patients' bilateral Fengchi acupoints. The scores of vertigo symptom and function scale were recorded before and after treatment, and the improvement index of vertigo was taken as the evaluation index. Time optimization. After single factor optimization test and orthogonal test. The optimal combination of dynamic parameters for the anti-vertigo effect of a finger point massage was optimized. Results: the best level of single factor obtained by single factor test was: pressure 16N, time 9mmin. The frequency was 100 times per minute. The orthogonal experiment showed that the order of influence of each factor on the improvement index of vertigo was: 1 A (force C) (frequency B), the best parameter combination was A 3B 2C 2. That is, power 18.5N, time 9 mins, frequency 100 times per minute. The best combination of the best parameters of a finger massage manipulation is the most significant to improve the improvement index of vertigo. Conclusion: dynamic strength, time. Matching combinations at any level of frequency can improve the symptoms and functions of vertigo. But the degree of improvement of vertigo was different in different level of parameter combination of one finger massage, in which the strength was 18.5 Ns, time was 9 minutes. The best combination of anti-vertigo effect is the dynamic parameter of frequency 100 times per minute. Blindly increasing the strength of acupoint massage, prolonging the operation time and speeding up the frequency of manipulation can not improve the anti-vertigo effect of manipulation.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1
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本文编号：1473413