手足阳明经输穴治疗膝骨关节炎即时镇痛效应观察

发布时间：2018-03-21 18:21

本文选题：手足阳明经　切入点：膝骨关节炎　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本次课题完全采用中医针灸治疗手段,通过观察比较针刺三间穴+陷谷穴配合常规穴组对治疗膝骨关节炎所造成疼痛的改善程度,并与常规针刺组的镇痛效果相对照,为临床上膝骨关节炎疼痛患者减轻疼痛寻找一种有效地治疗方法。本次课题有助于进一步挖掘三间穴和陷谷穴的单穴治疗作用,如果本课题取得进展,将会对此种疾病的治疗增加可选择的方法。方法:笔者于2014年10月至2015年12月,在跟随导师的临床工作中,认真筛选病案,共收录了60例此类患者。在充分沟通与协商之后,此60例患者表示愿意加入此课题的治疗和调查工作。将此60例患者,使用随机分类的方法,平均分成两组。第一组是治疗组,采用三间穴和陷谷穴配合常规针刺;第二组是对照组,仅使用常规针刺,每组30位患者。治疗组采用针刺手足阳明经输穴(即三间穴和陷谷穴)配合膝关节周围常规腧穴。对照组采用常规针刺,穴位选取膝关节周围常规输穴。治疗之前记录下患者各项指标评分;治疗之后也记录下患者各项指标评分。结果:将两组病人在治疗前所得的麦基疼痛评分做比较,其中疼痛自我感觉指数评分,线段自测定量表评分,即刻疼痛强度评分,以及总分作对比,差异具有显著性(P0.05)。将两组病人在治疗后所得的麦基疼痛评分做比较,其中疼痛自我感觉指数评分,线段自测定量表评分,即刻疼痛强度评分,以及总分作对比,差异具有显著性(P0.05)结论:常规针刺加三间陷谷穴组和常规针刺组对膝骨关节炎都产生了良好的镇痛作用,但常规针刺加三间陷谷穴组镇痛疗效更显著。
[Abstract]:Objective: to observe and compare the improvement of pain caused by acupuncture on knee osteoarthritis by acupuncture of Sanjian acupoint Xiagu and routine acupoint group, and to compare the analgesic effect of acupuncture group with that of routine acupuncture group. To find an effective treatment for pain relief in patients with osteoarthritis of the knee clinically. This topic is helpful to further explore the single point therapy effect of three acupoints and Xiagu acupoints, if this subject makes progress, Methods: from October 2014 to December 2015, from October 2014 to December 2015, the author carefully screened the medical records in the clinical work of his mentor, including 60 such patients. After full communication and consultation, The 60 patients were divided into two groups according to the method of random classification. The first group was treated with Sanjian acupoint and Xiegu acupoint combined with routine acupuncture. The second group was the control group, which was treated with conventional acupuncture only, 30 patients in each group. The treatment group was treated with acupuncture at the acupoints of Yangming Meridian of the hand and foot (that is, Sanjian and Xiagu points) combined with the routine acupoints around the knee joint, while the control group was treated with conventional acupuncture. Acupoints were selected for routine acupoint infusion around the knee joint. The patients' scores were recorded before and after treatment. Results: the scores of Mackie pain were compared between the two groups before and after treatment. The scores of pain self-sensory index, line segment self-determination scale, immediate pain intensity, and total score were significantly different between the two groups (P 0.05). The scores of pain self-sensory index, line segment self-determination scale, immediate pain intensity, and total score were compared. Conclusion: routine acupuncture plus Sanjianggu point group and routine acupuncture group have good analgesic effect on knee osteoarthritis, but the analgesic effect of routine acupuncture plus Sanjiangu group is more obvious.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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