膝部透灸控温技术及其效应的研究

发布时间：2018-03-23 14:34

  本文选题：透灸　切入点：寒湿痹阻型　出处：《河南中医药大学》2016年硕士论文

【摘要】：目的:本文以寒湿痹阻型膝关节骨性关节炎患者为研究对象,观察膝部透灸过程中温度、时间、灸感、透灸时程、WOMAC、VAS、疗效、安全性,以探索、总结膝部透灸控温技术及效应。方法:60例寒湿痹阻型膝关节骨性关节炎患者,随机分成两组,各30例,治疗组患者予以透灸法治疗,对照组患者予以传统灸治疗,治疗4个疗程,观察并记录基础资料、温度、时间、灸感、透灸时程、WOMAC、VAS、疗效、安全性等相关数据,整理数据,以探索、总结膝部透灸控温技术及效应。结果:1.基础资料性别、年龄、病程、体重、身高等基本信息,均p�e0.05,差异无统计学意义,具有可比性。2.控温技术及其效应(1)两组患者知热温度、舒适温度、知降温度比较(均P0.05),存在统计学差异,其中透灸组膝部知热温度、舒适温度均值低于传统灸组;透灸组知降温度高于传统灸组;(2)两组知热时间、膝部舒适感持续时间比较(均P0.05),存在统计学差异;降温时间比较p0.05,不存在统计学差异,且透灸组的知热时间均值低于传统灸组,膝部舒适感持续时间均值高于传统灸组;(3)两组灸前温度比较p0.05,不存在统计学差异,说明具有可比性;灸后温度、皮温差比较(均P0.05),存在统计学差异,其中皮温差透灸组均值低于传统灸组;(4)两组从知热时间到感知温度渗透到腹股沟的时间(△时间);及此时膝部刻下温度(△温度)比较(均P0.05),存在统计学差异,△时间及△温度透灸组均值低于传统灸组;(5)两组在0-10分钟、10-20分钟、20-30分钟、30-40分钟施灸过程中局部开始出现灸感的频次经检验,χ2=4.04,P=0.040.05,差异存在统计学差异,且透灸组总频数明显高于传统灸组;(6)两组出现灸感类型及频次(舒适感、酸胀感、沉重感、传导感、渗透感、痒感、痛感及其其他患者难以准确描述的灸感),经检验,χ2=7.27,P=0.000.05,差异有统计学差异,且透灸组每种类型灸感较传统灸组多;(7)两组膝部开始渗透温度、膝部完全渗透温度比较(均P0.05),存在统计学差异,且透灸组均值低于传统灸组;(8)两组透灸时程Ⅰ、透灸时程Ⅱ、透灸时程Ⅲ比较(均P0.05),存在统计学差异;且透灸组的透灸时程Ⅰ、透灸时程Ⅱ、透灸时程Ⅲ值低于传统灸组;(9)两组患者治疗前WOMAC、VAS积分差异无统计学意义(均P0.05),表明两组间具有可比性;治疗前后组内比较:各组治疗后WOMAC、VAS积分与治疗前相比,差异有统计学意义(均P0.05),且治疗后WOMAC、VAS积分优于治疗前;治疗后组间比较:两组患者治疗后WOMAC、VAS积分比较,差异有统计学意义(均P0.05),且透灸组改善优于传统灸组。3.疗效及安全性(1)透灸组临床治愈8例,显效17例,有效4例,无效1例,有效率为96.67%,传统灸组临床治愈4例,显效13例,有效11例,无效2例,有效率为93.33%,差异有统计学意义(P0.05);(2)两组在晕针、滞针、弯针、水泡、断针、血肿等不良反应上不存在差异。结论:(1)透灸法较传统灸法对温度的变化更敏感;(2)透灸法较传统灸法更容易达到灸感,且灸感持续的时间更长;(3)透灸法较传统灸法更容易得到不同类型灸感;(4)透灸法更能改善WOMAC、VAS积分,缓解临床疼痛症状,提高日常生活功能;(5)透灸法疗效优于传统灸法;(6)透灸法与传统灸法不良反应不存在差异。
[Abstract]:Objective: Based on the cold dampness type of knee osteoarthritis patients as the research object, through the observation of knee temperature during moxibustion time through moxibustion moxibustion sensation, duration, WOMAC, VAS, efficacy, safety, and to explore and summarize the knee through moxibustion temperature control technology and effect. Methods: 60 cases of cold dampness resistance type of knee osteoarthritis patients were randomly divided into two groups, each of 30 cases, treatment group received moxibustion therapy, the control group was treated with traditional moxibustion treatment, 4 courses of treatment, observe and record the basic information, temperature, time, duration of moxibustion, moxibustion penetration, WOMAC, VAS, efficacy, safety other relevant data, the data, in order to explore and summarize the knee through moxibustion temperature control technology and effect. Results: 1. basic data of gender, age, duration, body weight, height and other basic information, P? 0.05, the difference was not statistically significant, comparable to the.2. temperature control technology and its effect in two groups (1) heat temperature, comfortable temperature, Know drop temperature (P0.05), there was significant difference, which through the moxibustion group knee Zhire temperature, comfortable temperature is lower than the mean of traditional moxibustion group; through moxibustion group know drop temperature is higher than the traditional moxibustion group; (2) the two groups Zhire time, knee comfort duration (P0.05), there was significant difference in temperature; time is P0.05, there is no significant difference, and the mean time of heat through the moxibustion group than the traditional moxibustion group, knee comfort duration is higher than the traditional moxibustion group; (3) the two groups before moxibustion temperature is P0.05, there is no significant difference, that is comparable; after moxibustion temperature, skin temperature difference (comparison P0.05), there was significant difference among the mean skin temperature difference through moxibustion group was lower than the traditional moxibustion group; (4) two groups from time to heat sensing temperature penetrate into the groin time (a time); and at the moment under the knee temperature (delta temperature) comparison (P0.05), there was significant difference, 鈻虫椂闂村強鈻虫俯搴﹂，

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