电针结合麦粒灸治疗肩周炎的临床观察

发布时间：2018-03-28 22:27

本文选题：电针　切入点：麦粒灸　出处：《广州中医药大学》2016年硕士论文

【摘要】：目的通过观察肩周炎患者治疗前后的疼痛指数、关节活动度和临床症状的变化情况,客观评价电针结合麦粒灸治疗肩周炎的临床疗效,为选择更具可行性且疗效高的治疗方案提供一定参考。方法选取在广东省中医院针灸科、传统疗法科门诊就诊的符合中西医肩周炎诊断标准的患者为研究对象。选择其中符合纳入条件的60例患者,按照随机对照原则,以1：1的比例分成观察组与常规组,每个组分别有30例。观察组采用电针结合麦粒灸疗法,常规组单纯采用电针疗法,以肩毭穴、肩毼穴、肩贞穴、肩前穴、阿是穴为针刺处方的主穴,结合远端配穴。两组患者均每天治疗一次,每周6次,治疗两周后评定疗效。以疼痛指数(VAS)、关节活动度(ROM)和Constant-Murley (CMS)肩关节功能评分系统作为观测指标,运用统计学方法,分析、比较两组治疗前后的评分结果。结果1.治疗前相关资料的比较,两组患者在性别、年龄、病程以及VAS、ROM及CMS肩关节功能评分方面,差别不存在统计学意义(P＞0.05),表明两组具有可比性。2.两组患者治疗后的VAS评分,与治疗前比较均有明显下降,差异均有统计学意义(P＜0.05),说明两组疗法都能改善疼痛；与常规组比较,观察组的VAS评分小于常规组,差异存在统计学意义(P＜0.05),说明观察组改善疼痛的程度要高于常规组。3.两组患者治疗后的ROM评分,与治疗前比较均有明显提高,差异均有统计学意义(P＜0.05),说明两组疗法都能改善活动度；与常规组比较,观察组的ROM评分高于常规组,差异有统计学意义(P＜0.05),表明观察组比常规组更能改善关节活动度。4.两组患者治疗后的CMS评分,与治疗前比较均有明显上升,差异均有统计学意义(P＜0.05),说明两组疗法都能改善肩关节功能；与常规组比较,观察组的CMS评分高于常规组,差异有统计学意义(P＜0.05),提示观察组在改善肩关节功能方面优于常规组。5.与治疗前比较,两组疗法在改善肩周炎的临床症状和功能方面均取得较好的疗效,观察组方面,治愈有7例,显效达15例,有效为7例,无效则1例,总有效率为96.67%；而常规组方面,治愈有4例,显效为9例,有效达13例,无效有4例,总有效率为86.67%。两组整体疗效的比较,差异存在统计学意义(P＜0.05),可见观察组比常规组更优。结论本课题观察、探讨了电针结合麦粒灸治疗肩周炎的临床疗效,结果显示,单纯的电针疗法能有效减轻患者的疼痛、改善关节活动度和提高肩关节功能,而电针结合麦粒灸疗法在这些方面更优于电针疗法,疗效更显著,可操作性高,值得在临床推广应用。
[Abstract]:Objective To observe the patients before and after treatment of periarthritis of shoulder pain index, joint activity and changes of clinical symptoms, objective evaluation of clinical efficacy of electric acupuncture combined with moxibustion treatment of periarthritis of shoulder, provide a reference for the selection of more treatment feasibility and high curative effect. Methods in the Guangdong Province Traditional Chinese Medical Hospital Department of acupuncture and moxibustion, traditional therapy clinic patients meet the standard the diagnosis of scapulohumeral periarthritis of traditional Chinese medicine and Western medicine as the research object. Select 60 cases which meet the inclusion criteria were randomly divided into observation group with the ratio of 1:1 and the conventional group, each group had 30 cases. The observation group used electro acupuncture combined with moxibustion therapy, conventional group treated with electro acupuncture therapy, acupoint Dou shoulder to shoulder. He point, energy-saving, shoulder point, Ashi acupuncture as main prescription, combined with distal acupoints. Two groups of patients were treated once a day, 6 times a week, two weeks after treatment To evaluate the curative effect. The pain index (VAS), joint activity (ROM) and Constant-Murley (CMS) of shoulder joint function scoring system as observation index, analysis of the use of statistical methods, and compared between two groups before and after treatment. Results the scores of the 1. comparison results before the treatment of the relevant information, the two groups in gender, age, course of disease and VAS, ROM and CMS shoulder function score, the difference was not statistically significant (P > 0.05), indicating that the two groups with.2. score of two groups after treatment of VAS, compared with before treatment were significantly decreased, the differences were statistically significant (P < 0.05), indicating that the two groups can improve therapy pain; compared with the control group, the observation group VAS score less than the conventional group, the difference was statistically significant (P < 0.05), the observation group to improve the degree of pain was higher than that of conventional group.3. of the two groups after treatment ROM score, compared with before treatment significantly Increased, the differences were statistically significant (P < 0.05), indicating that two groups of therapy can improve the activity; compared with the control group, the observation group ROM score higher than the normal group, the difference was statistically significant (P < 0.05), showed that the observation group than in the conventional group can improve the joint activity of.4. after treatment in two groups the CMS score, compared with before treatment were significantly increased, the differences were statistically significant (P < 0.05), indicating that two groups of therapy can improve the function of the shoulder joint; compared with the control group, the observation group CMS score higher than the normal group, the difference was statistically significant (P < 0.05), suggesting that compared the observation group in improving shoulder the joint function and treatment is better than the conventional group.5., two groups of therapy have achieved good results in clinical symptoms and improve the function of periarthritis of shoulder, the observation group, 7 cases were cured, 15 cases, effective 7 cases, invalid 1 cases, the total effective rate was 96.67%; While the control group, cured 4 cases, markedly 9 cases, effective 13 cases, invalid 4 cases, total effective rate compared to the overall curative effect of the 86.67%. two group, there were statistically significant differences (P < 0.05), the observation group is better than the conventional group. Conclusion this paper discusses electroacupuncture observation combined with the clinical curative effect of moxibustion treating scapulohumeral periarthritis, results showed that electroacupuncture therapy alone can effectively relieve pain, improve joint mobility and improve the function of the shoulder joint, and electro acupuncture combined with moxibustion therapy is better than the electro acupuncture therapy, therapeutic effect, high maneuverability, it is worthy of clinical application.

【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】：2016
【分类号】：R246.9

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