平衡针结合温针治疗肝肾不足型膝骨关节炎的研究

发布时间：2018-04-06 07:23

  本文选题：平衡针　切入点：温针灸　出处：《广州中医药大学》2017年硕士论文

【摘要】：目的:观察比较平衡针结合温针与温针两种疗法治疗肝肾不足型膝骨关节炎的临床疗效,评价两种疗法的疗效差异,初步探讨平衡针结合温针疗法治疗肝肾不足型膝骨关节炎的优势;为临床中运用针灸疗法治疗肝肾不足型膝骨关节炎提供新的思路。方法:以广东省中医院大德路总院和大学城分院针灸科及传统疗法科门诊、广东省第二中医院针灸科门诊中符合纳入标准的患者纳入研究,通过随机对照试验方法对纳入研究的60例肝肾不足型膝骨关节炎患者进行分组,按1:1的比例随机分为治疗组(平衡针结合温针组)30例与对照组(温针组)30例。两组患者均隔日治疗1次,3次为1个疗程,连续观察治疗2个疗程。采用VAS、WOMAC量表评分作为疗效观察指标,并在治疗前、首次治疗后、疗程结束后进行评估;疗程结束后评定总临床疗效。研究的数据用SPSS23.0进行统计分析。结果:两组患者的年龄、性别、病程、治疗前的VAS、WOMAC积分均无统计学意义,具有可比性(P0.05)。两组患者在VAS首次治疗后及疗程结束后评分、治疗后WOMAC量表各项目评分及总积分较治疗前比较,均P0.01,具有统计学意义。平衡针结合温针治疗组患者在VAS首次治疗后及疗程结束后评分、治疗后WOMAC量表各项目评分及总积分均优于温针对照组,均P0.01,具有统计学意义。疗程结束后,平衡针结合温针治疗组总有效率为100%,温针对照组总有效率为90%,经秩和检验分析,两组总疗效比较差异具有统计学意义(P0.01)。结论:平衡针结合温针治疗组和温针对照组两组的治疗方法对改善肝肾不足型膝骨关节炎患者的关节疼痛、关节僵硬和功能活动均有疗效,但平衡针结合温针治疗肝肾不足型膝骨关节炎患者比单纯温针治疗效果更为显著;更特别突出平衡针即刻疗效;对临床治疗具有一定的指导意义。
[Abstract]:Objective: to observe and compare the clinical efficacy of balanced acupuncture combined with warm acupuncture and warm acupuncture in the treatment of knee osteoarthritis with deficiency of liver and kidney, and to evaluate the difference between the two therapies.To explore the advantages of balanced acupuncture combined with warm needle therapy in the treatment of knee osteoarthritis with liver and kidney deficiency, and to provide a new way of thinking for the treatment of liver and kidney insufficiency knee osteoarthritis by acupuncture and moxibustion in clinic.Methods: the patients in Department of Acupuncture and traditional Therapy, Department of Acupuncture and traditional Therapy, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of Acupuncture and moxibustion, Department of traditional Chinese Medicine, Guangdong Provincial Hospital ofSixty cases of knee osteoarthritis with deficiency of liver and kidney were divided into treatment group (30 cases in balanced acupuncture combined with warm acupuncture group) and control group (30 cases in warm acupuncture group) according to the proportion of 1:1.Two groups of patients were treated every other day for 3 times as a course of treatment, continuous observation treatment for 2 courses.The VAS-WOMAC scale was used as the therapeutic observation index, and the total clinical efficacy was evaluated before treatment, after the first treatment, after the course of treatment, and after the end of the course of treatment.The data were analyzed by SPSS23.0.Results: there was no significant difference in age, sex, course of disease and VAS-WOMAC score before treatment between the two groups.After the first treatment of VAS and the end of the course of treatment, the scores of each item and the total score of the WOMAC scale in the two groups were significantly higher than those before the treatment (P 0.01).After the first treatment of VAS and the end of the course of treatment, the score and total score of WOMAC scale in the balanced acupuncture combined with warm acupuncture treatment group were better than those in the warm acupuncture control group (P0.01), which had statistical significance.After the course of treatment, the total effective rate of the balanced acupuncture combined with warm acupuncture treatment group was 100 and the total effective rate of the warm needle control group was 90. By rank sum test, the difference between the two groups was statistically significant.Conclusion: the treatment of balanced acupuncture combined with warm needle therapy and warm acupuncture control group can improve the joint pain, stiffness and functional activity of knee osteoarthritis with liver and kidney deficiency.But the effect of balanced acupuncture combined with warm acupuncture in treating knee osteoarthritis of liver and kidney deficiency type is more remarkable than that of simple warm acupuncture treatment; especially, the immediate curative effect of balanced acupuncture is more prominent, which has certain guiding significance for clinical treatment.
【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】：R246.9
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本文编号：1718551