热敏灸配合针刺治疗阳虚寒凝型膝骨性关节炎的临床研究

发布时间：2018-04-12 09:59

本文选题：热敏灸 + 针刺　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:观察热敏灸配合针刺治疗阳虚寒凝型膝骨性关节炎的临床疗效。方法:将符合纳入标准的60例患者随机分为两组:治疗组采用热敏灸配合针刺,对照组采用常规针刺方法。两组均每日治疗1次,10天为1个疗程,1个疗程结束后休息3天,共治疗2个疗程。两组患者分别在治疗前、治疗后进行临床症状积分评定、疼痛评分,评价其临床疗效。结果:(1)两组疗效分析中,治疗组临床控制8例,显效14例,有效6例,无效2例;对照组临床控制4例,显效9例,有效12例,无效5例;经秩和检验分析,P0.05,差异有统计学意义。治疗组的总有效率为93.4%,对照组的总有效率为83.3%;(2)两组患者治疗后的临床症状评分及视觉模拟疼痛评分较治疗前降低,差异具有统计学意义(P0.05)。说明无论热敏灸配合针刺还是单纯针刺法在治疗膝骨性关节炎中均有明显效果;(3)比较两组患者治疗后临床症状总积分,差异有统计学意义(P0.05),说明治疗组在改善临床症状方面优于对照组;(4)比较两组患者治疗后VAS评分,差异有统计学意义(P0.05),说明治疗组在减轻疼痛方面优于对照组。结论:本研究中治疗组、对照组均可减轻患者的临床症状,缓解疼痛,热敏灸配合针刺的疗效较单纯针刺组显著,提示热敏灸介入常规针刺治疗阳虚寒凝型膝骨性关节炎可提高疗效。
[Abstract]:Objective: to observe the clinical effect of heat sensitive moxibustion combined with acupuncture on knee osteoarthritis with yang deficiency and cold coagulation.Methods: 60 patients were randomly divided into two groups: the treatment group was treated with heat sensitive moxibustion combined with acupuncture, and the control group was treated with routine acupuncture.The two groups were treated once a day for 10 days as a course of treatment, and 3 days after the end of a course of treatment, a total of 2 courses of treatment.Before and after treatment, the patients in both groups were evaluated for clinical symptom score and pain score.Results in the two groups, there were 8 cases of clinical control, 14 cases of marked effect, 6 cases of effective, 2 cases of ineffective in treatment group, 4 cases of clinical control, 9 cases of remarkable effect, 12 cases of effective and 5 cases of ineffective in control group.The difference was statistically significant by rank sum test (P 0.05).The total effective rate of the treatment group was 93.4 and the total effective rate of the control group was 83.30.The clinical symptom score and visual analogue pain score of the two groups after treatment were lower than those before treatment, and the difference was statistically significant (P 0.05).It shows that both thermosensitive moxibustion combined with acupuncture or simple acupuncture have obvious effect in the treatment of knee osteoarthritis) the total scores of clinical symptoms after treatment were compared between the two groups.The difference was statistically significant (P 0.05), indicating that the treatment group was superior to the control group in improving clinical symptoms (P 0.05). The difference was statistically significant (P 0.05), which indicated that the treatment group was superior to the control group in alleviating pain.Conclusion: in this study, the treatment group and the control group can reduce the clinical symptoms and relieve the pain. The curative effect of heat sensitive moxibustion combined with acupuncture is more obvious than that of simple acupuncture group.It is suggested that heat sensitive moxibustion intervention routine acupuncture treatment of knee osteoarthritis with yang deficiency and cold coagulation can improve the curative effect.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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