平衡罐结合温针灸治疗慢性腰肌劳损的临床研究

发布时间：2018-04-14 19:54

  本文选题：平衡罐 + 温针灸　； 参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本课题采用小样本随机对照的研究方法,探讨平衡罐结合温针灸疗法治疗慢性腰肌劳损的临床疗效及作用机理,为临床实践奠定一定的理论基础支持,扩展平衡罐的功效和适用范围。方法:将符合纳入标准的60例腰肌劳损受试者按1:1的比例随机分为治疗组和对照组,每组各30例。治疗组采用平衡罐结合温针灸疗法,对照组采用温针灸疗法,共4个疗程。记录两组治疗前后及组间受试者的疼痛视觉模拟评分(VAS)、功能障碍指数(CODI)、临床体征积分,并对其进行统计学分析,分析两组的治疗效果。结果:1.两组患者的基线资料比较:两组的性别、年龄、病程,治疗前的VAS评分、CODI评分、临床体征积分进行组间比较,经统计分析,差异没有显著性(P0.05),表明两组患者来源于同一个总体,具有可比性。2.VAS评分比较:治疗后两组的VAS评分经成组t检验分析,差异具有显著性(P0.05);治疗前后组内比较经配对t检验分析,差异具有显著性(P0.01)。表明两组治疗方案均可以降低VAS评分,且治疗组比对照组更能改善腰肌劳损患者的VAS评分。3.CODI评分比较:治疗后两组的CODI评分经成组t检验分析,差异具有显著性(P0.05);治疗前后组内CODI评分经配对t检验分析,差异具有显著性(P0.01)。表明两组治疗方案均能改善腰肌劳损患者的活动功能,且治疗组优于对照组。4.临床体征积分:治疗后两组的临床体征积分较治疗前有显著性差异(P0.05),且治疗组较对照组改善明显(P0.01)。表明两组治疗方案对腰肌劳损患者的临床体征均有较明显的改善作用,且治疗组优于对照组。5.临床疗效比较:治疗组治愈9例,显效11例,有效8例,无效2例;对照组治愈4例,显效8例,有效11例,无效7例;经秩和检验,两组之间的疗效差别有显著性(P0.05),治疗组总有效率为93.33%,高于对照组的76.67%,说明平衡罐结合温针灸组的疗效优于单纯温针灸组。结论:临床研究数据表明,两组治疗方案对慢性腰肌劳损均有较好的治疗效果;相比于单纯温针灸疗法,平衡罐结合温针灸疗法对于慢性腰肌劳损有更好疗效,且可明显改善本病造成的疼痛症状和活动功能障碍。
[Abstract]:Objective: to investigate the clinical effect and mechanism of balanced cupping combined with warm acupuncture in the treatment of chronic lumbar muscle strain by using a small sample randomized controlled study, and to lay a theoretical foundation for clinical practice.Expand the efficacy and scope of application of the balance tank.Methods: sixty subjects with lumbar muscle strain were randomly divided into treatment group and control group with 30 cases in each group.The treatment group was treated with balanced cupping combined with warm acupuncture and moxibustion, while the control group was treated with warm acupuncture for 4 courses.The visual analogue score of pain, the index of dysfunction and the score of clinical signs were recorded before and after treatment, and the results of the two groups were analyzed statistically.The result is 1: 1.Comparison of baseline data between the two groups: sex, age, course of disease, VAS score before treatment and clinical signs score were compared between the two groups. There was no significant difference between the two groups by statistical analysis, indicating that the two groups of patients originated from the same population.2.Comparison of VAS scores: after treatment, the VAS scores of the two groups were significantly different by t-test, and the difference between the two groups before and after treatment was significant (P 0.01).The results showed that both groups could decrease the VAS score, and the treatment group could improve the VAS score of the patients with lumbar muscle strain more than the control group. 3. The CODI scores of the two groups were analyzed by t-test after treatment.Before and after treatment, the CODI score in the group was analyzed by paired t test, and the difference was significant (P 0.01).The results showed that both groups could improve the activity function of patients with lumbar muscle strain, and the treatment group was superior to the control group. 4.The scores of clinical signs in the two groups after treatment were significantly different from those before treatment (P 0.05), and the improvement of the treatment group was significantly better than that of the control group (P 0.01).The results showed that the two groups had obvious improvement on the clinical signs of patients with lumbar muscle strain, and the treatment group was better than the control group. 5.Comparison of clinical efficacy: 9 cases were cured, 11 cases were effective, 8 cases were effective, 2 cases were ineffective in the treatment group, 4 cases were cured, 8 cases were effective, 11 cases were effective, 7 cases were ineffective in the control group.The total effective rate of the treatment group was 93.33, which was higher than that of the control group (76.67), which indicated that the curative effect of the balanced cupping combined with warm acupuncture group was better than that of the pure warming acupuncture group.Conclusion: the clinical data show that the two groups have better therapeutic effect on chronic lumbar muscle strain, and the balance cupping combined with warm acupuncture therapy has better effect on chronic lumbar muscle strain than simple warming acupuncture therapy.And can obviously improve the pain caused by the disease and motor dysfunction.
【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
，

本文编号：1750779