齐刺结合温针灸治疗风寒湿型项背肌筋膜炎的临床研究

发布时间：2018-04-26 19:00

本文选题：齐刺 + 温针灸　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:本课题通过对齐刺结合温针灸治疗风寒湿型项背肌筋膜炎的临床研究,客观评价齐刺结合温针灸治疗风寒湿型项背肌筋膜炎的临床疗效,为传统内经刺法在临床应用推广提供依据。方法:共治疗70例,将符合诊断标准、纳入标准的受试者按随机、对照的方法分为治疗组和对照组,每组各35例。治疗组采用齐刺配合温针灸治疗,选取2-4个阿是穴,运用齐刺法,针刺得气后留针,将长度为1.0cm的艾条套在齐刺主针的针柄上捏紧,患者感觉温热时再用硬纸垫在齐刺主针的针身之下,每穴各灸3壮;对照组予口服双氯芬酸钠双释放肠溶胶囊对症治疗。6天为一疗程,治疗2个疗程,疗程间隔1天。选择项背部疼痛、压痛和功能活动作为主要观察指标,分别采用视觉模拟评分法(VAS)、压痛积分法、功能障碍积分法进行疗效评价,运用Sp SS19.0软件对所收集的数据进行统计分析。结果:疗程结束后,两组的VAS、压痛积分、功能障碍积分与本组治疗前比较,差异均具有统计学意义(p0.05);治疗组总有效率为96.88%,对照组总有效率为83.87%,两组比较差异具有统计学意义(p0.05)。两组治疗期间无不良事件发生。结论:1、治疗组和对照组的治疗均可有效地改善项背肌筋膜炎患者的临床症状。2、齐刺结合温针灸对于风寒湿型项背肌筋膜炎的综合疗效、镇痛疗效和改善功能活动疗效均明显优于对照组,且疗效确切,具有一定优势。
[Abstract]:Objective: to evaluate the clinical effect of acupuncture combined with warm acupuncture on the treatment of rheumatism and dampness nape dorsal myofascitis in patients with wind-cold and dampness type of nape dorsal myofascitis, and to evaluate objectively the clinical effect of acupuncture combined with warm acupuncture on the treatment of wind-cold and dampness type. To provide the basis for the traditional needling method in clinical application. Methods: a total of 70 patients were randomly divided into treatment group (n = 35) and control group (n = 35). In the treatment group, 2 to 4 Ashi points were selected, and Qi was used to keep the needle after acupuncture, and the 1.0cm was applied to the needle handle of the main needle, and the acupuncture group was treated with acupuncture combined with warm acupuncture and moxibustion, 2 to 4 Ashi points were selected, and the acupuncture method was used to keep the needle in place after the Qi was punctured. When the patients felt warm, they were treated with hard paper pad under the acupuncture body of the main acupuncture needle, each acupoint with 3 strong moxibustion points; the control group was given oral diclofenac sodium double release enteric-coated capsule as a course of treatment for 6 days and two courses of treatment with an interval of 1 day. The pain, tenderness and functional activity were selected as the main observation indexes. Visual analogue scoring method was used to evaluate the curative effect of VASA, tenderness integral method and functional disorder integral method. The collected data were statistically analyzed by Sp SS19.0 software. Results: after the course of treatment, the VAS, tenderness score and dysfunction score of the two groups had statistical significance compared with those before treatment, the total effective rate of the treatment group was 96.88 and the total effective rate of the control group was 83.87. The difference between the two groups was statistically significant (p 0.05). No adverse events occurred during treatment in both groups. Conclusion the treatment group and control group can effectively improve the clinical symptoms of patients with nape dorsal fasciitis. The analgesic effect and the effect of improving functional activity were better than that of the control group, and the curative effect was definite and had certain advantages.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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