董氏奇穴结合肩三针治疗肩周炎的临床观察

发布时间：2018-05-04 19:23

本文选题：董氏奇穴 + 肩三针　；参考：《湖北中医药大学》2017年硕士论文

【摘要】：目的:本实验主要通过随机对照的研究方法,以针刺肩三针为对照,观察董氏奇穴结合肩三针治疗肩关节周围炎的临床疗效,旨在探讨董氏奇穴结合肩三针与单纯肩三针治疗肩关节周围炎的疗效差异,以期为临床多种疗法配合使用治疗肩周炎提供新的思路和客观依据。方法:将60例肩周炎患者按随机数字表法分为治疗组和对照组,两组各30例,治疗组采用董氏奇穴结合肩三针治疗,对照组单纯采用肩三针治疗。治疗前、治疗后1周、治疗后2周分别用Constant-Murley肩关节功能评分表对患者的肩关节疼痛、日常生活活动能力、肩关节活动度、肌力四个方面进行量化评定,并在两个疗程治疗结束后进行总体疗效评定。结果:治疗第一疗程结束后,治疗组疼痛得分为(9.53±1.56),对照组得分为(9.65±1.68),两组组间比较,差异无明显统计学意义(P0.05);治疗第二个疗程结束后,治疗组疼痛得分为(15.89±3.25),对照组得分为(11.34±1.25),两组比较,差异有明显统计学意义(P0.05);治疗第一疗程结束后,治疗组日常生活活动能力得分(10.83±3.24),对照组得分为(11.25±3.45),两组组间比较,差异无明显统计学意义(P0.05);治疗第二个疗程结束后,治疗组日常生活活动能力得分为(16.73±2.26),对照组得分为(14.12±2.53),两组比较,差异有明显统计学意义(P0.05);治疗第一疗程结束后,治疗组关节活动度得分为(25.52±2.56),对照组得分为(25.94±3.48),两组组间比较,差异无明显统计学意义(P0.05);治疗第二个疗程结束后,治疗组关节活动度得分(31.65±2.73),对照组得分为(28.64±5.73),两组比较,差异有明显统计学意义(P0.05);治疗第一疗程结束后,治疗组肌力得分为(19.05±1.56),对照组得分为(18.88±3.47),两组组间比较,差异无明显统计学意义(P0.05);治疗第二个疗程结束后,治疗组肌力得分为(28.58±3.65),对照组肌力得分为(25.49±4.52),两组比较,差异有明显统计学意义(P0.05)。上述结果提示,治疗组和对照组各检测指标在治疗第一疗程结束后,两组比较,差异无明显统计学意义(P0.05),而在第二个疗程疗程结束后,两组比较,差异有明显统计学意义(P0.05),说明治疗组与对照组所选方法在治疗初期具有相当的疗效,在治疗后期,治疗组的疗效更加明显,且优于对照组。两组治疗结束后,治疗组痊愈8人(26.67%),显效13人(43.33%),有效7人(23.33%),无效2人(6.67%)总有效率为93.33%;对照组痊愈11人(36.67%),显效10人(33.33%),有效4人(13.33%),无效5人(16.67%),总有效率为83.33%,两组有效率组间比较,差异有明显统计学意义(P0.05)。结论:董氏奇穴结合肩三针能有效缓解肩周炎患者疼痛症状,改善患者肩关节活动功能,与单纯运用肩三针治疗比较,在治疗后期具有较明显优势,提示其是一种治疗肩周炎较好的配穴方法,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of treating shoulder periarthritis with Dong's Qi point combined with shoulder's three acupuncture points by means of randomized controlled study. The purpose of this study was to explore the difference in the treatment of shoulder periarthritis between Dong Shiqi points combined with three needles of shoulder and simple three needles of shoulder so as to provide a new idea and objective basis for the treatment of shoulder periarthritis with various clinical therapies. Methods: 60 patients with shoulder periarthritis were randomly divided into two groups: treatment group (n = 30) and control group (n = 30). Before treatment, 1 week after treatment and 2 weeks after treatment, the patients' shoulder pain, activities of daily life, range of motion of shoulder joint and muscle strength were quantitatively evaluated with Constant-Murley shoulder function scale. The overall curative effect was evaluated after two courses of treatment. Results: after the first course of treatment, the pain score of the treatment group was 9.53 卤1.56 and that of the control group was 9.65 卤1.68. There was no significant difference between the two groups (P 0.05), and after the second course of treatment, there was no significant difference between the two groups. The pain score of the treatment group was 15.89 卤3.25g, the score of the control group was 11.34 卤1.25g, the difference between the two groups was statistically significant (P 0.05), after the first course of treatment, the activity of daily living (ADL) score of the treatment group was 10.83 卤3.24g, the score of the control group was 11.25 卤3.45g, the comparison between the two groups. At the end of the second course of treatment, the scores of ADL in the treatment group were 16.73 卤2.26 and those in the control group were 14.12 卤2.53.After the end of the first course of treatment, the difference was statistically significant. The joint motion score of the treatment group was 25.52 卤2.56 and that of the control group was 25.94 卤3.48. There was no significant difference between the two groups (P 0.05). After the second course of treatment, the joint motion score of the treatment group was 31.65 卤2.73 and that of the control group was 28.64 卤5.730.The difference between the two groups was significant. At the end of the first course of treatment, the muscle strength score of the treatment group was 19.05 卤1.56 and that of the control group was 18.88 卤3.470.There was no significant difference between the two groups, and there was no significant difference between the two groups, and after the end of the second course of treatment, there was no significant difference between the two groups. The score of muscle strength in the treatment group was 28.58 卤3.65 and that in the control group was 25.49 卤4.52. The difference between the two groups was statistically significant (P 0.05). These results suggest that there is no significant difference between the two groups after the end of the first course of treatment, but after the end of the second course of treatment, there is no significant difference between the two groups. The difference was statistically significant (P 0.05), which indicated that the treatment group and the control group had the same curative effect at the initial stage of treatment, and at the late stage of treatment, the curative effect of the treatment group was more obvious and better than that of the control group. After treatment, the total effective rate of the treatment group was 93.33. The total effective rate was 93.33; in the control group, 11 patients were cured, 36.67m, 10 were effective, 4 were effective, 13.3333 was effective, 5 were ineffective and 16.6733.The total effective rate was 83.33. The comparison between the two groups showed that the total effective rate was 83.33. The difference was statistically significant (P 0.05). Conclusion: Dong Shiqi point combined with shoulder three needle therapy can effectively relieve the pain symptoms of patients with periarthritis of shoulder and improve the function of shoulder joint movement. It has obvious advantages in the later stage of treatment compared with the treatment of only using three acupuncture points of shoulder. The results suggest that it is a better method to treat periarthritis of shoulder and is worth popularizing.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9

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