推拿通整理法加导引治疗血瘀气滞证急性肩周炎的临床研究

发布时间：2018-05-18 21:28

本文选题：推拿通整理法加导引 + 针刺加导引　；参考：《甘肃中医药大学》2016年硕士论文

【摘要】：目的:观察推拿通整理法加导引治疗血瘀气滞证急性肩周炎的近、远期临床疗效,比较推拿通整理法加导引与针刺加导引在即时止痛和改善肩关节功能活动障碍及提高生活质量等方面的差异。方法:将84例血瘀气滞证急性肩周炎患者按就诊顺序编号,用SPSS19.0软件随机分为推拿通整理法加导引组(治疗组)43例、针刺加导引组(对照组)41例。治疗组采用推拿通整理法加导引治疗;对照组采用针刺加导引进行治疗。治疗每日一次,10次作为一疗程,总共治疗1疗程。以美国Michael Reese医疗中心肩部评分标准(MR)和视觉模拟评分法(VAS)为观察指标,采用统计学处理,对推拿通整理法加导引和针刺加导引两组患者在即时止痛;改善肩关节功能活动障碍及提高生活质量方面的差异进行比较。结果:(1)治疗组(90.70%)总有效率高于对照组(87.80%),差异无显著性意义(P0.05)。(2)两组患者首次治疗后,VAS得分组内比较,差异均有显著性意义(P0.05);组间比较,对照组优于治疗组,差异具有显著性意义(P0.05)。(3)两组患者治疗1疗程后,MR总积分进行组内比较,得分均明显改善,差异有显著性意义(P0.05);组间进行比较,差异无显著性意义(P0.05);经治疗1疗程后3个月末,MR总积分进行组间比较,推拿通整理法加导引优于针刺加导引,差异有显著性意义(P0.05)。结论:(1)治疗组与对照组治疗血瘀气滞证急性肩周炎的比较得出,两者均有明显的治疗效果,其中对照组的即时止痛效果要明显优于治疗组。(2)治疗组与对照组对血瘀气滞证急性肩周炎的肩关节功能活动障碍和生活质量方面有很好的改善作用,但治疗组的远期疗效比对照组更为显著。
[Abstract]:Objective: to observe the near and long term clinical effect of massage therapy combined with guidance in the treatment of acute shoulder periarthritis with blood stasis and qi stagnation syndrome. To compare the differences of massage treatment plus guidance and acupuncture plus guidance in immediate pain relief and improvement of shoulder dysfunction and improve the quality of life. Methods: 84 patients with acute shoulder periarthritis with blood stasis and qi stagnation were randomly divided into treatment group (43 cases) and acupuncture plus guidance group (41 cases) by SPSS19.0 software. The treatment group was treated with massage treatment plus guidance, while the control group was treated with acupuncture plus guidance. Ten times a day as a course of treatment, a total of one course of treatment. The shoulder scoring standard (MRS) and visual analogue score (VAS) of Michael Reese Medical Center of USA were taken as the observation indexes. The patients in the two groups were treated with statistics. The patients in the two groups were treated with massage treatment plus guidance and acupuncture plus guidance immediately. Differences in improving shoulder dysfunction and quality of life were compared. Results the total effective rate of the treatment group was higher than that of the control group (87.80%). There was no significant difference in the total effective rate between the two groups (P 0.05. 05%, P 0. 05, P 0. 05) after the first treatment, the difference was significant (P 0. 05), the control group was better than the treatment group, and the control group was better than the treatment group (P < 0. 05). After one course of treatment, the total Mr scores of the two groups were significantly improved, and there was significant difference between the two groups, and there was a significant difference between the two groups, and there was no significant difference between the two groups. There was no significant difference between the two groups after one course of treatment, the total integral of Mr was compared between the two groups at the end of 3 months after treatment, and the combination of massage and guidance was better than that of acupuncture plus guidance, and the difference was significant (P 0.05). Conclusion the comparison between the treatment group and the control group in the treatment of acute shoulder periarthritis with blood stasis and qi stagnation shows that both of them have obvious therapeutic effects. The immediate analgesic effect of the control group was significantly better than that of the treatment group. (2) the treatment group and the control group had a very good effect on improving the functional disturbance of shoulder joint and the quality of life of acute shoulder periarthritis with blood stasis and qi stagnation syndrome. But the long-term effect of the treatment group was more significant than that of the control group.
【学位授予单位】：甘肃中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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