针刀治疗肩袖损伤血瘀型的临床研究

发布时间：2018-06-16 06:26

本文选题：针刀 + 封闭　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本课题通过针刀松解肩袖软组织治疗肩袖损伤血瘀型,并与传统封闭疗法进行临床对照,找出并建立一种操作简单、疗效突出、安全可靠、易于推广的治疗新方案,为临床医师提供新的思路,为本病的针刀治疗提供更加确切的规范。方法:本课题筛选符合血瘀型的72例肩袖损伤患者,按照随机、对照、单盲原则进行分类,针刀治疗组36例,封闭注射组36例。5天治疗1次,15天为1个疗程。根据美国加州大学洛杉矶分校(UCLA)肩关节功能评分的要求,分别观察治疗前、后的疼痛、功能、前屈活动度、前屈肌力、患者满意度各项评分变化,并对其进行统计学分析。结果:(1)治疗组、对照组有效率分别为91.7%、77.8%。(2)治疗结束后,两组分别进行疼痛、功能、前屈活动度、前屈肌力、患者满意度的组内比较(P0.05),差异显著,提示两组均能改善疼痛、功能、前屈活动度、前屈肌力、患者满意度。(3)治疗结束后,两组分别进行各项评分的组间比较(P0.05),差异明显,提示针刀治疗组临床疗效较封闭注射组更优。结论:针刀松解与封闭注射均能改善肩袖损伤患者的临床症状和体征,且针刀疗法优于传统封闭疗法。针刀疗法疗效确切,且操作简单,副作用少,容易掌握,具有一定临床价值,值得进一步应用推广。
[Abstract]:Objective: in order to find out and establish a new treatment scheme which is simple, effective, safe, reliable and easy to be popularized, the treatment of rotator cuff soft tissue was treated with needle knife in the treatment of blood stasis of rotator cuff injury, and compared with traditional blocking therapy. To provide new ideas for clinicians, and provide a more accurate standard for the treatment of this disease. Methods: 72 patients with rotator cuff injury according to blood stasis type were selected. According to random, control and single blind principle, 36 patients in acupuncture knife group and 36 patients in block injection group were treated once for 15 days as a course of treatment. According to the requirements of UCLAs shoulder function score, the changes of pain, function, flexion activity, flexor muscle strength and patient satisfaction before and after treatment were observed and analyzed statistically. Results in the treatment group, the effective rate of the control group was 91.7% and 77.8% respectively. After the treatment, the two groups were treated with pain, function, flexion activity, flexor muscle strength and patient satisfaction respectively. The difference was significant, indicating that both groups could improve pain and function. After the treatment, there were significant differences between the two groups (P 0.05), which indicated that the clinical effect of acupuncture knife group was better than that of closed injection group. Conclusion: both needle knife release and closed injection can improve the clinical symptoms and signs of patients with rotator cuff injury, and acupuncture therapy is superior to traditional block therapy. Needle knife therapy is effective, simple, less side effect, easy to grasp, has certain clinical value, and is worthy of further application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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