热敏灸联合针刺治疗肱骨外上髁炎的临床研究

发布时间：2018-06-20 23:18

本文选题：热敏灸 + 针刺治疗　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：本课题旨在对符合纳入标准的患者进行热敏灸联合普通针刺疗法对肱骨外上髁炎的临床研究,设立悬起灸联合普通针刺进行对比,两组均采用疼痛视觉模拟评分(VAS)、无痛握力(PFG)及Mayo肘关节功能评分作为观察指标,以期探讨热敏灸联合普通针刺对肱骨外上髁炎患者在镇痛、无痛握力、肘关节功能方面的临床疗效,进一步挖掘并探讨中医药对肱骨外上髁炎治疗的新方法。方法：本课题对2015年1月-2015年10月就诊于我院骨伤科门诊且符合纳入、排除标准的肱骨外上髁炎患者60例进行观察研究。按随机数字表法接纳符合标准的临床病例入组,治疗组及对照组各30例。治疗组予热敏灸联合普通针刺治疗,对照组予悬起灸联合普通针刺治疗。按5次为1疗程,每天治疗1次,1个疗程结束后休息1天,共2个疗程后进行疗效评价。观察指标为VAS评分、PFG及Mayo肘关节综合评分,治疗前两组患者年龄、性别及治疗前各项观察指标统计学无明显差异(P≥0.05),具有可比性,通过进行两组病例治疗前后指标及有效率进行比较,采用SPSS18.0软件进行统计学分析,以P0.05表示两组结果具有统计学意义。结果：1、对于VAS评分,入组患者分别接受规定疗程治疗后,治疗组为1.96±0.96,对照组为2.66±1.29,分析两组患者VAS评分均较前显著下降,两组在镇痛方面均有效,两组间评分差异具有统计学意义(P0.05),治疗组值低于对照组,说明在镇痛方面治疗组优于对照组。2、对于PFG,接受规定疗程治疗后,治疗组为20.01±3.09,对照组为18.41±2.51,两组PFG均较治疗前下降,均能改善患者无痛握力,两组间分值差异具有统计学意义(P0.05),治疗组高于对照组,说明治疗组改善无痛握力效果较对照组显著。3、对于Mayo评分,接受2疗程治疗后,治疗组为86.83±4.42,对照组为82.76±5.14,组内比较有统计学意义,说明两组均能有效改善肘关节活动,两组间评分差异具有统计学意义(P0.05),治疗组较对照组高,说明治疗组在改善肘关节功能活动优于对照组。4、治疗组总有效率96.7%,对照组总有效率90%。经秩和检验,P=0.022,两组间有效率差异具有统计学意义(P0.05)。治疗组总有效率优于对照组。结论：1、热敏灸联合针刺疗法对于肱骨外上髁炎患者,具有明显的镇痛作用,能够改善患肢无痛握力状况,且能促进肘关节运动功能的恢复。2、热敏灸联合针刺治疗肱骨外上髁炎的镇痛、改善无痛握力及肘关节运动情况优于普通悬灸联合针刺治疗效果,且治愈率及总有效率显著优于悬灸联合针刺治疗。
[Abstract]:Objective: to study the clinical effects of heat sensitive moxibustion combined with common acupuncture therapy on patients with external epicondylitis of humerus, and to establish suspension moxibustion combined with common acupuncture to compare the clinical effects of heat sensitive moxibustion and common acupuncture therapy on patients with external epicondylitis of humerus. The pain visual analogue score (VASG), painless grip strength (PFG) and Mayo elbow function score were used as the observation indexes in both groups, in order to explore the analgesic and painless grip strength of patients with external epicondylitis of humerus treated by heat sensitive moxibustion combined with common acupuncture. The clinical curative effect of elbow joint function, further excavate and explore the new method of treating humeral epicondylitis with traditional Chinese medicine. Methods: from January 2015 to October 2015, 60 patients with external epicondylitis of humerus who were admitted to our hospital from January 2015 to October 2015 were studied. According to random digital table, 30 cases were admitted into the group, 30 cases in the treatment group and 30 cases in the control group. The treatment group was treated with heat sensitive moxibustion combined with common acupuncture, while the control group was treated with suspension moxibustion combined with common acupuncture. According to 5 times as a course of treatment, once a day, one course of rest after the end of a course of treatment, a total of 2 courses of curative effect evaluation. VAS score, PFG and Mayo elbow score were observed. There was no significant difference in age, sex and the observed indexes before treatment between the two groups (P > 0.05). Through the two groups of patients before and after treatment indicators and effective rate were compared, SPSS 18.0 software for statistical analysis, P0.05 to indicate the results of the two groups have statistical significance. Results: for the VAS score, the VAS score in the treatment group was 1.96 卤0.96 and in the control group was 2.66 卤1.29 respectively after the prescribed course of treatment. The VAS scores of the two groups were significantly lower than those of the former, and the two groups were effective in analgesia. The difference of scores between the two groups was statistically significant (P 0.05), and the value of the treatment group was lower than that of the control group, indicating that the treatment group was superior to the control group in terms of analgesia. The PFG in the treatment group was 20.01 卤3.09 and 18.41 卤2.51 after the prescribed course of treatment, and the PFG in both groups was lower than that before treatment. All of them could improve the painless grip strength of the patients, and the difference between the two groups was statistically significant (P 0.05). The treatment group was higher than the control group, indicating that the effect of improving painless grip strength in the treatment group was significantly higher than that in the control group. For the Mayo score, after two courses of treatment, the effect of the treatment group was significantly higher than that of the control group. 86.83 卤4.42 in the treatment group and 82.76 卤5.14 in the control group. The results showed that both groups could improve the elbow joint activity effectively. The difference of the score between the two groups was statistically significant (P 0.05), and that in the treatment group was higher than that in the control group. The results showed that the treatment group was superior to the control group in improving the function of elbow joint. The total effective rate of the treatment group was 96.70.The total effective rate of the control group was 90.1%. By rank sum test, the difference of effective rate between the two groups was statistically significant (P 0.05). The total effective rate of the treatment group was better than that of the control group. Conclusion the thermosensitive moxibustion combined with acupuncture therapy has obvious analgesic effect on the patients with external epicondylitis of humerus and can improve the painless grip strength of the affected limb. It can promote the recovery of motor function of elbow joint. 2. The analgesic effect of heat sensitive moxibustion combined with acupuncture in treating external epicondylitis of humerus is better than that of common hanging moxibustion combined with acupuncture. The cure rate and total effective rate were significantly better than that of suspension moxibustion combined with acupuncture treatment.
【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】：2016
【分类号】：R246.9

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