药线点灸治疗肱骨外上髁炎的临床研究
发布时间：2018-11-19 19:45
【摘要】：目的:采用随机对照的临床试验研究方法,探讨药线点灸法治疗肱骨外上髁炎的临床疗效,对药线点灸疗法的安全性和疗效进行分析,为在临床普及此种中医特色外治法提供科学依据,造福更多肱骨外上髁炎患者。方法:将广州中医药大学一附院门诊及广州市老年干部大学收集到的60例患者随机的分配到治疗组(药线点灸)及对照组(普通针刺)。治疗组采用壮医特制的药线进行点灸治疗,通过在肘关节附近采取按压的方法找出阿是穴,并在阿是穴及周边穴位,配合远端合谷穴上施以药线点灸。对照组选择普通针刺,选穴依据中国中医药出版社高树中主编的"十二五"规划教材《针灸治疗学》中肱骨外上髁炎的标准处方,选取阿是穴、曲池、肘毼、手三里等穴。治疗时间都是2个星期,药线点灸及针灸均隔天一次,观察指标选择为VAS疼痛评分、Mayo肘关节功能评分及中医病症诊断疗效标准,分别在治疗前、第1次接受治疗后及2周治疗后利用量表及评分表进行观测指标评分,使用SPSS19.0进行统计学处理,做出系统分析和评价。结果:两组间受试者的性别、年龄、病程,以及在接受治疗前的VAS疼痛评分、Mayo肘关节功能评分经比较均无统计学意义(P0.05),说明二组之间相关基线资料具有均衡性。两组组内的VAS评分相互比较,治疗1次与治疗前,治疗2周后与治疗前、治疗1次对比,均具有统计学意义(P0.05)。说明两组治疗方法对于肱骨外上髁炎导致的疼痛都有很好的止痛效果,随着治疗次数及时间的增加,疗效也越来越好。在两组间的比较上,药线点灸的治疗组治疗1次后的VAS评分与对照组比较有统计学意义(P0.05),这说明药线点灸在治疗一次后的止痛效果比普通针刺的效果明显,即即时效果较好。两组2周治疗后的VAS评分比较并不具有统计意义(P0.05),说明药线点灸及普通针刺在2周治疗结束后的疼痛改善上未见明显差异。两组受试者Mayo肘关节功能评分比较,各组内治疗后与治疗前比较,均具有统计学意义(P0.05);组间比较方面,治疗1次、治疗2周后两组间的评分比较未见明显差异(P0.05),说明药线点灸及普通针刺都能够改善关节功能、缓解疼痛,提高生活质量,但在缓解疼痛方面,由VAS评分比较,药线点灸的即时止痛效果好于普通针刺。两者在Mayo肘关节功能评分疗效以及中医疗效评定上的对比,也无统计学意义(P0.0S),说明两者在2周的治疗后疗效未见明显差异。结论:二种方法治疗肱骨外上髁炎都是有效的,均能很好的缓解疼痛、改善肘关节的功能状态。药线点灸组在缓解疼痛方面起效更快,而且在第1次治疗后疗效要优于对照组,因此,药线点灸法在治疗肱骨外上髁炎方面具有很好的即时止痛效果。Mayo肘关节功能评分的优良率及中医疗效评价的总有效率对比,两组并无明显差异。药线点灸在临床操作中,简单、耗时短,价格低廉,患者普遍接受度更高,是临床值得推广的一种特色外治法。
[Abstract]:Objective: to investigate the clinical effect of moxibustion therapy on lateral epicondylitis of humerus by randomized controlled clinical trial, and to analyze the safety and efficacy of moxibustion therapy. To provide scientific basis for popularizing the characteristic external treatment of traditional Chinese medicine and to benefit more patients with external epicondylitis of humerus. Methods: 60 patients were randomly assigned to the treatment group (drug thread moxibustion) and the control group (common acupuncture). In the treatment group, the point moxibustion was done with the special medicine line made by Zhuang doctor. The Ashi point was found out by pressing the points near the elbow joint, and the points of Ashi and the surrounding acupoints were found, and the moxibustion of the medicine line was applied on the distal Hegu point. The control group selected common acupuncture, selected points according to the standard prescription of humeral external epicondylitis in the 12th Five-Year Plan textbook "Acupuncture and moxibustion Therapeutics" edited by Gao Shizhong of Chinese traditional Chinese Medicine Publishing House, and selected Ashi points, Quchi points, cubital points and hand Sanli points. The treatment time was 2 weeks, and moxibustion were used every other day. The observation indexes were VAS pain score, Mayo elbow function score and diagnostic curative effect standard of TCM symptoms, respectively, before treatment. After the first treatment and 2 weeks of treatment, the scale and scoring table were used to score the observation index, and the SPSS19.0 was used to carry out statistical processing, and to make systematic analysis and evaluation. Results: there was no significant difference in sex, age, course of disease, VAS pain score and Mayo elbow function score between the two groups (P0.05). The VAS scores in the two groups were compared with each other. There were significant differences in the VAS scores between the two groups before and after treatment 2 weeks and before treatment (P0.05). The results showed that the two groups had good analgesic effect on the pain caused by external epicondylitis of humerus, and with the increase of treatment times and time, the curative effect was better and better. Compared with the control group, the VAS score of the treatment group was significantly higher than that of the control group (P0.05), which indicated that the analgesic effect of the moxibustion was more effective than that of the common acupuncture. That is, the immediate effect is better. The comparison of VAS scores between the two groups after 2 weeks of treatment had no statistical significance (P0.05), indicating that there was no significant difference in pain improvement between the two groups after 2 weeks of treatment. The scores of Mayo elbow function in the two groups were statistically significant after treatment and before treatment (P0.05). There was no significant difference in the scores between the two groups after 2 weeks of treatment (P0.05), indicating that both moxibustion and acupuncture could improve joint function, relieve pain and improve the quality of life. But in the aspect of relieving pain, compared with VAS score, the instant analgesic effect of moxibustion with drug thread is better than that with common acupuncture. There was no significant difference between the two groups in the evaluation of Mayo elbow function and traditional Chinese medicine (P0.0S), which indicated that there was no significant difference between the two groups after 2 weeks of treatment. Conclusion: both methods are effective in the treatment of lateral epicondylitis of humerus and can relieve pain and improve the function of elbow joint. The moxibustion group was more effective than the control group in relieving pain, and after the first treatment, the effect was better than that in the control group. The treatment of external epicondylitis of humerus with moxibustion has a good immediate analgesic effect. There is no significant difference between the two groups in the excellent and good rate of Mayo elbow joint function score and the total effective rate of traditional Chinese medicine curative effect evaluation. In clinical practice, moxibustion is simple, short time consuming, low price and generally accepted by patients. It is a characteristic external treatment method worth popularizing in clinic.
【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】：2017
【分类号】：R246.9
，
本文编号：2343250
[Abstract]:Objective: to investigate the clinical effect of moxibustion therapy on lateral epicondylitis of humerus by randomized controlled clinical trial, and to analyze the safety and efficacy of moxibustion therapy. To provide scientific basis for popularizing the characteristic external treatment of traditional Chinese medicine and to benefit more patients with external epicondylitis of humerus. Methods: 60 patients were randomly assigned to the treatment group (drug thread moxibustion) and the control group (common acupuncture). In the treatment group, the point moxibustion was done with the special medicine line made by Zhuang doctor. The Ashi point was found out by pressing the points near the elbow joint, and the points of Ashi and the surrounding acupoints were found, and the moxibustion of the medicine line was applied on the distal Hegu point. The control group selected common acupuncture, selected points according to the standard prescription of humeral external epicondylitis in the 12th Five-Year Plan textbook "Acupuncture and moxibustion Therapeutics" edited by Gao Shizhong of Chinese traditional Chinese Medicine Publishing House, and selected Ashi points, Quchi points, cubital points and hand Sanli points. The treatment time was 2 weeks, and moxibustion were used every other day. The observation indexes were VAS pain score, Mayo elbow function score and diagnostic curative effect standard of TCM symptoms, respectively, before treatment. After the first treatment and 2 weeks of treatment, the scale and scoring table were used to score the observation index, and the SPSS19.0 was used to carry out statistical processing, and to make systematic analysis and evaluation. Results: there was no significant difference in sex, age, course of disease, VAS pain score and Mayo elbow function score between the two groups (P0.05). The VAS scores in the two groups were compared with each other. There were significant differences in the VAS scores between the two groups before and after treatment 2 weeks and before treatment (P0.05). The results showed that the two groups had good analgesic effect on the pain caused by external epicondylitis of humerus, and with the increase of treatment times and time, the curative effect was better and better. Compared with the control group, the VAS score of the treatment group was significantly higher than that of the control group (P0.05), which indicated that the analgesic effect of the moxibustion was more effective than that of the common acupuncture. That is, the immediate effect is better. The comparison of VAS scores between the two groups after 2 weeks of treatment had no statistical significance (P0.05), indicating that there was no significant difference in pain improvement between the two groups after 2 weeks of treatment. The scores of Mayo elbow function in the two groups were statistically significant after treatment and before treatment (P0.05). There was no significant difference in the scores between the two groups after 2 weeks of treatment (P0.05), indicating that both moxibustion and acupuncture could improve joint function, relieve pain and improve the quality of life. But in the aspect of relieving pain, compared with VAS score, the instant analgesic effect of moxibustion with drug thread is better than that with common acupuncture. There was no significant difference between the two groups in the evaluation of Mayo elbow function and traditional Chinese medicine (P0.0S), which indicated that there was no significant difference between the two groups after 2 weeks of treatment. Conclusion: both methods are effective in the treatment of lateral epicondylitis of humerus and can relieve pain and improve the function of elbow joint. The moxibustion group was more effective than the control group in relieving pain, and after the first treatment, the effect was better than that in the control group. The treatment of external epicondylitis of humerus with moxibustion has a good immediate analgesic effect. There is no significant difference between the two groups in the excellent and good rate of Mayo elbow joint function score and the total effective rate of traditional Chinese medicine curative effect evaluation. In clinical practice, moxibustion is simple, short time consuming, low price and generally accepted by patients. It is a characteristic external treatment method worth popularizing in clinic.
【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】：2017
【分类号】：R246.9
，
本文编号：2343250
本文链接：https://www.wllwen.com/zhongyixuelunwen/2343250.html
最近更新
教材专著
