温针配合穴位注射治疗急性期肩关节周围炎临床疗效观察

发布时间：2018-11-27 07:18

【摘要】：目的：观察温针配合穴位注射鹿瓜多肽注射液治疗急性期肩关节周围炎的临床疗效。方法：将所收集符合各项标准的90例急性期肩关节周围炎患者按1：1：1的比例随机分为温针组(给予单纯的温针治疗),穴注组(给予单纯的穴位注射鹿瓜多肽注射液治疗)以及温针穴注组(给予温针配合穴位注射鹿瓜多肽注射液治疗),每组30例,疗程为每日一次,10次为一疗程,共10天,观察1个疗程。通过观察三组治疗后的国家疗效评定结果以及三组治疗前后的疼痛视觉模拟评分(VAS)、Constant Murley肩关节功能评分来比较三组临床疗效。结果：1.国家疗效评定结果：一个疗程后温针穴注组总有效率达93.1%,温针组总有效率达78.6%,穴注组总有效率达74.1%,比较三组疗效显示温针穴注组与温针组、穴注组有显著性差异(P0.01)。2.疼痛视觉模拟评分(VAS)：三组评分治疗后较治疗前均有不同程度降低,差异均有统计学意义(P0.05)。治疗后组间比较,温针穴注组VAS评分明显低于温针组、穴注组,有统计学差异(P0.05)。3.Constant Murley肩关节功能评分：在疼痛程度评分方面,三组评分治疗后较治疗前均有不同程度增高,差异均有统计学意义(P0.05)。治疗后组间比较,温针穴注组评分明显高于温针组、穴注组,差异有统计学意义(P0.05)。在日常生活活动及关节活动度方面,温针穴注组治疗后较治疗前评分增高,差异有统计学意义(P0.05),治疗后组间比较,温针穴注组评分均高于温针组、穴注组,差异均有统计学意义(P0.05)。结论：1、温针配合穴位注射鹿瓜多肽注射液能有效缓解急性期肩关节周围炎患者局部疼痛。2、温针配合穴位注射鹿瓜多肽注射液治疗急性期肩关节周围炎,能使患者在疼痛程度、日常生活活动、肩关节活动度各方面明显得到改善。
[Abstract]:Objective: to observe the clinical effect of warm acupuncture combined with point injection of deer melon polypeptide injection on acute shoulder periarthritis. Methods: a total of 90 patients with acute periarthritis of shoulder were randomly divided into warm acupuncture group (treated with warm acupuncture) according to the proportion of 1:1:1. There were 30 cases in each group, 30 cases in each group. The course of treatment was once a day, 10 times as a course of treatment, 10 times as a course of treatment for 10 days, Observe a course of treatment. The clinical efficacy of the three groups was compared by observing the evaluation results of the national curative effect after treatment and the pain visual analogue score (VAS), Constant Murley) of the three groups before and after treatment. Results: 1. The result of national curative effect evaluation: after a course of treatment, the total effective rate of warm acupuncture injection group reached 93.1, warm acupuncture group total effective rate reached 78.6, point injection group total effective rate reached 74.1 points, the comparison of three groups showed that warm acupuncture point injection group and warm acupuncture group. There was significant difference in acupoint injection group (P0.01). Pain visual analogue score (VAS): scores after treatment were lower than before treatment, the differences were statistically significant (P0.05). After treatment, the VAS score of warm acupuncture injection group was significantly lower than that of warm acupuncture group and acupoint injection group (P0.05). 3.Constant Murley shoulder function score: in pain score, The scores of the three groups after treatment were higher than before, the differences were statistically significant (P0.05). After treatment, the score of warm acupuncture injection group was significantly higher than that of warm acupuncture group, point injection group, the difference was statistically significant (P0.05). In terms of daily life activities and joint activity, the score of warm acupuncture injection group was higher than that of pre-treatment group (P0.05). After treatment, the score of warm acupuncture injection group was higher than that of warm acupuncture group, and the point injection group was higher than that of warm acupuncture group. The difference was statistically significant (P0.05). Conclusion: 1. Warm acupuncture combined with point injection of deer melon polypeptide injection can effectively relieve local pain in patients with acute periarthritis of shoulder. 2. Warm acupuncture combined with point injection of deer melon peptide injection to treat acute periarthritis of shoulder. It can improve pain degree, daily life activity and shoulder motion obviously.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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