火针结合蠲痹汤内服治疗风寒阻络型肱骨外上髁炎的临床研究
发布时间：2019-03-23 15:43
【摘要】：目的本研究意在观察火针疗法结合蠲痹汤中药颗粒剂口服治疗风寒阻络型肱骨外上髁炎的临床疗效,通过与单纯蠲痹汤中药颗粒剂口服的对比,观察两组治疗方法对本病的疗效差异,并分析造成差异的原因。为临床治疗肱骨外上髁炎寻找简便有效的方法提供一定的临床证据。方法临床总共纳入60例肱骨外上髁炎患者,全部患者符合风寒阻络的诊断,按照随机分组的方法,将患者分成治疗组30例和对照组30例。治疗组采用火针疗法联合蠲痹汤中药颗粒剂口服,火针治疗选择阿是穴1-2个(局部压痛最明显或硬结处)、手三里、曲池进行点刺,每3天治疗1次,每周治疗2次,2周为1个疗程；对照组则采用单纯的蠲痹汤中药颗粒剂口服,每日1次,共服用2周。两组患者均进行为期两周的治疗,疗程结束后统计疗效。观察两组患者治疗前后的肘关节疼痛VAS评分、临床体征积分的变化。采用SPSS19.0对临床数据进行统计分析,并比较两组患者的临床疗效。结果1.基线资料比较：治疗前,采集患者的基本资料信息,其中包括患者的性别、年龄、病程,比较两组患者的情况,发现在性别、年龄和病程上,两组患者无明显差异,资料分布均衡,具有可比性。2.VAS评分比较：治疗前,治疗组患者的VAS评分为6.05±1.18,对照组的VAS评分为5.91±1.37,无明显差异(P0.05)；2周后,治疗组的VAS评分为2.13±0.44,对照组的为3.29±0.51。组内比较,两组患者的VAS评分均明显下降(P0.05),治疗后组间比较,亦有统计学意义(P0.05)。3.临床体征积分：治疗前,治疗组的体征积分为8.98±2.18,对照组体征积分为8.62±2.46,两者无统计学意义,具有可比性；2周后,治疗组的临床体征积分为3.52±1.25,对照组为5.27±1.82。组内比较,两组患者的体征积分均明显下降(P0.05),治疗后组间比较,差异显著(P0.05)。4.整体疗效：经过为期2周的治疗后,治疗组患者中痊愈2例(6.66%),显效12例(40.00%),有效12例(40.00%),无效4例(13.33%),临床总有效率为86.67%；对照患者中无痊愈患者,显效8例(26.66%),有效12例(40.00%),无效10例(33.33%),总有效率为66.67%。结论火针疗法结合蠲痹汤中药颗粒剂口服能够有效的改善风寒阻络型肱骨外上髁炎患者的肘部VAS评分和临床体征积分,且疗效明显优于单纯口服蠲痹汤的中药颗粒剂。
[Abstract]:Objective to observe the clinical efficacy of fire acupuncture therapy combined with Juanbi decoction granule in treating external epicondylitis of humerus with wind-cold blocking collaterals, and to compare it with traditional Chinese medicine granules of Juanbi decoction alone. Observe the difference of curative effect between the two groups and analyze the cause of the difference. To provide some clinical evidence for the clinical treatment of epicondylitis humerus. Methods A total of 60 patients with external epicondylitis of humerus were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with fire acupuncture therapy combined with Juanbi decoction granules orally, and the fire acupuncture treatment selected 2 Ahe points (the most obvious or hard part of local tenderness). The patients in the treatment group were treated once every 3 days and twice a week, and the patients in the treatment group were punctured at three li of the hand and in the Quchi, and they were treated once every 3 days and twice a week. 2 weeks as a course of treatment; In the control group, Juanbi decoction was given orally once a day for 2 weeks. The patients in both groups were treated for two weeks, and the curative effect was counted after the course of treatment. The changes of VAS score and clinical sign score of elbow pain before and after treatment in two groups were observed. The clinical data were analyzed by SPSS19.0 and the clinical efficacy was compared between the two groups. Outcome 1. Baseline data comparison: before treatment, the basic data of patients, including gender, age, course of disease, comparison of the two groups of patients, found that there was no significant difference in sex, age and course of disease between the two groups, and there was no significant difference between the two groups in terms of sex, age and course of disease. 2. The VAS score of the treatment group was 6.05 卤1.18 before the treatment, and the VAS score of the control group was 5.91 卤1.37, there was no significant difference (P0.05); 2. The VAS score of the treatment group was 6.05 卤1.18, and the VAS score of the control group was 5.91 卤1.37. After 2 weeks, the VAS score of the treatment group was 2.13 卤0.44, and that of the control group was 3.29 卤0.51. In-group comparison, the VAS scores of the two groups were significantly decreased (P0.05), and there was also a statistically significant difference between the two groups after treatment (P0.05). Clinical sign score: before treatment, the physical sign score of the treatment group was 8.98 卤2.18, and that of the control group was 8.62 卤2.46. There was no statistical significance between the two groups, and there was comparability between the two groups. After 2 weeks, the scores of clinical signs were 3.52 卤1.25 in the treatment group and 5.27 卤1.82 in the control group. Intra-group comparison, the physical signs of the two groups were significantly decreased (P0.05), after treatment, the difference between the two groups was significant (P0.05). After 2 weeks of treatment, 2 cases (6.66%), 12 cases (40.00%), 12 cases (40.00%), 4 cases (13.33%) were cured, and 4 cases (13.33%) were ineffective in the treatment group. The total clinical effective rate was 86.67%; There were 8 cases (26.66%), 12 cases (40.00%), 10 cases (33.33%) and 10 cases (33.33%) in the control group. The total effective rate was 66.67%. Conclusion the combination of fire acupuncture therapy and Juanbi decoction granule can effectively improve the elbow VAS score and clinical sign score of patients with wind-cold-blocking external epicondylitis of humerus, and the curative effect is obviously better than that of Juanbi decoction alone in the treatment of external epicondylitis of humerus.
【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】：R274.9
本文编号：2445974
[Abstract]:Objective to observe the clinical efficacy of fire acupuncture therapy combined with Juanbi decoction granule in treating external epicondylitis of humerus with wind-cold blocking collaterals, and to compare it with traditional Chinese medicine granules of Juanbi decoction alone. Observe the difference of curative effect between the two groups and analyze the cause of the difference. To provide some clinical evidence for the clinical treatment of epicondylitis humerus. Methods A total of 60 patients with external epicondylitis of humerus were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with fire acupuncture therapy combined with Juanbi decoction granules orally, and the fire acupuncture treatment selected 2 Ahe points (the most obvious or hard part of local tenderness). The patients in the treatment group were treated once every 3 days and twice a week, and the patients in the treatment group were punctured at three li of the hand and in the Quchi, and they were treated once every 3 days and twice a week. 2 weeks as a course of treatment; In the control group, Juanbi decoction was given orally once a day for 2 weeks. The patients in both groups were treated for two weeks, and the curative effect was counted after the course of treatment. The changes of VAS score and clinical sign score of elbow pain before and after treatment in two groups were observed. The clinical data were analyzed by SPSS19.0 and the clinical efficacy was compared between the two groups. Outcome 1. Baseline data comparison: before treatment, the basic data of patients, including gender, age, course of disease, comparison of the two groups of patients, found that there was no significant difference in sex, age and course of disease between the two groups, and there was no significant difference between the two groups in terms of sex, age and course of disease. 2. The VAS score of the treatment group was 6.05 卤1.18 before the treatment, and the VAS score of the control group was 5.91 卤1.37, there was no significant difference (P0.05); 2. The VAS score of the treatment group was 6.05 卤1.18, and the VAS score of the control group was 5.91 卤1.37. After 2 weeks, the VAS score of the treatment group was 2.13 卤0.44, and that of the control group was 3.29 卤0.51. In-group comparison, the VAS scores of the two groups were significantly decreased (P0.05), and there was also a statistically significant difference between the two groups after treatment (P0.05). Clinical sign score: before treatment, the physical sign score of the treatment group was 8.98 卤2.18, and that of the control group was 8.62 卤2.46. There was no statistical significance between the two groups, and there was comparability between the two groups. After 2 weeks, the scores of clinical signs were 3.52 卤1.25 in the treatment group and 5.27 卤1.82 in the control group. Intra-group comparison, the physical signs of the two groups were significantly decreased (P0.05), after treatment, the difference between the two groups was significant (P0.05). After 2 weeks of treatment, 2 cases (6.66%), 12 cases (40.00%), 12 cases (40.00%), 4 cases (13.33%) were cured, and 4 cases (13.33%) were ineffective in the treatment group. The total clinical effective rate was 86.67%; There were 8 cases (26.66%), 12 cases (40.00%), 10 cases (33.33%) and 10 cases (33.33%) in the control group. The total effective rate was 66.67%. Conclusion the combination of fire acupuncture therapy and Juanbi decoction granule can effectively improve the elbow VAS score and clinical sign score of patients with wind-cold-blocking external epicondylitis of humerus, and the curative effect is obviously better than that of Juanbi decoction alone in the treatment of external epicondylitis of humerus.
【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】：R274.9
【引证文献】
相关硕士学位论文 前1条
1 陈会;温针灸治疗肱骨外上髁炎的临床研究[D];河北医科大学;2017年
，本文编号：2445974
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