本文選題：運動性疲勞 + 艾灸　； 參考：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：現(xiàn)代競技體育事業(yè)發(fā)展迅猛,運動訓練變得更加嚴格,若運動員長期進行高強度訓練后疲勞產生又得不到及時恢復就會出現(xiàn)運動性疲勞,嚴重影響運動員技術水平的發(fā)揮和運動能力的提高。對于運動性疲勞的治療,西醫(yī)以補充能量為主,雖能提高運動成績,消除疲勞,但對運動員身體有一定的毒副作用,對肝腎功能的損害更是不可逆轉的。中醫(yī)對運動性疲勞的治療效果日益得到廣泛的關注。艾灸和耳穴療法作為中醫(yī)學科中的重要組成部分,具有很大的優(yōu)勢,因其可激發(fā)人體自身機能,刺激經(jīng)絡腧穴,具有良性雙向調節(jié)作用,其防治運動性疲勞的獨特優(yōu)勢逐漸顯現(xiàn)出來,值得我們廣泛研究。目的:在實際臨床中發(fā)現(xiàn)艾灸和耳穴單獨運用對運動性疲勞的恢復療效尚可,在查閱歷年文獻研究中也看到相關記載。為進一步研究探討艾灸結合耳穴貼壓對治療運動性疲勞的聯(lián)合作用及其臨床效果,為運動員提供有效改善運動性疲勞的新思路和新方法。方法:在廣州大學城各個高校的男性田徑運動員中納入合格受試者90例,年齡在18-27歲,身體健碩,每日的運動量接近。按照excel隨機數(shù)表法隨機分為艾灸組、耳穴組和艾灸加耳穴組。艾灸組30例,耳穴組30例,艾灸加耳穴組30例。每天訓練結束后,艾灸組灸關元穴、足三里穴位;耳穴組取脾、腎、心、肝、交感、肺、內分泌耳穴進行常規(guī)貼壓;艾灸加耳穴組使用以上兩種方法共同治療。三組受試對象從每周訓練第一天訓練結束后開始接受治療,共治療兩個訓練周期(4周),分別對各組在第一天訓練結束后治療前及兩個訓練周期結束最后一次訓練結束后即刻進行疲勞主觀感覺評分(RPE)、癥狀體征評分的測評。艾灸和耳穴均是每2天治療一次,治療2周為一個療程,持續(xù)觀察2個療程。療程結束后,比較受試對象前后的疲勞主觀感覺評分值(即RPE值)、癥狀體征評分情況。成果:經(jīng)過4周的實驗研究后,艾灸組、耳穴組和艾灸加耳穴組的疲勞主觀感覺評分(RPE)、癥狀體征評分測評在首次與末次對比中呈現(xiàn)明顯降低趨勢,且艾灸加耳穴組均優(yōu)于其他兩組。治療后,各組癥狀在治療療效對比中艾灸加耳穴組總有效率為93.33%,艾灸組總有效率為66.67%,耳穴組總有效率為26.67%。表明艾灸結合耳穴組治療運動性疲勞優(yōu)勢明顯,其療效明顯優(yōu)于艾灸組和耳穴組。結論:在艾灸結合耳穴貼壓療法治療下,艾灸加耳穴組和其他兩組在疲勞主觀感覺評分(RPE)、癥狀體征評分的測評中有顯著性差異。進行艾灸結合耳穴貼壓療法治療后,與其余各組相比,體力及競技能力明顯改善,治療運動性疲勞的效果明顯,證明艾灸結合耳穴貼壓療法可以有效地治療運動性疲勞。
[Abstract]:With the rapid development of modern competitive sports, sports training becomes more rigorous. If athletes get tired after a long period of high-intensity training and can't recover in time, there will be sports-induced fatigue.It seriously affects the development of athletes' technical level and the improvement of their sports ability.For the treatment of sports fatigue, western medicine to supplement energy, although it can improve the performance of sports, eliminate fatigue, but the athletes have certain toxic side effects, the damage to liver and kidney function is more irreversible.The therapeutic effect of traditional Chinese medicine (TCM) on exercise fatigue has been paid more and more attention.Moxibustion and auricular acupoint therapy, as an important part of traditional Chinese medicine, have great advantages, because they can stimulate the function of human body, stimulate acupoints of meridians and collaterals, and have the function of good two-way regulation.Its unique advantages of preventing and curing exercise fatigue gradually appear, which is worthy of our extensive study.Objective: to find the recovery effect of moxibustion and auricular point alone on exercise fatigue in clinical practice.To further study the combined effect of moxibustion combined with auricular point plaster on the treatment of exercise fatigue and its clinical effect, to provide new ideas and methods for athletes to effectively improve exercise fatigue.Methods: a total of 90 male athletes, aged 18-27 years, were included in the male athletes in Guangzhou University City.According to excel's random number table method, they were randomly divided into three groups: moxibustion group, auricular point group and moxibustion plus auricular point group.30 cases in moxibustion group, 30 cases in auricular point group and 30 cases in moxibustion plus auricular point group.After training every day, moxibustion group moxibustion Guanyuan point, Zusanli acupoint; ear point group take spleen, kidney, heart, liver, sympathetic, lung, endocrine auricular points for routine pressing; moxibustion plus auricular point group with the above two methods of treatment.The three groups began to receive treatment after the first day of training each week.A total of two training cycles were treated for 4 weeks. After the first day of training and immediately after the last training of the two training cycles, the scores of fatigue subjective sensation and symptoms and signs were evaluated.Moxibustion and auricular acupoints were treated once every 2 days and 2 weeks as a course of treatment.After the course of treatment, the subjective feeling score (RPE), symptom and sign scores of subjects were compared before and after the treatment.Results: after 4 weeks of experimental study, the scores of fatigue subjective sensation in moxibustion group, auricular point group and moxibustion plus auricular point group were significantly decreased in the first and last comparison.The moxibustion plus auricular point group was superior to the other two groups.After treatment, the total effective rate of moxibustion plus auricular point group was 93.33, the total effective rate of moxibustion group was 66.67, and the total effective rate of auricular acupoint group was 26.67.The results showed that moxibustion combined with auricular acupoint had obvious advantages in treating exercise fatigue, and its curative effect was better than that of moxibustion group and auricular point group.Conclusion: under the treatment of moxibustion combined with auricular point plaster therapy, there is a significant difference between the moxibustion plus auricular acupoint group and the other two groups in the evaluation of the subjective feeling score of fatigue and the score of symptoms and signs.After the treatment of moxibustion combined with auricular point plaster therapy, compared with other groups, physical strength and competitive ability were obviously improved, and the effect of treating exercise fatigue was obvious, which proved that moxibustion combined with ear point plaster therapy could effectively treat exercise fatigue.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R87

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