發(fā)布時(shí)間：2018-01-17 19:07

  本文關(guān)鍵詞：回醫(yī)理筋療法治療肩關(guān)節(jié)周圍炎療效評(píng)價(jià)研究　出處：《寧夏醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 回醫(yī)理筋療法 肩周炎 推拿療法 療效評(píng)價(jià)

【摘要】：目的評(píng)價(jià)回醫(yī)理筋療法治療肩關(guān)節(jié)周圍炎的臨床療效。方法按照隨機(jī)、對(duì)照、單盲的臨床試驗(yàn)設(shè)計(jì),選取肩周炎患者200例,隨機(jī)分為試驗(yàn)組和對(duì)照組,每組各100例。對(duì)照組采取傳統(tǒng)中醫(yī)推拿治療,試驗(yàn)組采取回醫(yī)理筋療法治療,在治療前、后及治療后2個(gè)月分別采用活動(dòng)能力計(jì)分、肩關(guān)節(jié)活動(dòng)范圍計(jì)分、VAS疼痛計(jì)分、功能總分計(jì)分及總體有效率等進(jìn)行評(píng)價(jià),并在治療后進(jìn)行安全性評(píng)價(jià)。結(jié)果1.活動(dòng)范圍計(jì)分比較兩組治療后的活動(dòng)范圍計(jì)分均優(yōu)于治療前(P0.05);兩組治療后2個(gè)月的活動(dòng)范圍計(jì)分均優(yōu)于治療前(P0.05);治療后與治療后2個(gè)月,試驗(yàn)組的活動(dòng)范圍計(jì)分均優(yōu)于對(duì)照組(P0.05)。2.VAS分值比較試驗(yàn)組治療前、治療后及治療后2個(gè)月VAS計(jì)分經(jīng)方差分析比較得出,治療后及治療后兩個(gè)月VAS分值均小于治療前(P0.05);對(duì)照組治療前、治療后及治療后2個(gè)月VAS計(jì)分經(jīng)方差分析比較得出,治療后及治療后兩個(gè)月VAS分值均小于治療前(P0.05)。試驗(yàn)組在治療后VAS計(jì)分低于對(duì)照組(P0.05)。3.活動(dòng)能力計(jì)分比較兩組治療后的活動(dòng)能力計(jì)分均優(yōu)于治療前(P0.05);兩組治療后2個(gè)月的活動(dòng)能力計(jì)分均優(yōu)于治療前(P0.05);治療后與治療后2個(gè)月,試驗(yàn)組的活動(dòng)能力計(jì)分均優(yōu)于對(duì)照組(P0.05)。4.安全性評(píng)價(jià)治療期間,兩組均未出現(xiàn)任何安全問題,安全評(píng)價(jià)等級(jí)均為一級(jí)。結(jié)論回醫(yī)理筋療法對(duì)肩關(guān)節(jié)周圍炎的療效確切,在改善肩關(guān)節(jié)活動(dòng)度、緩解肩關(guān)節(jié)局部疼痛、提高肌力、改善局部形態(tài)及提高總體治療有效率等方面均有顯著優(yōu)勢,臨床上值得推廣和應(yīng)用。
[Abstract]:Objective to evaluate the clinical effect of the treatment of periarthritis of shoulder by resuscitation therapy. Methods 200 patients with periarthritis of shoulder were randomly divided into experimental group and control group according to the randomized, controlled and single-blind clinical trial design. There were 100 cases in each group. The control group was treated with traditional Chinese medicine massage, while the experimental group was treated with traditional Chinese massage therapy. Before, after treatment and 2 months after treatment, the patients in the experimental group were scored with the ability of movement and the range of shoulder joint movement. VAS pain score, total functional score and overall effective rate were evaluated. Results 1.Compared with the two groups, the score of activity scope after treatment was better than that before treatment (P 0.05). The score of activity range 2 months after treatment in both groups was better than that before treatment (P 0.05). After treatment and 2 months after treatment, the score of activity range in the experimental group was better than that in the control group (P 0.05). 2. The VAS score was higher than that in the experimental group before treatment. The VAS scores after treatment and 2 months after treatment were compared by ANOVA. The VAS scores after treatment and 2 months after treatment were lower than those before treatment (P 0.05). The scores of VAS before, after and 2 months after treatment in the control group were compared by ANOVA. The VAS score after treatment and two months after treatment was lower than that before treatment (P 0.05). The VAS score in the test group was lower than that in the control group (P 0.05). Comparing the score of activity ability between the two groups after treatment, the score of activity ability was better than that before treatment (P 0.05). Two months after treatment, the score of activity ability in both groups was better than that before treatment (P 0.05). After treatment and 2 months after treatment, the score of activity ability in the test group was better than that in the control group (P 0.05. 4). During the period of safety evaluation, there were no safety problems in both groups. Conclusion the curative effect of medical treatment on shoulder periarthritis is definite, which can improve shoulder motion, relieve local pain of shoulder joint, and improve muscle strength. There are significant advantages in improving the local morphology and the overall effective rate of treatment, so it is worth popularizing and applying in clinic.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R29

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