本文關鍵詞： 刺血拔罐 瘀血型 腰肌勞損　出處：《廣州中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的腰肌勞損,是指因外感、內(nèi)傷或坐位不正,腰部用力不當,屏氣閃挫導致腰部氣血運行不暢,脈絡絀急或失于濡養(yǎng)引起以腰部一側(cè)或兩側(cè)或正中發(fā)生疼痛為主要癥狀的一種病證,亦可兼見其他諸多部位不適,以胸部、背部、脅部、腹部、小腿及腳部兼見不適為多見。腰痛病位在腰,與腎及足太陽膀胱經(jīng)、足少陰腎經(jīng)、任沖督帶等經(jīng)脈密切相關,初發(fā)多屬實證,可因感受寒濕、濕熱等外邪以及跌仆外傷等引起,病久多以腎虛最為常見。無論外感內(nèi)傷,總以腎虛為本,跌仆閃挫或寒濕、濕熱之邪為其誘因。作為臨床上常見的疾病,本研究通過采用刺血拔罐療法治療瘀血型腰肌勞損患者,觀察刺血拔罐對瘀血型腰肌勞損患者癥狀的干預作用。本研究立足瘀血型腰肌勞損患者在臨床中較為多見,通過采用刺血拔罐進行多次放血療法,以探索刺血拔罐在瘀血型腰肌勞損中應用的可行性。方法將符合診斷及納入標準的瘀血型腰肌勞損病例60例隨機分為2組,即治療組和對照組各30例,共60例。治療組予刺血拔罐療法,用己消毒的三棱針快速點刺局部,通常以皮膚紅潤微有出血為度,任血液自行流出,隨即用留罐法迅速拔在刺血部位約5分鐘待血流停止后拔罐,起罐后用鹽水棉球擦洗針孔處血跡,重復3次,每周治療1次,4周為1個療程,治療一共2個療程。對照組僅予單純針刺,用華倫牌不銹鋼一次性針灸針,腎俞直刺0.5～1寸,志室斜刺0.5～0.8寸,氣海俞直刺0.5～1寸,命門直刺0.5～1寸,腰陽關向上斜刺0.5～1寸,次毼直刺1～1.5寸,委中直刺1～1.5寸,得氣后留針30分鐘,每10分鐘行平補平瀉手法2分鐘,療程:每周治療2次,隔3日1次。8次為1個療程,共治療2個療程,治療結(jié)束后,以腰肌勞損疼痛的VAS評分、臨床體征積分,對兩組患者的各項數(shù)據(jù)進行統(tǒng)計分析,以探討刺血拔罐治療瘀血型腰肌勞損的臨床療效。所有研究結(jié)果均采用SPSS 24進行統(tǒng)計分析,計量資料采用均數(shù)±標準差(x±s)表示,組內(nèi)治療前后比較采用配對t檢驗;組間比較采用兩個獨立樣本的t檢驗;療效比較采用Ridit分析。結(jié)果經(jīng)過為期2個療程的治療后,治療組患者中有3例痊愈(10.0%),顯著療效13例(43.3%),有效的有11例(36.7%),無效3例(10.0%),臨床總有效率為90.0%;對照組患者中,痊愈患者1例(3.33%),顯效8例(26.7%),有效13例(43.4%),無效8例(26.7%),總有效率為73.3%。經(jīng)ridit分化有統(tǒng)計學意義(P0.05),說明治療組的療效優(yōu)于對照組。
[Abstract]:Objective Lumbar muscle strain is caused by external sensation, internal injury or improper sitting position, improper waist force, breath-holding flashes, resulting in poor operation of blood and qi in the waist. A symptom that causes pain in one or both sides of the waist or in the middle of the waist due to acute choroids or loss of nourishment. It also shows discomfort in many other parts, including the chest, back, flank, abdomen, and so on. Low back pain, located in the waist, is closely related to the kidney and foot sun bladder meridian, foot Shaoyin kidney meridian, Ren Chong governor belt and other meridians. The initial occurrence is mostly empirical and can be caused by external pathogens such as cold and dampness, dampness and heat, and trauma of falling servants, etc. Kidney deficiency is the most common disease for a long time. Regardless of the external internal injury, it is always based on kidney deficiency, falling servants to flash or cold dampness, damp-heat evil as its inducement. As a common clinical disease, In this study, blood pricking and cupping therapy was used to treat patients with blood stasis type of lumbar muscle strain, and the intervention effect of blood pricking and cupping on the symptoms of patients with blood stasis type of lumbar muscle strain was observed. In order to explore the feasibility of blood pricking and cupping in the application of blood stasis type lumbar muscle strain, 60 patients with blood stasis muscle strain were randomly divided into two groups by blood pricking and cupping therapy. That is, the treatment group (30 cases) and the control group (60 cases) were treated with blood pricking and cupping therapy. Then the blood was removed from the bloodstream for about 5 minutes. After the cupping was stopped, the blood stains in the needle holes were scrubbed with brine cotton balls. The blood was repeated for 3 times, and treated once a week for 4 weeks as a course of treatment. There were two courses of treatment. The control group was only treated with simple acupuncture. The control group was treated with a single stainless steel acupuncture needle of Warren's brand, Shenshu direct needling 0.51 inch, Zhixiao 0.5 0. 8 inch oblique puncture, Qi Hai Shu 0. 51 inch straight puncture, Mingmen 0. 510 1 inch straight, waist yang Guan upward 0. 5 + 0. 5 ~ 1 inch. 1 1. 5 inch straight prick, 1 1. 5 inch straight injection, 30 minutes retention needle after getting qi, 2 minutes treatment course: 2 times a week, once every 8 times as a course of treatment on 3rd, a total of 2 courses of treatment, after the end of treatment, According to the VAS score and clinical sign score of lumbar muscle strain pain, the data of the two groups were statistically analyzed in order to explore the clinical effect of blood pricking and cupping in the treatment of lumbar muscle strain of blood stasis type. All the results were statistically analyzed by SPSS 24. The measurement data were expressed as mean 鹵standard deviation x 鹵s, matched t test was used before and after treatment, two independent samples were used as t test, and Ridit analysis was used to compare curative effect. Results after two courses of treatment, In the treatment group, 3 cases were cured 10.0%, 13 cases were 43.3%, 11 cases were 36.7%, 3 cases were ineffective, the total clinical effective rate was 90.0%, while in the control group, the total effective rate was 90.0%. The total effective rate was 73.3%. The total effective rate was 73.3% by ridit differentiation, which indicated that the curative effect of the treatment group was better than that of the control group.
【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】：R246.9

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