缓慢捻进针法治瘀滞型肩关节周围炎的临床研究.pdfVIP

目 录 中文摘要 ···················································1 英文摘要 ···················································2 引 言 ····················································4 正 文 ····················································5 1 临床资料 ················································5 1.1 观察对象 ···············································5 1.2 一般资料 ···············································5 1.3 诊疗标准 ···············································6 1.4 随机分组方法 ··········································8 1.5 治疗方法 ···············································8 1.6 观察方法 ··············································11 1.7 疗效评定 ··············································12 1.8 统计方法 ··············································13 2 结果 ····················································13 3 讨论 ····················································17 4 存在问题及展望 ········································34 结 论 ··················································36 参考文献 ··················································37 综 述 ··················································41 致 谢 ··················································53 攻读学位期间发表的学术论文目录 ·······················55 作者声明 ··················································56 个人简历 ··················································57 中 文 摘 要 目 的：本课题研究缓慢捻进针法对瘀滞型肩关节周围炎的临床疗效。 通过对缓慢捻进针法治疗瘀滞型肩关节周围炎的临床研究，科学的评价 缓慢捻进针法治疗瘀滞型肩关节周围炎的临床疗效，为缓慢捻进针法的 推广提供依据。 方 法：本研究将60例符合条件的瘀滞型肩关节周围炎患者，随机分 成2组，即观察组30例，采用缓慢捻进针法，对照组30例，采用口服塞来 昔布胶囊法。选择肩部疼痛和肩部功能活动作为主要观察指标，分别采 用视觉模拟评分法（visual analogue scale, VAS ）进行疼痛程度评分，采用 Melle评分对肩关节功能活动进行量化评价。通过2个疗程的评测与比较， 运用SPSS13.0软件将以上资料进行统计学处理，最终得出结论。 结 果：观察组总有效率为100%，对照组组总有效率为83.4%，两组 治疗2个疗程后疗效之间差异有显著性意义（P 0.001 ）；观察组与对照组 在改善肩关节活动功能和减轻疼痛方面亦同样具有统计学意义（P 0.001 ）。两组经治疗后VAS评分和Melle评分与治疗前比较均明显改善 （均P 0.001 ），且观察组改善程度优于对照组（均P 0.001 ）。两组治疗 期间无不良事件发生。 结 论：①缓慢捻进针法对于瘀滞型肩关节周围炎患者的综合疗效、 镇痛疗效和改善功能活动疗效均明显优于口服塞来