缓慢捻进针法治疗瘀滞型肩关节周围炎的临床研究

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1、学校代码：10600学号：092073学位类型：科学学位广西中医药大学硕士学位论文缓慢捻进针法治疗瘀滞型肩关节周围炎的临床研究研究生：蒋凌飞导师：范郁山教授院系（部所）：针灸推拿学院专业：针灸推拿学研究方向：缓慢捻进针法的研究完成日期：2012年5月20日目录中文摘要···················································1英文摘要···················································2引言···················

2、·································4正文····················································51临床资料················································51.1观察对象···············································51.2一般资料···············································51.3诊疗标准···

3、············································61.4随机分组方法··········································81.5治疗方法···············································81.6观察方法··············································111.7疗效评定··············································121

4、.8统计方法··············································132结果····················································133讨论····················································174存在问题及展望········································34结论···········································

5、·······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··············································

6、····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

7、模拟评分法（visualanaloguescale,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

8、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昔布胶囊法。②缓慢捻进针法能有效缓解瘀滞型肩关节周围炎患者的疼痛症状，改善肩关节活动功能。且本疗法安全性高、稳定性强、方便、无创伤，易于被患者接受。关键词：