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《傍針刺結(jié)合刺絡(luò)拔罐治療瘀血阻絡(luò)型網(wǎng)球肘療效觀(guān)察》由會(huì)員上傳分享,免費(fèi)在線(xiàn)閱讀,更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、傍針刺結(jié)合刺絡(luò)拔罐治療瘀血阻絡(luò)型網(wǎng)球肘療效觀(guān)(上海市青浦區(qū)朱家角社區(qū)衛(wèi)生服務(wù)中心上海青浦201714)【摘要】目的:觀(guān)察傍針刺結(jié)合刺絡(luò)拔罐治療瘀血阻絡(luò)型網(wǎng)球肘的臨床療效。方法:將90例瘀血阻絡(luò)型網(wǎng)球肘患者隨機(jī)分為觀(guān)察組和對(duì)照組,每組45例。觀(guān)察組采用傍針刺結(jié)合刺絡(luò)拔罐治療,對(duì)照組采用口服洛索洛芬鈉片治療。比較兩組治療前后VAS評(píng)分及臨床療效。結(jié)果:觀(guān)察組總有效率為93.3%,對(duì)照組為77.8%,兩組比較差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)o兩組治療后VAS評(píng)分比較,差異均具有統(tǒng)計(jì)學(xué)意義(P&
2、lt;0.05)。治療組患者治療前后VAS評(píng)分差值與對(duì)照組比較,差異只有統(tǒng)計(jì)學(xué)意義(P<0.01)o結(jié)論:傍針刺結(jié)合刺絡(luò)拔罐法是一種治療瘀血阻絡(luò)型網(wǎng)球肘的有效方法?!娟P(guān)鍵詞】傍針刺;刺絡(luò)拔罐;瘀血阻絡(luò)型;網(wǎng)球肘【中圖分類(lèi)號(hào)】R246【文獻(xiàn)標(biāo)識(shí)碼】B【文章編號(hào)】2095-1752(2015)36-0355-02TherapeuticObservationonProximalNeedlingplusBlood-lettingPunctureandCuppingforBloodStasisVes
3、selObstructionofElbowTennisZhuJinliu.ZhujiajiaoCommunityHealthServiceCenter,Qingpu,Shanghai.201714,China【Abstract】ObjectiveToobservethetherapeuticeffectofproximalneedlingplusblood-lettingpunctureandcuppingintreatingbloodstasisvesselobstructionofelbow
4、tennis.MethodsNinetypatientswithbloodstasisofelbowtenniswererandomizedintoatreatmentgroupandacontrolgroup,30each.Thetreatmentgroupwasintervenedbyproximalneedlingplusblood-lettingpunctureandcupping,whilethecontrolgroupwasbytakingIoxoprofensodiumtablet
5、s.Thepre-treatmentandpost-treatmentVASscoresandtheclinicaltherapeuticeffectswerecomparedbetweenthetwogroups.ResultsThetotalefficacywas93.3%inthetreatmentgroupand77.8%inthecontrolgroup,therewasastatisticallysignificantdifferencebetweenthetwogroups(P&l
6、t;0.05).Therewasastatisticallysignificantpre-/post-treatmentdifferenceintheVASscoreinthetwogroups(P<0.05).Therewasastatisticallysignificantdifferenceinpre-/post-treatmentVASscoredifferencevaluebetweenthetreatmentandcontrolgroup(P<O.Ol).Conclusi
7、onProximalneedlingplusblood-lettingpunctureandcuppingisaneffectivewaytotreatbloodstasisvesselobstructionofelbowtennis.【Keywords】Proximalneedling;Blood-lettingPunctureandcupping;Bloodstasisvesselobstruction;Elbowtennis網(wǎng)球肘即肱骨外上髁炎,是指手肘外側(cè)肌腱發(fā)炎疼痛。是肘部最常見(jiàn)的疾病
8、,據(jù)國(guó)外流行病學(xué)調(diào)查研究顯示,該病的發(fā)病人UI占總?cè)薝I發(fā)生率為0.1%?0.3%,在國(guó)內(nèi)的發(fā)病率較國(guó)外高,為4%,并逐年增高,多因長(zhǎng)期慢性勞損導(dǎo)致,臨床主要以肱骨外上髁附近疼痛為主癥,前臂旋轉(zhuǎn)活動(dòng)時(shí)(如扭毛巾、擰螺絲)可使局部疼痛加劇,嚴(yán)重者影響最普通的日常生活影及其生活質(zhì)量。中醫(yī)學(xué)把它分為4型:風(fēng)寒阻絡(luò)型、濕熱內(nèi)蘊(yùn)型、氣血虧虛型和瘀血阻絡(luò)型,筆者采用傍針刺結(jié)合刺絡(luò)拔罐法治療瘀血阻絡(luò)型網(wǎng)球肘45例,并與口服洛索洛芬那片治療45例相比較,現(xiàn)報(bào)告如下:1.臨床資料1.1一般資料90例瘀血阻絡(luò)型網(wǎng)球