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The Needle Knife Surgery Combined With Cupping Therapy Clinical Study For The Treatment Of Soft Tissue Injuries Of The Waist And Hips

Posted on:2014-01-24Degree:DoctorType:Dissertation
Country:ChinaCandidate:M J HouFull Text:PDF
GTID:1224330398963267Subject:Acupuncture and massage to learn
Abstract/Summary:PDF Full Text Request
Soft tissue injury mainly refers to the injury of joint capsule, tendons,ligaments, muscles, bursa, tendon sheath that impact of violence, strong torsion, cumulative fatigue or stretch compression. It may lead to adhesions and scar contracture, congestion, induration, cord, hardening, calcification and other pathological changes, and even leads to joint deformity. In Chinese medicine, it is called "arthralgia syndrome","low back pain", mainly caused by the exogenous evils, injury or flutter and crafts, work too hard and desire too much and other factors. It is usually divided into blood stasis and blood deficiency Hanning type.It is characterized by longer duration, recurrent, and so hard to cure.The Acupuncture knife lysis is characterized by peeling and cutting the soft tissue adhesions,Zhu Hanzhang invent this special therapy.It is the treatment of pain disorders due to chronic soft tissue injury and other reasons. It is a combination of acupuncture and scalpel. It is characterized by quick, simple, economical and practical. Not only has it the characteristics of modern medicine and minimally invasive techniques, but also with TCM treatment technology that is the perfect combination of Chinese acupuncture. Acupuncture scalpel has surgical effect, the acupuncture effect as well as the combined effect of both. And it directly go to the site of pain, is the most effective treatment techniques currently, playing the role of release, pain relief on the affected area, clear the meridians, the blood circulation. Cupping can clear the meridians, push qi and blood circulation, expelling wind and cold, and other effects. Cupping is also common in the treatment of hip soft tissue injury and strain.In this study, acupuncture scalpel lysis combined with cupping therapy is used in the treatment of soft tissue on the waist and hips. Next, objectively assess the efficacy of this theropy on soft tissue injury on the waist and hips. We want to find another way to cure this kind of disease. To improve the patient’s discomfort due to the pain caused by the disease and restore the patient’s normal daily life, to shorten the course of treatment, so as to reduce the burden of the economic life of patients and their families to improve the quality of life in patients with the disease, in order to better clinical application.MethodsPatients with soft tissue injury of the waist and hips120cases, Divided into acupuncture scalpel combined the cupping treatment group40cases;Only acupuncture the scalpel treatment group40cases;Conventional acupuncture control group of40patients. Clinical indicators:the VAS score; Oswestry dysfunction index; differentiation of soft tissue injury symptoms table. Study:First Affiliated Hospital of the Guangzhou University of Traditional Chinese Medicine acupuncture clinic; Chiayi City, Taiwan, the letter and beauty clinic departments of Chinese medicine clinicTreatment:1、 Acupuncture scalpel combined the cupping treatment group:(1) Positioning:the location of pain in patients with positioning.(2) disinfection anchor points.(3) injection of lidocaine in the anchor points.(4) use the I3acupotomology positioning point of the muscle, myofascial release peel.(5) after unplug Acupuncture scalpel, select suitable sterile cupping, cupping buckle on the location of the oral surgery, stopping about1-2min, pull out the bleeding, the bleeding is about2to3ml of can from the tank.(6) re-sterilized the surgery point, and covered it with gauze to prevent infection.(7) keep the pinhole clean in24h after surgery; avoid water and soaked in perspiration;7day a course of treatment. Three courses for the observation of the target2、 Only acupuncture therapy group Procedure is identical with the first group, the pressing point but acupuncture scalpel lysis of approximately1-2min. For disinfection, to the point where surgery estuary covered gauze to prevent infection oral surgery.24h after surgery to keep the pinhole clean, dry; avoid water and soaked in perspiration;7day a course of treatment. To three cycles of micro-observation of the target, the efficacy evaluation.3、 Conventional acupuncture control group:(1) acupoints:local Ashi points and bladder meridian(2) the main point:Weizhong、 dachangshu、 ashi point(3) Distribution Point:alpine low back pain:yaoyangguan;stasis low back pain plus geshu; Kidney lower back pain plus Shenshu; the low back pain and lumbar Huatuojiaji, houxi;(4)method:acupuncture treatment, plus the EA machine to dense wave-based. The needle for about30minutes or so, the needle underwent cupping therapy, a flash fire cupping buckle at the waist or waist-hip ipsilateral position, stay about5minutes later, you can from the tank.1day,6times for a course.Results:1. Three groups after treatment Oswestry curative effect evaluation, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife group can pain intensity, and daily life self-care ability improve, the most obvious times pure needle knife group, cupping jar set again.2. Three groups of VAS score after treatment, the K-W rank and inspection, P=0.001, P<0.05, the difference was statistically significant, needle knife tank group for pain relief effect is best, pure times needle knife group, cupping jar set again3. Three groups after treatment of soft tissue injury symptom differentiation rating scale, rank and inspection by the K-W, P-0.001, P<0.05, the difference was statistically significant, needle knife group curative effect best, pure needle knife group curative effect, cupping jar Group efficacy of again.Conclusion:For the treatment of soft tissue injuries of the waist and hip effect, the effect of the needle knife surgery knot and cupping therapy in soft tissue injury of the waist and hips than conventional acupuncture treatment group. But the release with a simple knife therapy is not much difference, but also illustrates the needle knife surgery combined effect of cupping therapy is better than a simple knife release treatment.Clinical observation found that for the waist hip soft tissue injuries, not all for single soft tissue injuries is given priority to, some patients can incorporate2-3soft tissue damage at the same time or by simply lost after soft tissue injury or disease, excessive strain should be in other parts of the soft tissue compensatory damage symptoms, such as single risk treatment is soft tissue, may reduce the treatment of diseases, the, such as the waist hip soft tissue damage of the merger of the parts or the original pain parts at the same time, treatment can effectively improve the cure rate of patients. Both improve the waist and hips soft tissue injury which occurred after clinical symptoms, to restore damaged soft tissue, and can be restored to the local soft tissue biomechanics and microcirculation, thus improving the quality of life of the ill, ideal method for the treatment of the disease, the more worthy of popularization and application in the diagnosis and treatment of soft tissue injuries of the waist and hips.
Keywords/Search Tags:acupotomology lysis, haunches of cupping therapy clinical study ofsoft tissue injury
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