【摘要】：目的:溫針灸作為艾灸療法里的一種治療方法,結(jié)合了針與灸的雙重作用,在臨床中適應(yīng)證廣,療效顯著,經(jīng)濟(jì)方便,無不良反應(yīng);耳針作為非藥物治療的方法,有診療范圍廣、操作方便、療效肯定的特點(diǎn)和優(yōu)勢,深受廣大患者接受。本研究通過比較溫針灸聯(lián)合耳針療法及單獨(dú)使用溫針灸治療中風(fēng)后肩手綜合癥患者的臨床療效,為溫針灸聯(lián)合耳針療法治療中風(fēng)后肩手綜合癥患者提供循證醫(yī)學(xué)理論依據(jù)。方法:選取2016年1月-2016年8月于寒亭區(qū)人民醫(yī)院中醫(yī)科、康復(fù)醫(yī)學(xué)科門診及病房就診病人,共收集符合納入標(biāo)準(zhǔn)的肩手綜合癥病例90例。采用分組對照法研究。用隨機(jī)數(shù)表法(SAS統(tǒng)計(jì)分析系統(tǒng)),將所有患者隨機(jī)分為溫針灸組、聯(lián)合治療組,每組各45例。兩組患者均采用常規(guī)治療及對癥治療。治療期間防止輸液患側(cè),避免牽拉不當(dāng)、擠壓,防止因意外而造成傷害。溫針灸組采用溫針灸的治療方法;聯(lián)合治療組在溫針灸的治療基礎(chǔ)上加用耳針療法。治療10次為1個療程,共治療2個療程。對患者治療前后的一般資料、疼痛指數(shù)(VAS)、上肢關(guān)節(jié)活動度(FMA)、總體治療結(jié)果、日常生活活動功能(ADL)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:通過對兩組患者的一般資料進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析,結(jié)果表明兩組患者在性別、年齡、病程、疾病類型、卒中次數(shù)等方面差異無統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組溫針灸聯(lián)合耳針療法在降低中風(fēng)肩手綜合癥VAS評分方面具有很好的效果,且與溫針灸治療組相比,治療作用更明顯(P0.05)。觀察組溫針灸聯(lián)合耳針療法對于改善中風(fēng)肩手綜合癥上肢運(yùn)動情況等臨床癥狀具有很好的效果,且優(yōu)于單獨(dú)應(yīng)用溫針灸治療法(P0.05)。兩組患者總體治療結(jié)果顯示:兩組患者治療總有效例數(shù),經(jīng)統(tǒng)計(jì)學(xué)軟件分析,觀察組治療效果顯著優(yōu)于對照組(P0.05)。觀察組溫針灸聯(lián)合耳針療法治療中風(fēng)肩手綜合癥具有很好的效果,且與溫針灸治療組相比,治療作用更加明顯(P0.05)。結(jié)論:溫針灸聯(lián)合耳針療法在患者的疼痛指數(shù)、上肢關(guān)節(jié)活動度、總體治療效果、日常生活活動功能方面治療效果明顯。
[Abstract]:Objective: warming acupuncture and moxibustion as a treatment method in moxibustion, combined with the dual effect of acupuncture and moxibustion, has wide indication, remarkable curative effect, economic convenience and no adverse reaction in clinical practice. Ear acupuncture, as a non-drug treatment method, has the characteristics and advantages of wide range of diagnosis and treatment, convenient operation, positive curative effect, and is accepted by the majority of patients. This study compared the clinical efficacy of warming acupuncture combined with ear acupuncture and warming acupuncture alone in treating patients with shoulder hand syndrome after apoplexy and provided evidence based medical theory basis for warming acupuncture combined ear acupuncture therapy for patients with shoulder hand syndrome after stroke. Methods: 90 patients with shoulder hand syndrome were collected from January 2016 to August 2016 in the Department of traditional Chinese Medicine, Department of Rehabilitation Medicine, Department of traditional Chinese Medicine, Hanting District people's Hospital. A group control study was used. All the patients were randomly divided into warm acupuncture group and combined treatment group with 45 cases in each group by using the random number table method (SAS statistical analysis system). Both groups were treated with routine treatment and symptomatic treatment. Prevent infusion during treatment, avoid improper traction, extrusion and injury caused by accident. Warm-moxibustion group was treated with warm-moxibustion and combined treatment group was treated with auricular acupuncture on the basis of warm-moxibustion treatment. 10 times of treatment was a course of treatment, a total of 2 courses of treatment. The general data of the patients before and after treatment, the total treatment results of the pain index (VAS),) upper limb joint motion degree (FMA),) and the daily life function (ADL) were analyzed statistically. Results: through the statistical analysis of the general data of the two groups, the results showed that there was no significant difference in sex, age, course of disease, disease type, stroke frequency and so on between the two groups (P0.05). Observation group warming acupuncture combined with ear acupuncture in reducing stroke shoulder hand syndrome VAS score has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Observation group warming acupuncture combined with ear acupuncture for improving stroke shoulder and hand syndrome upper limb movement and other clinical symptoms have a good effect, and better than the only use of warm acupuncture therapy (P0.05). Two groups of patients overall treatment results showed that: two groups of patients treated the total effective cases, statistical software analysis, observation group significantly better than the control group (P0.05). Observation group warming acupuncture combined with ear acupuncture treatment of shoulder and hand syndrome apoplexy has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Conclusion: the therapeutic effect of warming acupuncture combined with ear acupuncture therapy on pain index, upper limb joint motion, total therapeutic effect and daily life function is obvious.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黃鷹;;中藥泡洗聯(lián)合康復(fù)訓(xùn)練治療中風(fēng)恢復(fù)期肩手綜合征臨床研究[J];亞太傳統(tǒng)醫(yī)藥;2016年20期

2 蘭長安;;手法按摩配合中藥冰療護(hù)理對卒中后肩手綜合征患者的影響[J];河北中醫(yī);2016年07期

3 黃奏琴;裴建;王偉明;宋毅;;針灸結(jié)合康復(fù)訓(xùn)練綜合治療中風(fēng)后肩手綜合征的進(jìn)展[J];天津中醫(yī)藥;2015年11期

4 張曉茹;陸偉霞;;針灸配合康復(fù)訓(xùn)練在治療腦卒中后肩手綜合征Ⅰ期中的臨床效果分析[J];中國醫(yī)學(xué)工程;2015年11期

5 彭婷婷;劉從秀;;艾灸聯(lián)合耳穴貼壓治療腦卒中肩手綜合征的療效觀察[J];中醫(yī)藥臨床雜志;2015年10期

6 馬越;李澎;;中風(fēng)后肩手綜合征臨床研究進(jìn)展[J];中華針灸電子雜志;2015年04期

7 任彬彬;;馮明清教授從瘀論治肩手綜合征經(jīng)驗(yàn)[J];中國現(xiàn)代藥物應(yīng)用;2015年15期

8 盧紅玉;龐全瑭;郭光遠(yuǎn);劉平;宋秀玲;;紅外/紅光局部照射聯(lián)合綜合康復(fù)治療肩手綜合征的療效觀察[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2015年05期

9 馬婕;曾令丹;張艷;;綜合康復(fù)干預(yù)防治腦梗死后肩手綜合征的療效觀察[J];中華物理醫(yī)學(xué)與康復(fù)雜志;2015年05期

10 徐珊;王袖平;陳謀珠;;腦卒中后肩手綜合征發(fā)生的危險(xiǎn)因素的臨床分析[J];現(xiàn)代診斷與治療;2015年08期

相關(guān)會議論文 前1條

1 孫永新;;動靜脈手泵預(yù)防和治療腦卒中合并肩手綜合征的臨床觀察[A];第七屆全國康復(fù)醫(yī)學(xué)工程與康復(fù)工程學(xué)術(shù)研討會論文集[C];2010年

，

本文編號：2315943