本文選題：肩手綜合征 + 針刺　； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:探討肩三針配合輸穴穴位貼敷治療中風(fēng)后肩手綜合征的臨床療效,并且與普通針刺組的療效進(jìn)行對(duì)比分析,為臨床治療中風(fēng)后肩手綜合征提供新的方法與思路。方法:選擇符合納入標(biāo)準(zhǔn)的60例中風(fēng)后肩手綜合征患者,將其按照隨機(jī)數(shù)字表法分為治療組和對(duì)照組,每組30例。治療組采用肩三針配合輸穴白脈軟膏穴位貼敷治療,對(duì)照組采用普通針刺治療,每日1次,每周治療6次,6次一個(gè)療程,共治療4個(gè)療程。4個(gè)療程后觀察比較兩組患者治療前后的Barthel指數(shù)評(píng)分、VAS評(píng)分、上肢Fugl-Meyer運(yùn)動(dòng)功能評(píng)分,運(yùn)用統(tǒng)計(jì)學(xué)方法進(jìn)行分析處理。結(jié)果:兩組患者的性別,年齡,病程以及治療前的Barthel指數(shù)評(píng)分,VAS評(píng)分,上肢Fugl-Meyer運(yùn)動(dòng)功能評(píng)分經(jīng)過(guò)統(tǒng)計(jì)學(xué)分析,結(jié)果差異均不具有統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。而治療結(jié)束后,兩組患者的Barthel指數(shù)評(píng)分,VAS評(píng)分,上肢Fugl-Meyer運(yùn)動(dòng)功能評(píng)分與治療前相比,均有明顯改善(P＜0.05),兩組組間比較,治療組療效優(yōu)于對(duì)照組(P＜0.05)。結(jié)論:1.肩三針配合輸穴穴位貼敷與普通針刺均能減輕中風(fēng)后肩手綜合征患者的疼痛,改善其上肢運(yùn)動(dòng)功能;2.肩三針配合輸穴穴位貼敷的療效優(yōu)于普通針刺治療。
[Abstract]:Objective: to explore the clinical effect of three points of shoulder acupuncture combined with acupoint application in the treatment of shoulder hand syndrome after apoplexy, and to provide a new method and train of thought for clinical treatment of shoulder hand syndrome after apoplexy by comparing the curative effect with that of common acupuncture group. Methods: sixty patients with shoulder-hand syndrome after stroke were selected and divided into treatment group and control group according to random digital table method with 30 cases in each group. The treatment group was treated with shoulder three acupuncture combined with acupoint application of Baimai ointment, while the control group was treated with common acupuncture once a day, 6 times a week for 6 times a course of treatment, After 4 courses of treatment, the Barthel Index score (VAS) and Fugl-Meyer motor function score of upper extremity were observed and compared between the two groups before and after treatment. Results: the gender, age, course of disease, Barthel index score before treatment and Fugl-Meyer motor function score of upper extremity were statistically analyzed in the two groups. The results were not statistically significant (P0.05), and were comparable. After the treatment, the scores of Barthel index and VAS and Fugl-Meyer motor function of upper extremity were significantly improved in both groups (P < 0.05). The curative effect of the treatment group was better than that of the control group (P < 0.05). Conclusion 1. The combination of three shoulder acupuncture points and acupoint application and common acupuncture can relieve the pain of patients with shoulder hand syndrome after stroke and improve the motor function of upper limbs. The curative effect of three-point shoulder acupuncture combined with acupoint application was better than that of common acupuncture.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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本文編號(hào)：2098337