本文選題：中藥熏洗 + 中風(fēng)��； 參考：《北京中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：[目的] 評價中藥熏洗療法對改善中風(fēng)急性期后踝關(guān)節(jié)拘攣的有效性和安全性。 [方法] 收集中風(fēng)恢復(fù)期和后遺癥期踝關(guān)節(jié)拘攣患者57例,符合納入標(biāo)準(zhǔn)的患者27例,采用病例序列研究的方法,在給予常規(guī)的腦血管病基本藥物治療、康復(fù)訓(xùn)練治療和針灸治療的基礎(chǔ)上,增加中藥熏洗治療,觀察療效及安全性。泡洗于每天睡前進行,時間為20min,治療2周。分別在療前、療后、治療結(jié)束后1個月采用綜合痙攣量表、修訂的改良Ashworth痙攣量表評分、踝關(guān)節(jié)背屈和跖屈角度及活動范圍、拘攣癥狀VAS評分、疼痛癥狀VAS評分、麻木癥狀VAS評分、患者自身報告結(jié)局量表(PRO)等進行療效評價。 [結(jié)果] 近期療效評價：中藥熏洗療法治療中風(fēng)急性期后踝關(guān)節(jié)拘攣患者,應(yīng)用綜合痙攣量表評價,患者治療前評分為12(2),治療后評分為10(3),差異有顯著統(tǒng)計學(xué)意義(P0.01)；應(yīng)用修訂的改良Ashworth痙攣量表評價,患者治療前評級為2(0),治療后評級為2(1),差異有統(tǒng)計學(xué)意義(PO.05)；在踝關(guān)節(jié)背屈角度方面,治療前為97.20±9.11501°,治療后為87.24±8.536°,差異有顯著統(tǒng)計學(xué)意義(P0.01)；在踝關(guān)節(jié)跖屈角度方面,治療前為129.48±6.740°,治療后為134.56±5.026°,差異有顯著統(tǒng)計學(xué)意義(P0.01)；在踝關(guān)節(jié)活動范圍方面,治療前為32.28±9.316°,治療后為47.32±8.793°,差異有顯著統(tǒng)計學(xué)意義(P0.01)；應(yīng)用視覺類比評分法評價拘攣癥狀,治療前評分為8(3),治療后評分為6(5),差異有顯著統(tǒng)計學(xué)意義(P0.01)；應(yīng)用視覺類比評分法評價疼痛癥狀,治療前評分為8(4),治療后評分為1(5),差異有統(tǒng)計學(xué)意義(P0.05)；應(yīng)用視覺類比評分法評價麻木癥狀,治療前評分為7(3),治療后評分為3(7),差異有顯著統(tǒng)計學(xué)意義(P0.01)；應(yīng)用患者自身報告結(jié)局量表評價,治療前評分為23.56±9.90825,治療后評分為26.24±6.180,差異有顯著統(tǒng)計學(xué)意義(P0.01)。綜合表明中藥熏洗療法對改善中風(fēng)急性期后踝關(guān)節(jié)拘攣程度、踝關(guān)節(jié)背屈和跖屈角度及活動范圍、拘攣癥狀、疼痛癥狀、麻木癥狀及自身結(jié)局評價均有明顯改善。 遠期療效評價：經(jīng)統(tǒng)計學(xué)計算,治療完成1個月后患者踝關(guān)節(jié)拘攣程度、拘攣癥狀、疼痛癥狀、麻木癥狀及自身結(jié)局評價較療前顯著改善,差異有顯著統(tǒng)計學(xué)意義(P0.05)；除了患者自覺拘攣癥狀較治療后略有反彈之外,患者踝關(guān)節(jié)拘攣程度、疼痛、麻木及自身結(jié)局評價較治療結(jié)束后均無明顯變化(P0.05)。表明停止中藥熏洗治療后,患者踝關(guān)節(jié)拘攣程度、疼痛、麻木及自身結(jié)局評價療效穩(wěn)定。 安全性評價：納入的27例患者,中藥熏洗治療過程中,沒有出現(xiàn)近期及遠期不適。表明中藥熏洗療法安全可靠。[結(jié)論] 初步觀察中藥熏洗療法對改善中風(fēng)恢復(fù)期和后遺癥期踝關(guān)節(jié)拘攣癥狀的臨床療效和安全性。結(jié)果證實中藥熏洗療法不僅可以改善患者拘攣癥狀,對于中風(fēng)后的疼痛、麻木癥狀也有很好的治療效果,從而對于改善中風(fēng)后患者自身結(jié)局評分亦有良好的影響。該療法療效確切,療效穩(wěn)定,安全性高,應(yīng)用簡便。
[Abstract]:Purpose of the project

To evaluate the efficacy and safety of traditional Chinese medicine fumigation and washing therapy on ankle joint spasm after acute stroke .

Methodology

A total of 57 patients were treated with routine cerebral vascular diseases , rehabilitation training and acupuncture therapy . The results were compared with routine treatment of cerebrovascular disease , rehabilitation training and acupuncture treatment . The results were as follows : 1 month after treatment , 2 weeks after treatment . The scores of the scores of the scores of the spasticity , VAS scores of pain symptom , VAS score of numbness symptom and the self - reported outcome scale ( PRO ) were evaluated .

The result is not valid .

Short - term curative effect evaluation : Chinese medicine fumigation and washing therapy was used to treat the patients with ankle joint after acute stroke , and the scores of patients before treatment were 12 ( 2 ) , 10 ( 3 ) after treatment and 10 ( 3 ) after treatment ( P0.01 ) .
Modified modified Ashworth spasticity scale was used to evaluate patients with a pre - treatment rating of 2 ( 0 ) and a post - treatment rating of 2 ( 1 ) , with a statistically significant difference ( PO.05 ) ;
In ankle dorsiflexion angle , 97.20 鹵 9.115 01 擄 before treatment , 87.24 鹵 8.536 擄 after treatment , there was significant difference ( P0.01 ) .
The angle of flexion of ankle was 129.48 鹵 6.740 擄 before treatment and 134.56 鹵 5.26 擄 after treatment ( P0.01 ) .
In the range of ankle activity , 32.28 鹵 9.316 擄 before treatment , 47.32 鹵 8.793 擄 after treatment , there was significant difference ( P0.01 ) .
The visual analog scoring method was used to evaluate the symptoms of the spasm , the score before treatment was 8 ( 3 ) , the post - treatment score was 6 ( 5 ) , the difference was statistically significant ( P0.01 ) .
The symptom of pain was evaluated by visual analog scoring method , the score before treatment was 8 ( 4 ) , the post - treatment score was 1 ( 5 ) , the difference was statistically significant ( P0.05 ) .
The scores of pre - treatment and post - treatment were 7 ( 3 ) , 3 ( 7 ) and 3 ( 7 ) after treatment , and the difference was statistically significant ( P0.01 ) .
The scores of pre - treatment were 23.56 鹵 9.90825 and 26.24 鹵 6.180 after treatment , and the scores were 26.24 鹵 6.180 and 26.24 鹵 6.180 , respectively .

Long - term curative effect evaluation : After statistic calculation , the degree of ankle joint spasm , spasm symptom , pain symptom , numbness symptom and self - outcome were significantly improved after 1 month after treatment , and the difference was statistically significant ( P0.05 ) .
There was no significant change in the degree of ankle joint , pain , numbness and self - outcome after the treatment of the patient ' s conscious myoclonus symptoms ( P0.05 ) .

Safety evaluation : There were no recent and long - term discomfort in 27 patients included in the traditional Chinese medicine fumigation and washing therapy . The results showed that the traditional Chinese medicine fumigation and washing therapy was safe and reliable .

The results showed that the traditional Chinese medicine fumigation therapy not only can improve the clinical curative effect and safety of the patients with stroke recovery period and sequelae period , but also has good curative effect on the pain and numbness symptom after stroke , so as to have good curative effect , stable curative effect , high safety and convenient application .
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R743.3

【參考文獻】

相關(guān)期刊論文 前10條

1 朱惠芳;朱煒;;中藥熏洗對髕骨骨折后膝關(guān)節(jié)功能恢復(fù)的治療作用[J];中醫(yī)藥臨床雜志;2007年02期

2 趙宏亮;刮痧治療落枕100例[J];按摩與導(dǎo)引;2001年01期

3 阮繼源;中藥結(jié)合穴位貼敷治療抑郁癥34例[J];浙江中醫(yī)學(xué)院學(xué)報;2002年03期

4 劉明嶺;沈鷹;;中藥熏蒸治療類風(fēng)濕性關(guān)節(jié)炎的臨床觀察[J];中華中醫(yī)藥雜志;2012年05期

5 周波;;血府逐瘀湯加減配合功能鍛煉治療中風(fēng)后遺癥臨床觀察[J];中華中醫(yī)藥雜志;2012年06期

6 王暉;;中藥熏洗治療類風(fēng)濕關(guān)節(jié)炎療效觀察及護理[J];長春中醫(yī)藥大學(xué)學(xué)報;2009年01期

7 喬起敏,劉冬青;刮痧治療感冒90例臨床觀察及護理[J];長治醫(yī)學(xué)院學(xué)報;2000年01期

8 王珊蘋;王孟清;;中藥熏洗療法治小兒外感高熱癥的效果觀察與護理[J];當(dāng)代護士(學(xué)術(shù)版);2007年04期

9 蔣玲;;46例中藥熏蒸治療慢性濕疹的療效觀察及護理[J];當(dāng)代護士(學(xué)術(shù)版);2007年07期

10 張穎;董玉寬;吳艷;趙永娟;;中藥熏洗治療糖尿病足的療效觀察及護理[J];大連醫(yī)科大學(xué)學(xué)報;2007年01期

，

本文編號：2057262