眼針治療中風病氣虛血瘀證臨床療效觀察
發(fā)布時間：2018-07-13 20:40
【摘要】：目的：觀察眼針帶針行走治療中風病(氣虛血瘀證)恢復期偏癱的臨床療效，探討眼針帶針行走選擇的時機。 材料與方法：本研究收集了山西省長治市中醫(yī)研究所附屬醫(yī)院符合中西醫(yī)診斷標準的60例缺血性中風(氣虛血瘀證)恢復期偏癱患者，且臨床神經功能缺損評分在6至25分之間，并按隨機數(shù)字表法依1:1的比例隨機分為治療組和對照組，每組各30例，兩組患者均對其基礎病進行常規(guī)治療，同時治療組給予眼針療法，針刺后隨患者肢體肌力的增強即刻帶針行走.對照組予常規(guī)體針，兩組均治療30天，總療程結束后，根據(jù)中醫(yī)癥候評分、神經功能缺損評分、日常生活活動能力評分（ADL）量表對兩組患者治療前后進行觀察，評價其臨床療效，并對治療組前三次針刺后即刻帶針行走進行了觀察。 結果： 1．兩組患者治療前中醫(yī)癥候、神經功能缺損和日常生活活動能力的評分及年齡、性別和病程比較無顯著性差異（P0.05），說明兩組患者隨機分組在治療前具有可比性。 2．治療組針刺后即刻帶針行走的觀察：即刻帶針行走在第一次針刺后，發(fā)病在2周-2月內的陽性率占64.3%，發(fā)病在2-4個月的陽性率占50.0%，發(fā)病在4-6個月內陽性率的為0%，第二次針刺后分別為78.6%、50.0%和0%，第三次針刺后分別為92.9%、70.0%和16.7%。三次針刺后總的陽性率為70.0%。 3．中醫(yī)癥候評分：治療后均有明顯好轉，兩組內治療前后評分比較均有顯著性差異(均P0.01)，具有統(tǒng)計學意義。而兩組間在治療后統(tǒng)計學比較無顯著性差異（P0.05）。兩組治療后中醫(yī)癥狀都有顯著改善，總有效率分別為96.7%和90.0%，經統(tǒng)計學分析,兩組總有效率比較無統(tǒng)計學意義(P0.05)。 4．神經功能缺損評分：兩組內治療前后比較均有顯著性差異(均P0.01)，具有統(tǒng)計學意義。兩組間評分比較有明顯差異(P0.05)。在總有效率方面，治療組為96.7%,對照組為90.0%，統(tǒng)計學分析無顯著性差異(P0.05)，無統(tǒng)計學意義。而兩組愈顯率方面，治療組為60.0%，對照組為40.0%，兩組愈顯率比較有統(tǒng)計學意義(P0.05)。 5．日常生活活動能力評分：兩組內治療前后比較均有統(tǒng)計學意義(均P0.01)。治療后兩組間比較有顯著性差異(P0.05)，，有統(tǒng)計學意義。 6．兩組患者安全性及耐受性均良好。 結論： 1．眼針針刺后即刻帶針行走效果顯著，且與中風恢復期患者發(fā)病病程呈負相關，即病程越短效果越明顯，眼針帶針行走不但有利于患者肢體康復，而且更使患者產生樂觀心理，建立戰(zhàn)勝疾病的信心，更有利于心理康復。 2．在中醫(yī)癥候方面，眼針能明顯改善中風患者的中醫(yī)臨床癥狀。 3.在神經功能缺損方面，眼針能有效改善臨床神經功能缺損癥狀，促使患者的神經功能快速恢復。 4.在日常生活活動能力方面，眼針能有效改善日常生活活動能力，對患者的康復進程更有益。 5．眼針治療中風偏癱患者療效確切，應在臨床上廣泛地進行推廣應用。
[Abstract]:Objective: to observe the clinical effect of eye acupuncture with needle walking on hemiplegia in convalescent stage of apoplexy (qi deficiency and blood stasis syndrome) and to discuss the timing of walking with eye needle with needle. Materials and methods: sixty patients with hemiplegia in convalescence of ischemic stroke (Qi deficiency and blood stasis syndrome) were collected from affiliated Hospital of Changzhi Institute of traditional Chinese Medicine, Shanxi Province, according to the diagnostic criteria of traditional Chinese and Western medicine. The clinical neurological impairment scores ranged from 6 to 25, and were randomly divided into treatment group and control group according to the proportion of 1:1, 30 cases in each group. The patients in both groups were treated with routine treatment for their underlying diseases. At the same time, the treatment group was given eye acupuncture therapy. The patients in the control group were treated with routine body acupuncture for 30 days. After the total course of treatment, the patients in the two groups were observed before and after treatment according to TCM symptom score, neurological deficit score and activity of daily living scale (ADL), and the clinical efficacy was evaluated. The first three times of acupuncture in the treatment group were observed. Results: 1. The scores and ages of TCM symptoms, neurological deficits and activities of daily living (ADL) in the two groups before treatment. 2. There was no significant difference in sex and course of disease (P0.05), indicating that the two groups of patients were randomly divided into two groups before and after treatment. 2. Observation of walking with needle immediately after acupuncture in treatment group: walking with needle immediately after the first acupuncture, The positive rate was 64.3% in 2 weeks to 2 months, 50.03% in 2-4 months, 0 in 4-6 months, 50.0% and 0 in the second acupuncture, 92.970% and 16.7m after the third acupuncture, respectively. After three times of acupuncture, the total positive rate was 70. 0%. 3. TCM symptom score: after treatment, there were significant differences between the two groups before and after treatment (all P0.01), with statistical significance. There was no significant difference between the two groups after treatment (P0.05). After treatment, the TCM symptoms in both groups were significantly improved, the total effective rates were 96.7% and 90.0%, respectively. There was no significant difference in the total effective rate between the two groups (P0.05). 4. Neurological deficit score: there was significant difference between the two groups before and after treatment (P0.01), with statistical significance. There was significant difference between the two groups (P0.05). In the total effective rate, the treatment group was 96.7 and the control group was 90.0. There was no significant difference between the two groups (P0.05). In the two groups, the effective rate was 60.0g in the treatment group and 40.0in the control group. There was significant difference between the two groups (P0.05). 5. The scores of activities of daily living: there were significant differences between the two groups before and after treatment (P0.01). After treatment there was a significant difference between the two groups (P0.05), with statistical significance. 6. The two groups of patients with good safety and tolerance. Conclusion: 1. The effect of walking with needle immediately after acupuncture is significant, and it is negatively correlated with the course of stroke recovery, that is, the shorter the course is, the more obvious the effect is, and the walking with eye needle with needle is not only beneficial to the recovery of limbs. And more optimistic patients to establish the confidence to overcome the disease, more conducive to psychological rehabilitation. 2. In TCM symptoms, eye acupuncture can significantly improve the TCM clinical symptoms of stroke patients. 3. In the aspect of nerve function defect, eye acupuncture can effectively improve the symptoms of clinical nerve function defect and promote the rapid recovery of nerve function of patients. 4. In the aspect of daily life activity, eye acupuncture can effectively improve the activity of daily life, and is more beneficial to the rehabilitation process of patients. 5. Eye acupuncture is effective in treating hemiplegia patients with apoplexy, and should be widely used in clinic.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.6
本文編號：2120674
[Abstract]:Objective: to observe the clinical effect of eye acupuncture with needle walking on hemiplegia in convalescent stage of apoplexy (qi deficiency and blood stasis syndrome) and to discuss the timing of walking with eye needle with needle. Materials and methods: sixty patients with hemiplegia in convalescence of ischemic stroke (Qi deficiency and blood stasis syndrome) were collected from affiliated Hospital of Changzhi Institute of traditional Chinese Medicine, Shanxi Province, according to the diagnostic criteria of traditional Chinese and Western medicine. The clinical neurological impairment scores ranged from 6 to 25, and were randomly divided into treatment group and control group according to the proportion of 1:1, 30 cases in each group. The patients in both groups were treated with routine treatment for their underlying diseases. At the same time, the treatment group was given eye acupuncture therapy. The patients in the control group were treated with routine body acupuncture for 30 days. After the total course of treatment, the patients in the two groups were observed before and after treatment according to TCM symptom score, neurological deficit score and activity of daily living scale (ADL), and the clinical efficacy was evaluated. The first three times of acupuncture in the treatment group were observed. Results: 1. The scores and ages of TCM symptoms, neurological deficits and activities of daily living (ADL) in the two groups before treatment. 2. There was no significant difference in sex and course of disease (P0.05), indicating that the two groups of patients were randomly divided into two groups before and after treatment. 2. Observation of walking with needle immediately after acupuncture in treatment group: walking with needle immediately after the first acupuncture, The positive rate was 64.3% in 2 weeks to 2 months, 50.03% in 2-4 months, 0 in 4-6 months, 50.0% and 0 in the second acupuncture, 92.970% and 16.7m after the third acupuncture, respectively. After three times of acupuncture, the total positive rate was 70. 0%. 3. TCM symptom score: after treatment, there were significant differences between the two groups before and after treatment (all P0.01), with statistical significance. There was no significant difference between the two groups after treatment (P0.05). After treatment, the TCM symptoms in both groups were significantly improved, the total effective rates were 96.7% and 90.0%, respectively. There was no significant difference in the total effective rate between the two groups (P0.05). 4. Neurological deficit score: there was significant difference between the two groups before and after treatment (P0.01), with statistical significance. There was significant difference between the two groups (P0.05). In the total effective rate, the treatment group was 96.7 and the control group was 90.0. There was no significant difference between the two groups (P0.05). In the two groups, the effective rate was 60.0g in the treatment group and 40.0in the control group. There was significant difference between the two groups (P0.05). 5. The scores of activities of daily living: there were significant differences between the two groups before and after treatment (P0.01). After treatment there was a significant difference between the two groups (P0.05), with statistical significance. 6. The two groups of patients with good safety and tolerance. Conclusion: 1. The effect of walking with needle immediately after acupuncture is significant, and it is negatively correlated with the course of stroke recovery, that is, the shorter the course is, the more obvious the effect is, and the walking with eye needle with needle is not only beneficial to the recovery of limbs. And more optimistic patients to establish the confidence to overcome the disease, more conducive to psychological rehabilitation. 2. In TCM symptoms, eye acupuncture can significantly improve the TCM clinical symptoms of stroke patients. 3. In the aspect of nerve function defect, eye acupuncture can effectively improve the symptoms of clinical nerve function defect and promote the rapid recovery of nerve function of patients. 4. In the aspect of daily life activity, eye acupuncture can effectively improve the activity of daily life, and is more beneficial to the rehabilitation process of patients. 5. Eye acupuncture is effective in treating hemiplegia patients with apoplexy, and should be widely used in clinic.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R246.6
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