本文關(guān)鍵詞：中風(fēng)偏癱的分期治療研究　出處：《廣西中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 分期治療 中風(fēng) 偏癱

【摘要】：針灸治療中風(fēng)偏癱的方法眾多,在臨床上,不同的針灸方法取效的快慢和效果大小各不相同,功能恢復(fù)的速度快慢及針灸效果的大小對患者健康的恢復(fù)具有重要意義。分期針刺治療中風(fēng)偏癱是臨床上常用的治療方法,然而,分期之后如何合理的運用不同針刺方法或者結(jié)合推拿方法,則是治療的關(guān)鍵所在。本課題根據(jù)針灸經(jīng)絡(luò)理論及Signe Brunnstrom提出的中風(fēng)偏癱后機體運動功能恢復(fù)的六個階段的特殊病理過程,將中風(fēng)偏癱分為四個分期,靈活采用針刺、放血、點穴推拿以及火針等治療方法對不同分期的中風(fēng)偏癱患者進(jìn)行治療。一、目的:觀察在分期的前提下,綜合運用針刺、放血、點穴推拿以及火針等治療方法對不同分期的中風(fēng)偏癱患者的治療效果。二、方法:選擇80例中風(fēng)偏癱患者,隨機分成兩組,分期治療組40例,傳統(tǒng)針刺組40例。治療組根據(jù)不同分期,結(jié)合不同的針刺手法及選穴,綜合運用毫針、火針以及刺絡(luò)放血等方法進(jìn)行治療,10次為一療程,療程間隔7天,連續(xù)治療6個療程。(1)第一期(中風(fēng)軟癱期):采用以“醒腦開竅法”結(jié)合張氏“手三針”(穴位:后溪、中渚、間谷(奇穴,為合谷穴與三間穴連線中點))和張氏“足三針”(穴位:足臨泣、太沖、內(nèi)庭)為主,針刺關(guān)節(jié)處穴位為輔進(jìn)行治療;(2)第二期(中風(fēng)痙攣期):以“靳三針”(腦三針、顳三針、舌三針、手三針、足三針)和張氏“手、足三針”為主,輔以火針點刺穴位、肌肉、關(guān)節(jié)痙攣處穴位及阿是穴,針后拔罐;(3)第三期(中風(fēng)恢復(fù)期):以張顯臣老師的“手三針”“足三針”進(jìn)行動針治療,輔以點穴推拿松解痙攣的肌肉,十宣、氣端放血以調(diào)血運;(4)第四期(中風(fēng)后遺癥期):以“井穴大接經(jīng)”針刺療法為指導(dǎo)(陰證從陰引陽,即從手太陰肺經(jīng)少商穴開始,至足厥陰肝經(jīng)大敦穴結(jié)束;陽證從陽引陰,即從足太陽膀胱經(jīng)至陰穴開始,至手太陽小腸經(jīng)結(jié)束),放血與針刺并舉,輔以常規(guī)體針治療。對照組不對患者進(jìn)行中風(fēng)分期,均采用“醒腦開竅法”結(jié)合“靳三針”(腦三針、顳三針、舌三針、手三針、足三針)為主進(jìn)行治療。10次為一療程,療程間隔7天,連續(xù)治療6個療程。三、結(jié)果:從中風(fēng)肢體偏癱改善情況看,傳統(tǒng)針刺組及分期治療組均能取得明顯進(jìn)步,治療前后均有明顯差異。而從傳統(tǒng)針刺與分期治療對于改善肢體偏癱功能的對比來看,對中風(fēng)患者進(jìn)行運動功能FMA評分、臨床神經(jīng)功能缺損程度評分顯示分期治療組均優(yōu)于傳統(tǒng)針刺組,兩者比較有明顯差異。四、結(jié)論:分期治療法及傳統(tǒng)針刺法均能有效的提高中風(fēng)患者的運動功能及日常生活能力,但分期治療法優(yōu)于傳統(tǒng)針刺法。
[Abstract]:There are many methods of acupuncture and moxibustion to treat apoplectic hemiplegia. In clinic, the speed and effect of different acupuncture and moxibustion methods are different. The speed of functional recovery and the size of acupuncture and moxibustion are of great significance to the recovery of patients' health. Acupuncture by stages is a common clinical treatment for stroke hemiplegia, however. After stages, how to use different acupuncture methods or massage methods reasonably. According to the theory of acupuncture and meridian and Signe Brunnstrom's six stages of recovery of motor function after apoplectic hemiplegia. Apoplectic hemiplegia is divided into four stages, flexible use of acupuncture, bloodletting, point massage and fire acupuncture treatment for different stages of stroke hemiplegia patients. 1, objective: to observe the premise of staging. Comprehensive use of acupuncture, bloodletting, point massage and fire acupuncture treatment for different stages of stroke hemiplegia patients. Second, 80 patients with apoplectic hemiplegia were randomly divided into two groups. Treatment group 40 cases, traditional acupuncture group 40 cases. The treatment group according to different stages, combined with different acupuncture techniques and points selection, comprehensive use of milliacupuncture, fire acupuncture and puncture collateral bleeding and other methods for treatment. 10 times as a course of treatment, the course of treatment interval of 7 days, continuous treatment of 6 courses of treatment. 1) the first stage (stroke palsy stage: by "refreshing the brain to open the orifices" combined with Zhang's "hand three acupuncture" (acupoint: Houxi, Zhongzhu). Jianyu (Qiqi point, which is the midpoint of Hegu point and three points) and Zhang's "foot three acupuncture points" (acupoint: foot sobbing, Taichong, inner atrium) is the main point, acupuncture at the acupoint of the joint is auxiliary for treatment; Second stage (stroke spasm stage: Jin three needles (brain three needles, temporal three needles, tongue three needles, hand three needles, foot three needles) and Zhang's "hand, foot three acupuncture", supplemented with fire acupuncture acupoints, muscles. Acupoints and Ashi points at joint spasm, cupping after acupuncture; Stage 3 (convalescence of apoplexy: treatment with "three needles of hand" and "three needles of foot" by teacher Zhang Xianchen, supplemented by point massage to relieve spasmodic muscles, 10 exuberance, bleeding at the end of Qi to regulate blood delivery; Stage 4th (sequelae of apoplexy): according to acupuncture therapy of "Jing acupoint great connection with meridian" (Yin syndrome from Yin to Yang, that is, from hand Taiyin Lung Meridian Shaoshang point, to foot Jueyin liver Meridian Dadong point end; Yang syndrome from Yang to Yin, that is, from foot sun bladder meridian to Yin point, to the end of the hand sun small intestine meridian, blood and acupuncture, combined with routine body acupuncture treatment. The control group does not stage stroke. All patients were treated with "refreshing brain and opening resuscitation method" combined with "Jin three needles" (brain three needles, temporal three needles, tongue three needles, hand three needles, foot three needles) for a course of treatment, with an interval of 7 days. Results: according to the improvement of hemiplegia in the middle wind limbs, both the traditional acupuncture group and the staged treatment group can make significant progress. There are significant differences before and after treatment. And from the traditional acupuncture and phased treatment for improving the function of hemiplegia, the motor function of patients with FMA score. Clinical neurological impairment score showed that the treatment group was better than the traditional acupuncture group, there was a significant difference between the two groups. 4. Conclusion: stage therapy and traditional acupuncture can effectively improve motor function and daily living ability of stroke patients, but phased therapy is superior to traditional acupuncture.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R277.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 葛俊領(lǐng);田建軍;沈鳳梅;王玉棟;牛久旺;;醒腦開竅針刺法治療中風(fēng)后吞咽困難50例[J];河南中醫(yī);2014年12期

2 何邦睿;;中醫(yī)分期治療中風(fēng)偏癱研究現(xiàn)狀[J];實用中醫(yī)藥雜志;2014年11期

3 程媛媛;曾憲容;;自發(fā)性腦出血的病因?qū)W研究進(jìn)展[J];西南軍醫(yī);2014年02期

4 黃昌錦;黃應(yīng)杰;吳艷華;;火針經(jīng)筋結(jié)點治療中風(fēng)后肩手綜合征臨床觀察[J];上海針灸雜志;2013年08期

5 王海娟;;分期針刺治療腦梗死偏癱的臨床研究[J];光明中醫(yī);2013年08期

6 張根明;周莉;崔方圓;陳穎;陳紅;岑鍇;孫紀(jì)偉;;出血性中風(fēng)病因病機新認(rèn)識[J];中西醫(yī)結(jié)合心腦血管病雜志;2013年01期

7 孫曉麗;曹奕;;缺血性腦卒中病因研究進(jìn)展[J];中醫(yī)藥臨床雜志;2012年11期

8 張利泰;吳炳香;孫娜;;分期針刺治療腦卒中偏癱臨床研究進(jìn)展[J];中國康復(fù);2012年04期

9 任素蓮;秦峰玲;武梅;王亮;;頭針治療缺血性中風(fēng)后遺癥療效觀察[J];長治醫(yī)學(xué)院學(xué)報;2012年01期

10 龐國軍;張挺;王可博;;頭針抽提法治療腦卒中偏癱療效觀察[J];上海針灸雜志;2012年01期

，

本文編號：1421125