針刺配合刺血拔罐治療中風后肢體痙攣的臨床療效觀察
本文關鍵詞: 針刺 刺血拔罐 中風 肢體痙攣 氣虛血瘀 出處:《山東中醫(yī)藥大學》2016年碩士論文 論文類型:學位論文
【摘要】:目的:觀察針刺配合刺血拔罐法治療中風后肢體痙攣(氣虛血瘀型)的臨床療效,并初探其作用機制。方法:將60例中風后氣虛血瘀型肢體痙攣患者隨機分為治療組和對照組各30例,治療組采用針刺配合刺血拔罐法治療,對照組采用單純針刺法治療,通過觀察Brunnstrom分期差異和臨床痙攣指數(shù)(CSI)評分差異,比較兩組的總有效率和肢體痙攣改善情況。結(jié)果:治療組總有效率為96.67%,對照組總有效率為73.33%,兩組臨床療效比較有統(tǒng)計學意義(P0.05)。兩組Brunnstrom分期和臨床痙攣指數(shù)(CSI)治療前后組內(nèi)比較均有統(tǒng)計學意義(P0.05)。兩組Brunnstrom分期和臨床痙攣指數(shù)(CSI)治療后組間比較有統(tǒng)計學意義(P0.05)。結(jié)論:針刺配合刺血拔罐法和單純針刺法對中風后肢體痙攣(氣虛血瘀型)均有改善,但前者更顯著。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with blood pricking and cupping in treating limb spasm (qi deficiency and blood stasis type) after stroke. Methods: 60 patients with limb spasm of Qi deficiency and blood stasis after apoplexy were randomly divided into treatment group and control group with 30 cases each. The treatment group was treated with acupuncture combined with blood cupping method. In the control group, the difference of Brunnstrom staging and clinical spasticity index (CSI) score was observed. Results: the total effective rate of the treatment group was 96.67 and the total effective rate of the control group was 73.33%. There was significant difference in the clinical efficacy between the two groups (P 0.05). There was significant difference between the two groups before and after the treatment of Brunnstrom stage and spasticity index (P 0.05). There was significant difference between the two groups in Brunnstrom staging and clinical spasticity index (P 0.05) after treatment. Conclusion: acupuncture combined with blood cupping and simple acupuncture can improve limb spasm (qi deficiency and blood stasis) after stroke. But the former is more prominent.
【學位授予單位】:山東中醫(yī)藥大學
【學位級別】:碩士
【學位授予年份】:2016
【分類號】:R246.6
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