本文關(guān)鍵詞： 大艾條灸法 痰濕證 中風(fēng)病 血脂 NIHSS BI　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察大艾條灸法對中風(fēng)病痰濕型的臨床療效以及對血脂的影響,為中風(fēng)病的治療和預(yù)防再發(fā)提供新方法和新思路。方法:嚴(yán)格按照納入標(biāo)準(zhǔn)及排除標(biāo)準(zhǔn)選取70例合格受試者,按照隨機(jī)、單盲、對照原則分為大艾條灸法組(治療組)和西醫(yī)常規(guī)治療組(對照組),每組35例。對照組予以常規(guī)西醫(yī)治療,治療組在常規(guī)治療基礎(chǔ)上予以大艾條灸法,選取患側(cè)足三里、陰陵泉、合谷、太沖、豐隆、涌泉及神闕、中脘等穴進(jìn)行大艾條灸法,每穴灸5分鐘,每日一次,連續(xù)治療五次后休息一天,十天一個(gè)療程。兩個(gè)療程后分別從神經(jīng)功能缺損(NIHSS量表)評分、日常生活活動能力(BI指數(shù)量表)、證候評分及血脂四項(xiàng)水平評價(jià)兩組臨床療效。結(jié)果:1、兩組患者治療前后NIHSS評分比較:治療后兩組內(nèi)比較均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組間療效比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2、兩組患者治療前后BI評分比較:治療后兩組內(nèi)比較均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組間療效比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3、兩組患者治療前后痰濕證候評分比較:治療后兩組內(nèi)比較均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組間療效比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。4、兩組患者治療前后血脂TG、TC、LDL、HDL水平比較:治療后兩組內(nèi)比較均有統(tǒng)計(jì)學(xué)意義(P0.05);兩組間比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1、大艾條灸法能夠改善患者神經(jīng)功能缺損程度,促進(jìn)神經(jīng)功能恢復(fù),提高患者的日常生活能力。2、大艾條灸法能夠顯著改善患者痰濕證候評分,從而改善臨床癥狀。3、大艾條灸法能夠顯著改善痰濕型中風(fēng)病患者的血脂水平,調(diào)節(jié)血脂水平可能是大艾條灸法改善痰濕癥候、治療痰濕型中風(fēng)病的機(jī)制。
[Abstract]:Objective: to observe the clinical effect of moxibustion of moxa on phlegm dampness type of apoplexy and the effect of moxibustion on blood lipids. Methods: 70 eligible subjects were selected according to inclusion criteria and exclusion criteria. The control principle was divided into two groups: the moxibustion group (treatment group) and the routine western medicine group (35 cases in each group). The control group was treated with routine western medicine, and the treatment group was treated with moxibustion on the basis of routine treatment, and Zusanli of the affected side was selected. Yulingquan, Hegu, Taichung, Fenglong, Yongquan and Shenque, Zhongwan and other points were moxibustion with moxibustion for 5 minutes per point, once a day, after five consecutive treatments, a day's rest, Ten days a course of treatment. After two courses of treatment, they were scored by the NIHSS scale. The activity of daily living (ADL) was evaluated by BI index scale, syndrome score and blood lipids. Results the NIHSS scores of the two groups before and after treatment were significantly higher than those of the control group (P 0.05). There was significant difference in curative effect between the two groups before and after treatment. BI scores were compared before and after treatment: there was statistical significance in the comparison between the two groups before and after treatment, and there was significant difference in the curative effect between the two groups (P 0.05). 3. The phlegm dampness syndrome of the two groups before and after treatment. After treatment, there were significant differences between the two groups (P 0.05), and the difference between the two groups was statistically significant (P 0.05). The comparison of serum lipids (TGG) and TCC LDLL level before and after treatment: there was significant difference between the two groups after treatment (P 0.05), and there was significant difference between the two groups (P < 0.05) after treatment, and there was significant difference between the two groups (P < 0.05). The difference between the two groups was statistically significant (P 0.05). Conclusion: the moxibustion with big moxa can improve the degree of nerve function defect in the patients. Promoting the recovery of nerve function and improving the ability of daily life of the patients. The moxibustion can improve the score of phlegm and dampness syndrome and improve the clinical symptoms. The moxibustion can significantly improve the blood lipid level of the patients with phlegm-dampness type stroke. Regulation of blood lipid level may be the mechanism of moxibustion for improving phlegm dampness syndrome and treating phlegm dampness type apoplexy.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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