本文關(guān)鍵詞： 溫補脾腎 化痰通絡 痙攣性偏癱 臨床研究　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:研究運用溫補脾腎、化痰通絡法治療中風后痙攣性偏癱的理論與臨床價值,從而為治療痙攣性偏癱提供新的思路。方法:選擇符合中風后恢復期痙攣性偏癱的脾腎陽虛、痰瘀滯絡證診斷標準的60例患者,隨機分成觀察組30例,對照組30例。保證兩組患者在性別、年齡、病史、痙攣程度、日常生活活動能力等方面無統(tǒng)計學差異的基礎(chǔ)上,兩組患者均給予常規(guī)西藥治療。觀察組給予中藥真武湯加減同時配合常規(guī)治療加妙納;對照組給予妙納加常規(guī)治療,分別觀察治療1月、2月后的中醫(yī)證候、痙攣程度、日常生活活動能力和中風病療效。結(jié)果:在整個實驗過程中所有患者均具有較好的依從性,能夠積極協(xié)助完成本次實驗研究。最后的實驗結(jié)果顯示觀察組患者在中醫(yī)證候群、痙攣程度、中風病療效評分和日常生活能力評分等各方面均均優(yōu)于對照組。結(jié)論:本研究結(jié)果顯示真武湯加減對治療脾腎陽虛、痰瘀滯絡證的中風后痙攣性偏癱臨床療效顯著,能明顯促進患者偏癱側(cè)肢體的恢復,降低患側(cè)的肌張力,改善患者的生活能力,提高患者的生活質(zhì)量,因此運用溫補脾腎、化痰通絡法治療痙攣性偏癱可推廣應用于臨床。
[Abstract]:Objective: to study the theory and clinical value of treating spastic hemiplegia after apoplexy with the method of warming spleen and kidney and removing phlegm and dredging collaterals, so as to provide a new idea for treatment of spastic hemiplegia. Sixty patients with phlegm stagnation syndrome were randomly divided into observation group (n = 30) and control group (n = 30). Both groups were treated with routine western medicine. The observation group was treated with traditional Chinese medicine Zhenwu decoction plus routine treatment plus Miao Na, while the control group was treated with Miao Na plus routine therapy, respectively, to observe the TCM syndromes and the degree of spasm after January and February. Results: during the whole experiment, all the patients had good compliance and could actively assist in the completion of the experimental study. Finally, the results of the experiment showed that the patients in the observation group were in the TCM syndrome group. The degree of spasm, the score of curative effect of apoplexy and the score of daily living ability were all superior to those of the control group. Conclusion: the results of this study show that Zhenwu decoction has a significant clinical effect on the treatment of post-stroke spastic hemiplegia with deficiency of spleen and kidney yang and stagnation of phlegm and stagnation of collaterals. It can obviously promote the recovery of hemiplegic limbs, reduce the muscle tension of the affected side, improve the living ability of the patients and improve the quality of life of the patients. Therefore, the treatment of spastic hemiplegia with the method of warming spleen and kidney and removing phlegm and dredging collaterals can be popularized and applied in clinical practice.
【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】：R277.7

【參考文獻】

相關(guān)期刊論文 前10條

1 吳婷婷;屈會化;趙琰;王慶國;;王慶國巧用麻黃附子細辛湯治療過敏性鼻炎經(jīng)驗[J];河南中醫(yī);2016年02期

2 侯敏;段渠;;麻黃附子細辛湯在中醫(yī)美容中的應用[J];亞太傳統(tǒng)醫(yī)藥;2016年03期

3 張珂;李永輝;陳鵲汀;張越;王曉東;劉俊峰;;附子理中湯應用于食管癌術(shù)后30例臨床觀察[J];河南中醫(yī);2014年09期

4 李沙;張智龍;;張智龍教授治療中風偏癱痙攣狀態(tài)經(jīng)驗及臨證心得[J];四川中醫(yī);2014年05期

5 苑忠縫;;從陰陽兩虛論治痙攣性偏癱[J];河南中醫(yī);2014年03期

6 張洪明;;應用溫陽化痰通絡湯治療中風痙攣性偏癱的臨床療效觀察[J];當代醫(yī)藥論叢;2014年01期

7 楊勝雄;;補陽還五湯加味治療中風偏癱的療效觀察[J];北方藥學;2013年03期

8 李再葉;;益氣養(yǎng)陰化痰通絡法擬方治療糖尿病合并腦梗死療效觀察[J];中醫(yī)藥臨床雜志;2012年08期

9 陸呂平;張國慶;顧伯林;周湘明;朱勤賢;;加味芍藥甘草湯治療中風后痙攣性偏癱療效觀察[J];山西中醫(yī);2012年08期

10 王彩娟;劉俊平;王剛;杜美茹;周貴福;;卒中痙攣性癱瘓患者中醫(yī)證型及分期與頭顱CT的關(guān)系[J];河北中醫(yī);2012年03期

，

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