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盛氏面三針治療難治性面癱的臨床觀察

發(fā)布時(shí)間:2018-03-09 08:08

  本文選題:難治性面癱 切入點(diǎn):盛氏面三針 出處:《南京中醫(yī)藥大學(xué)》2016年碩士論文 論文類型:學(xué)位論文


【摘要】:目的:觀察盛氏面三針對(duì)于難治性面癱的治療結(jié)果不同點(diǎn)的比較;比較對(duì)于難治性面癱患者來說,盛氏面三針與普通針刺治療之間的差異;探討針灸對(duì)于難治性面癱療效的作用機(jī)理,為揭示臨床上針灸治療難治性面癱提供理論依據(jù)。方法:本研究擬納入62例和難治性面癱診斷標(biāo)準(zhǔn)相符的患者,將這些所有患者隨機(jī)分為治療組、對(duì)照組兩組,每組人數(shù)平均分配,對(duì)于治療組,采用治療方法為盛燦若教授所創(chuàng)立的盛氏面三針這一針灸手法;對(duì)于對(duì)照組患者,則是采取教科書記載的常規(guī)針刺取穴及手法治療。在每組進(jìn)行試驗(yàn)之前都對(duì)于每組患者的基本情況進(jìn)行一個(gè)基線的比較(性別、年齡、病程)。具體治療療程為每周5次,6周為一療程。3個(gè)療程后觀察療效。在試驗(yàn)進(jìn)行完畢后,對(duì)于二組患者治療前后幾個(gè)療效觀察指標(biāo),并最后進(jìn)行相關(guān)的療效評(píng)估。結(jié)果:1.在面神經(jīng)功能計(jì)分分級(jí)、面神經(jīng)功能計(jì)分總分以及(H-B)分級(jí)量表評(píng)分方面,治療前兩組的基線比較具有可比性(P0.05);治療后面神經(jīng)功能計(jì)分分級(jí)、面神經(jīng)功能計(jì)分總分以及(H-B)分級(jí)量表評(píng)分的比較均具有顯著性差異(P0.05),且治療組優(yōu)于對(duì)照組。2.治療組的總有效率為93.3%;對(duì)照組的總有效率為76%;在總有效率方面,治療組是占優(yōu)的。結(jié)論:1.盛氏“面三針”針法治療難治性面癱能明顯改善患者臨床癥狀,且療效優(yōu)于普通針刺。2.本研究采取的盛氏“面三針”針法治療難治性面癱是一種安全、有效的治療方法;總體療效好。
[Abstract]:Objective: to observe the difference of the treatment results between Sheng's face and the patients with refractory facial paralysis, and to compare the difference between Sheng's face three needles and the common acupuncture treatment for the patients with refractory facial paralysis. To explore the mechanism of acupuncture and moxibustion on the curative effect of refractory facial paralysis and to provide theoretical basis for clinical application of acupuncture and moxibustion in the treatment of refractory facial paralysis. Methods: 62 patients with refractory facial paralysis were included in this study. All the patients were randomly divided into treatment group and control group, with equal distribution of the number of people in each group. For the treatment group, the treatment method was the acupuncture and moxibustion technique of Sheng's face, which was founded by Professor Sheng Canruo, and for the patients in the control group, A baseline comparison of the basic conditions of each group (gender, age, age) was made before each group was tested. Course of disease. The specific course of treatment was 5 times a week for 6 weeks as a course of treatment. After 3 courses of treatment, the therapeutic effect was observed. After the trial was completed, several therapeutic effects were observed before and after treatment in the two groups. Results: 1. In terms of the score of facial nerve function, the total score of facial nerve function and the score of H-B-scale, the baseline comparison between the two groups before treatment was comparable (P 0.05). The total score of facial nerve function and the score of H-B-scale were significantly different, and the treatment group was superior to the control group. The total effective rate of the treatment group was 93. 3%; the total effective rate of the control group was 76; the total effective rate of the treatment group was 76; the total effective rate of the treatment group was 93. 3%; the total effective rate of the control group was 76. Conclusion: Sheng's "facial three-needle" acupuncture method can obviously improve the clinical symptoms of patients with refractory facial paralysis, and the curative effect is better than that of common acupuncture .2.The Shengshi "facial three-needle" acupuncture method adopted in this study is a safe method for the treatment of refractory facial paralysis. Effective treatment; the overall effect is good.
【學(xué)位授予單位】:南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R246.6

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