本文選題：秦氏太陽夾督針刺　切入點(diǎn)：腦卒中　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本課題通過秦氏太陽夾督針刺與常規(guī)針刺作對(duì)比,觀察秦氏太陽夾督針刺對(duì)腦卒中后平衡功能障礙的治療作用,以明確秦氏太陽夾督針刺治療的優(yōu)效性,探索一種對(duì)改善腦卒中后平衡功能切實(shí)可行,更高效、全面的治療方法。方法：采取臨床隨機(jī)對(duì)照方法,根據(jù)納入標(biāo)準(zhǔn)收集符合課題要求的志愿受試者60例,并采用簡(jiǎn)單隨機(jī)化分組方法,分配至治療組(秦氏太陽夾督針刺治療)與對(duì)照組(常規(guī)針刺治療),每組各30人。所有入組患者根據(jù)病情,均給予基礎(chǔ)藥物治療以及常規(guī)康復(fù)訓(xùn)練�；A(chǔ)藥物治療包括：降血壓、降血脂、降血糖等處理,具體參考《中國腦血管疾病防治指南》�？祻�(fù)治療包括：坐位平衡、移乘、站立、重心轉(zhuǎn)移、協(xié)調(diào)訓(xùn)練、立位平衡、步行訓(xùn)練等。具體參考《中國腦卒中康復(fù)治療指南》(2011版)。在此基礎(chǔ)上,治療組采用“秦氏太陽夾督針刺”的方法治療,對(duì)照組予以普通針刺治療,評(píng)價(jià)量表采用Berg平衡量表(BBS)、Fugl-Meyer平衡量表(FM-B)以及Barthel指數(shù)評(píng)定進(jìn)行評(píng)價(jià),分別評(píng)定兩組患者治療前、治療4周后的得分。錄入數(shù)據(jù),采用統(tǒng)計(jì)軟件SPSS17.0分析。結(jié)果：(1)與治療前相比,兩組患者接受針刺治療后BBS、FMB及BI評(píng)分均有所升高,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(2)兩組治療后比較：治療組Berg平衡量表評(píng)分高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(3)兩組治療后比較：治療組Fugl-Meyer平衡功能評(píng)定量表評(píng)分高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(4)兩組治療后比較：治療組Barthel指數(shù)評(píng)定量表評(píng)分高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：常規(guī)針刺治療及秦氏太陽夾督針刺治療對(duì)腦卒中后平衡障礙均有改善作用,而秦氏太陽夾督針刺治療后的平衡能力改善程度明顯高于常規(guī)針刺治療,提示秦氏太陽夾督針刺這一治療方法對(duì)腦卒中后平衡功能障礙的療效優(yōu)于普通針刺治療,秦氏太陽夾督針刺治療腦卒中后平衡功能障礙療效確切,有創(chuàng)新性,值得進(jìn)一步推廣應(yīng)用。
[Abstract]:Objective: to observe the therapeutic effect of Qinjiangdu acupuncture on balance dysfunction after stroke by comparing it with routine acupuncture. To explore a feasible, more efficient and comprehensive treatment method for improving the balance function after stroke. The treatment group was divided into two groups: the control group and the control group, with 30 patients in each group. All the patients in the treatment group were treated according to the condition of the disease, and the patients in each group were divided into two groups: the treatment group was treated with routine acupuncture therapy and the control group was treated with routine acupuncture therapy. Basic drug treatment includes: lowering blood pressure, lowering blood lipid, lowering blood sugar, and so on. Refer to the "China guidelines for the Prevention and treatment of Cerebrovascular Diseases". Rehabilitation treatment includes: sitting balance, shifting, standing, etc. Center of gravity shift, coordination training, standing balance, walking training, etc. Refer to the Chinese Rehabilitation treatment guidelines for Stroke, 2011 edition. On this basis, the treatment group was treated with "Qin's Sun clip and Regulation Acupuncture". The control group was treated with general acupuncture, and the evaluation scale was evaluated by Berg balance scale (Berg balance scale) and Barthel index. The scores of the two groups were evaluated before and after treatment for 4 weeks. Results compared with before treatment, the scores of Berg and BI in the two groups increased after acupuncture treatment, and the difference was statistically significant (P 0.05). The comparison between the two groups was as follows: the score of Berg balance scale in the treatment group was higher than that in the control group, and that in the treatment group was higher than that in the control group. After treatment, the scores of Fugl-Meyer balance function rating scale in the treatment group were higher than those in the control group, and the difference was statistically significant (P 0.05). The comparison between the two groups after treatment: the Barthel index rating scale score of the treatment group was higher than that of the control group, and that of the treatment group was higher than that of the control group. Conclusion: routine acupuncture therapy and Qin's sun Jiaduu acupuncture treatment can improve the balance disorder after stroke, and the improvement of balance ability after the treatment is obviously higher than that after routine acupuncture treatment. It is suggested that the therapeutic effect of this method is better than that of common acupuncture in the treatment of poststroke balance dysfunction, and it is effective and innovative in the treatment of poststroke balance dysfunction. It is worth further popularizing and applying.
【學(xué)位授予單位】：廣州中醫(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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