本文選題：芪燈振咽湯 + 中風(fēng)��； 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:進一步評價芪燈振咽湯結(jié)合針灸治療中風(fēng)后吞咽功能障礙氣虛血瘀證較單純針灸治療是否具有療效優(yōu)勢,并觀察其安全性。方法:依據(jù)納入標準,選取中風(fēng)后吞咽障礙(氣虛血瘀型)患者72例,將患者隨機分為對照組和治療組,治療組36例,對照組36例。試驗組與對照組均給予針刺治療及常規(guī)內(nèi)科基礎(chǔ)治療,試驗組增加口服芪燈振咽湯配合治療,療程2周。觀察對照組與治療組患者治療前后的主要癥狀、次要癥狀、洼田飲水試驗及相關(guān)實驗室檢查指標的改變,對兩組療法的有效性及安全性進行評價結(jié)果:1.治療結(jié)束后,治療組患者與對照組患者治療前后洼田飲水試驗積分、中醫(yī)證侯積分分別進行組內(nèi)比較,結(jié)果均有顯著的統(tǒng)計學(xué)意義(P0.01)。說明兩組均有較好的治療效果。2.治療前將治療組患者與對照組患者的洼田飲水試驗積分、中醫(yī)證候積分進行組間比較,結(jié)果無統(tǒng)計學(xué)意義(P0.05),說明治療前無明顯差異。將兩組患者治療后的洼田飲水試驗積分、中醫(yī)證候積分分別進行組間比較,兩個結(jié)果均具有統(tǒng)計學(xué)差異(P0.05),治療組患者的洼田飲水試驗積分、中醫(yī)證候積分在治療后均低于對照組。3.洼田飲水試驗療效:治療組總有效率80.6%,治愈率為16.13%;對照組總有效率66.7%,治愈率12.12%。4.中醫(yī)證候療效:治療組總有效率93.5%,治愈率為3.2%;對照組總有效率74.19%,治愈率3.0%。治療前后療效兩組間比較具有統(tǒng)計學(xué)意義(P0.05)。5.治療結(jié)束后,兩組患者安全性指標均處于正常范圍,無明顯的皮疹、過敏、休克等不良反應(yīng)。結(jié)論:芪燈振咽湯結(jié)合針刺常規(guī)治療效果優(yōu)于針刺常規(guī)治療,并且使用安全,未發(fā)現(xiàn)明顯不良反應(yīng)及毒副作用。
[Abstract]:Abstract: objective to further evaluate the Qi Decoction Combined with acupuncture treatment of light vibration pharyngeal swallowing dysfunction after stroke with Qi deficiency and blood stasis syndrome than simple acupuncture treatment has clinical advantage, and observe its safety. Methods: according to the inclusion criteria, selection of dysphagia after stroke (blood stasis type) 72 cases, the patients were randomly divided into control group and treatment group. The treatment group, 36 cases, 36 cases in the control group. The experimental group and the control group were given acupuncture treatment and routine medical treatment, the test group added oral Qi Decoction Combined with treatment of pharyngeal light vibration, 2 week course of treatment. Observe the treatment group and control group patients before and after treatment of the main symptoms, secondary symptoms, Watian drinking water test and related laboratory indicators of change, evaluation of the results of the safety and efficacy of two group therapy: 1. groups of patients after treatment, and the control group before and after treatment Watian drinking water test scores of the treatment, the TCM syndrome integral Don't compare the group. Results there was statistically significant difference (P0.01). The results showed that the curative effect of.2. treatment of the two groups had better before the patients in the treatment group and the control group of patients with Watian drinking water test score, TCM syndrome score were compared between the two groups, the results were not statistically significant (P0.05), indicating that the treatment had no obvious the difference will be. Drinking water test of the two groups after treatment Watian score, TCM syndrome score were compared between the two groups, two results were statistically significant (P0.05), Watian drinking water test scores of patients in the treatment group, TCM syndrome scores were lower than the control group.3. Watian drinking water test efficacy after treatment: the treatment group was 80.6%, the cure rate was 16.13%; the control group was 66.7%, the cure rate of 12.12%.4. TCM syndrome curative effect: the total effective rate was 93.5%, the cure rate was 3.2%; the control group was 74.19%, the cure rate of 3.0%. before and after treatment The curative effect between the two groups was statistically significant (P0.05.5.) after the end of treatment, two groups of patients safety indexes were in the normal range, no obvious adverse reactions rash, allergic shock. Conclusion: Qi Decoction Combined with conventional acupuncture swallow light vibration treatment is better than conventional acupuncture treatment, and the use of safety, no obvious adverse reaction and the toxic and side effects.

【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R255.2

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