本文選題：補(bǔ)陽(yáng)還五湯 + 穴位注射��； 參考：《廣西中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察補(bǔ)陽(yáng)還五湯聯(lián)合穴位注射對(duì)缺血性中風(fēng)恢復(fù)期氣虛血瘀證的臨床療效,客觀評(píng)價(jià)其有效性和安全性,為該治療方案的臨床應(yīng)用提供依據(jù)。研究方法:臨床研究共收集病例81例,按隨機(jī)數(shù)字表分為治療組41例,對(duì)照組40例,治療組在西醫(yī)常規(guī)治療的基礎(chǔ)上予補(bǔ)陽(yáng)還五湯聯(lián)合穴位注射治療,對(duì)照組采用西醫(yī)常規(guī)治療,治療療程為28天。選取中醫(yī)中風(fēng)病證候療效評(píng)價(jià)量表、美國(guó)國(guó)立衛(wèi)生研究員卒中量表(NIHSS)、日常生活活動(dòng)能力量表(ADL)、血脂檢測(cè)為療效評(píng)價(jià)指標(biāo),觀察記錄納入臨床研究的治療組及對(duì)照組患者治療前后各療效評(píng)價(jià)指標(biāo)的變化。運(yùn)用spss19.0統(tǒng)計(jì)軟件,對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1、評(píng)價(jià)中醫(yī)證候療效改善情況,治療組總有效率達(dá)75.6%,對(duì)照組總有效率為52.5%,兩組治療后中醫(yī)證候療效結(jié)果比較(?2=4.71,P0.05),差異有統(tǒng)計(jì)學(xué)意義,治療組療效優(yōu)于對(duì)照組;2、評(píng)價(jià)中醫(yī)證候積分改善情況,治療組治療前后組間比較(t=5.40,P0.01),對(duì)照組治療前后比較(t=2.18,P0.05),治療后治療組與對(duì)照組比較(t=-5.96,P0.01),治療組與對(duì)照組均能改善中醫(yī)證候積分,且治療組改善效果優(yōu)于對(duì)照組;3、評(píng)價(jià)神經(jīng)功能缺損改善情況,治療組治療前后比較(t=3.19,P0.01),對(duì)照組治療前后比較(t=4.65,P0.01),治療后治療組與對(duì)照組比較(t=-3.63,P0.01),治療組與對(duì)照組均顯著能改善神經(jīng)功能缺損程度,且治療組改善效果優(yōu)于對(duì)照組;4、評(píng)價(jià)日常生活能力改善情況,治療組治療前后組間比較(t=-7.76,P0.01),對(duì)照組治療前后組間比較(t=-2.11,P0.05),治療后治療組與對(duì)照組比較(t=-4.52,P0.01),治療組與對(duì)照組均能提高患者的日常生活能力,且治療組改善效果優(yōu)于對(duì)照組;5、評(píng)價(jià)血脂TC、TG、HDL-C、LDL-C水平善情況,治療組治療前后組間比較(t=4.15,P0.01、t=4.68,P0.01、t=-2.61,P0.05、t=6.62,P0.01),對(duì)照組治療前后比較(t=2.19,P0.05、t=0.75,P0.05、t=-2.10,P0.05、t=2.10,P0.05),治療后治療組與對(duì)照組比較(t=-3.02,P0.01、t=-2.97,P0.01、t=2.30,P0.05、t=-7.48,P0.01),治療組與對(duì)照組均能改善患者的血脂水平,且治療組優(yōu)于對(duì)照組。結(jié)論:1、補(bǔ)陽(yáng)還五湯聯(lián)合穴位注射治療能有效地改善缺血性中風(fēng)恢復(fù)期氣虛血瘀證患者中醫(yī)臨床證候療效;2、補(bǔ)陽(yáng)還五湯聯(lián)合穴位注射治療較西醫(yī)常規(guī)治療在改善缺血性中風(fēng)恢復(fù)期氣虛血瘀證患者神經(jīng)功能缺損程度、日常生活能力及血脂水平方面具有更好的療效。
[Abstract]:Objective: to observe the clinical effect of Buyang Huanwu decoction combined with acupoint injection on qi deficiency and blood stasis syndrome of ischemic apoplexy in convalescence, and to evaluate its efficacy and safety objectively. Methods: a total of 81 cases were collected and randomly divided into treatment group (n = 41) and control group (n = 40). The treatment group was treated with Buyang Huanwu decoction combined with acupoint injection on the basis of routine western medicine treatment. The control group was treated with routine western medicine for 28 days. We selected TCM Stroke Syndrome Evaluation scale, National Health Research Stroke scale, ADL activity scale and Blood Lipid Test as curative Evaluation Index. To observe the changes of the curative effect evaluation indexes before and after treatment in the treatment group and the control group, which were included in the clinical study. Spss19.0 statistical software is used to analyze the data. Results the total effective rate of the treatment group was 75.66.The total effective rate of the control group was 52.5. The curative effect of traditional Chinese medicine syndrome was compared between the two groups after treatment, and the difference was statistically significant. The curative effect of the treatment group was better than that of the control group, and the improvement of TCM syndrome score was evaluated. The comparison between the treatment group and the control group was made between the two groups before and after treatment, and the comparison between the control group and the control group was made before and after treatment. After treatment, the treatment group was better than the control group, and the treatment group was better than the control group, and the treatment group and the control group could both improve the TCM syndromes score. The improvement effect of the treatment group was better than that of the control group. The comparison between the treatment group and the control group was made before and after treatment, and the comparison between the treatment group and the control group was made before and after treatment. After treatment, the treatment group was compared with the control group, and the treatment group was compared with the control group. Both the treatment group and the control group could significantly improve the degree of nerve function defect, and compared with the control group before and after treatment, the treatment group and the control group could significantly improve the degree of nerve function defect. The improvement effect of the treatment group was better than that of the control group, and the improvement of daily living ability was evaluated. The comparison between the treatment group and the control group before and after treatment, the comparison between the two groups before and after treatment, the comparison between the two groups before and after treatment, the comparison between the treatment group and the control group before and after treatment, and the comparison between the treatment group and the control group before and after treatment, and the comparison between the treatment group and the control group. Both the treatment group and the control group could improve the daily life ability of the patients. The improvement effect of the treatment group was better than that of the control group. Conclusion 1, Buyang Huanwu decoction combined with acupoint injection can effectively improve the curative effect of TCM syndromes in patients with Qi deficiency and blood stasis syndrome of ischemic apoplexy in convalescence stage. Buyang Huanwu decoction combined with acupoint injection therapy can improve deficiency compared with routine western medicine treatment. The degree of nerve function defect in patients with Qi deficiency and blood stasis syndrome in recovery period of hemorrhagic apoplexy, The ability of daily life and the level of blood lipid have better curative effect.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 譚漢添;唐純志;;針刺結(jié)合補(bǔ)陽(yáng)還五湯對(duì)全腦缺血大鼠腦能量代謝的影響[J];河南中醫(yī);2016年09期

2 趙磊;張麗麗;包華;楊述鳴;潘春山;;不同藥物穴位注射治療急性缺血性腦卒中的臨床研究[J];針刺研究;2016年04期

3 莫海婷;李弼仁;林澤輝;;補(bǔ)陽(yáng)還五湯聯(lián)合阿司匹林治療缺血性腦中風(fēng)臨床觀察[J];湖北中醫(yī)藥大學(xué)學(xué)報(bào);2016年04期

4 舒晴;梁鳳霞;陳瑞;陳麗;何文娟;;丹參注射液穴位注射改善糖耐量異常的臨床對(duì)照研究[J];中國(guó)中西醫(yī)結(jié)合消化雜志;2016年05期

5 趙陽(yáng)陽(yáng);;補(bǔ)陽(yáng)還五湯加味干預(yù)氣虛血瘀型缺血性腦中風(fēng)康復(fù)的療效觀察[J];中華中醫(yī)藥學(xué)刊;2016年02期

6 官春;劉少庭;李向波;祝河霞;徐軍;熊曉紅;肖碧芳;黃飛;;丹參注射液足三里穴位注射治療慢性萎縮性胃炎的臨床研究[J];世界最新醫(yī)學(xué)信息文摘;2016年10期

7 袁磊;楊進(jìn)平;聞瑛;江雯涵;周海燕;徐丹;楊磊;陳后勤;祁曉;王敏玲;沈逸幸;;補(bǔ)陽(yáng)還五湯治療缺血性中風(fēng)恢復(fù)期(氣虛血瘀)的臨床療效及對(duì)Hcy影響的臨床研究[J];中華中醫(yī)藥學(xué)刊;2016年01期

8 譚旭東;張波;張彬;徐越;;足三里注射治療重癥急性胰腺炎的臨床觀察[J];世界中西醫(yī)結(jié)合雜志;2015年12期

9 劉領(lǐng);吳文杰;楊霽;趙惠敏;熊鑫;薛兵;;慢性阻塞性肺疾病患者炎癥反應(yīng)與凝血功能異常的關(guān)系[J];中國(guó)醫(yī)刊;2015年08期

10 孫秀玲;姜明霞;;黃芪藥理作用機(jī)制的研究進(jìn)展[J];中醫(yī)臨床研究;2015年17期

相關(guān)碩士學(xué)位論文 前3條

1 李金江;中風(fēng)病陰虛陽(yáng)亢證的病因病機(jī)的理論研究[D];黑龍江中醫(yī)藥大學(xué);2015年

2 盧英;補(bǔ)陽(yáng)還五湯對(duì)MCAO大鼠CDK4和CDK6表達(dá)的影響[D];湖南中醫(yī)藥大學(xué);2014年

3 王成建;益氣活血通絡(luò)方治療缺血性中風(fēng)恢復(fù)期氣虛血瘀證的臨床研究[D];山東中醫(yī)藥大學(xué);2012年

，

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