本文選題：頸部穴位貼敷 + 眩暈��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本研究通過對(duì)遼寧中醫(yī)藥大學(xué)附屬第二醫(yī)院腦病一科明確診斷為后循環(huán)缺血性眩暈的住院患者按入院先后順序隨機(jī)進(jìn)行觀察,以期近一步了解腦病一科應(yīng)用頸部穴位貼敷治療后循環(huán)缺血性眩暈病的臨床療效性與安全性,為進(jìn)一步臨床實(shí)踐提供依據(jù)。材料與方法:本研究所選對(duì)象是從遼寧中醫(yī)藥大學(xué)附屬第二醫(yī)院腦病一科2015到2016年1年間住院接受治療的眩暈患者中隨機(jī)觀察的60例。按入院先后順序隨機(jī)將符合納入、排除標(biāo)準(zhǔn)的患者作為觀察對(duì)象,其中男患33例,女患27例,年齡區(qū)間是在35歲至88歲之間。其中30例患者應(yīng)用中西醫(yī)結(jié)合常規(guī)治療,將此組視為對(duì)照組;另外30例患者在此基礎(chǔ)上加用頸部穴位貼敷視為觀察組。兩組患者均予常規(guī)治療14天,觀察組在此基礎(chǔ)上予清眩散日一次頸部貼敷,每次約30分鐘;并應(yīng)用DARS量表及中醫(yī)癥候評(píng)定量表對(duì)治療前后癥狀進(jìn)行評(píng)分。最后,采用軟件SPSS17.0對(duì)所得資料、數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)處理,對(duì)統(tǒng)計(jì)結(jié)果進(jìn)行討論分析。結(jié)果:1.兩組間的均衡比較1.1觀察組、對(duì)照組的性別、平均年齡分布情況經(jīng)統(tǒng)計(jì)學(xué)分析后,無差異(P0.05);一般情況可比。1.2觀察組、對(duì)照組治療前DARS量表積分比較有可比性(P0.05)。兩組治療前中醫(yī)癥候評(píng)定量表積分比較,有可比性(P0.05)。2.結(jié)果比較2.1DARS量表結(jié)果比較觀察組、對(duì)照組治療后與自身治療前DARS量表積分比較,治療后積分比自身治療前降低,有差異(P0.05);說明兩組治療后癥狀均比自身治療前改善。觀察組DARS量表總有效率高于對(duì)照組,有差異(P0.05);說明總體療效上觀察組優(yōu)于對(duì)照組。2.2中醫(yī)癥候評(píng)定量表結(jié)果比較觀察組、對(duì)照組治療后與自身治療前中醫(yī)癥候評(píng)定量表積分比較,治療后積分比治療前降低,有差異(P0.05);說明兩組治療后癥狀均比自身治療前改善。觀察組中醫(yī)癥候評(píng)定量表總有效率高于對(duì)照組,有差異(P0.05);說明總體療效上觀察組優(yōu)于對(duì)照組。3.在應(yīng)用藥物治療期間,觀察組和對(duì)照組患者均未出現(xiàn)不良事件及不良反應(yīng),沒有因不良事件而中斷治療。結(jié)論:1.頸部穴位貼敷配合常規(guī)治療及單純應(yīng)用常規(guī)治療均可以改善DARS量表積分情況,但頸部穴位貼敷配合常規(guī)治療比單純應(yīng)用常規(guī)治療效果好。2.頸部穴位貼敷配合常規(guī)治療及單純應(yīng)用常規(guī)治療均可以改善中醫(yī)癥候評(píng)定量表積分情況,但頸部穴位貼敷配合常規(guī)治療比單純應(yīng)用常規(guī)治療效果好。3.頸部穴位貼敷遵循的是中醫(yī)整體觀念及內(nèi)病外治理論,同時(shí)根據(jù)經(jīng)絡(luò)循行原理直達(dá)病所,從而達(dá)到從內(nèi)而外治療疾病的目的。應(yīng)用安全有效,值得人們?cè)趯?shí)踐中推廣使用。
[Abstract]:Objective: the purpose of this study was to investigate the patients with posterior circulatory ischemic vertigo diagnosed in the Department of Encephalopathy in the second affiliated Hospital of Liaoning University of traditional Chinese Medicine at random according to the order of admission. To further understand the clinical efficacy and safety of treating circulatory ischemic vertigo with cervical acupoint application in Encephalopathy Department, and to provide the basis for further clinical practice. Materials and methods: the subjects of this study were 60 patients with vertigo who were hospitalized in the Department of Encephalopathy of the second affiliated Hospital of Liaoning University of traditional Chinese Medicine from 2015 to 2016. According to the order of admission, 33 cases of male and 27 cases of female were randomly selected as observation objects. The age range was between 35 and 88 years old. 30 patients were treated with the combination of traditional Chinese and western medicine as the control group, and the other 30 patients were treated as the observation group with cervical acupoint application on this basis. The patients in both groups were treated with routine therapy for 14 days, the observation group was treated with QXS once a time for 30 minutes, and the symptoms before and after treatment were evaluated with DARS scale and TCM symptom rating scale. Finally, the data are processed statistically by software SPSS17.0, and the statistical results are discussed and analyzed. The result is 1: 1. After statistical analysis, there was no difference in the sex and average age distribution between the two groups, and the comparison of DARS scale scores before treatment in the control group was comparable to that in the .1.2 observation group (P 0.05). The scores of TCM symptom rating scale were comparable between the two groups before treatment. Results the results of 2.1DARS scale were compared in the observation group. The scores of DARS scale after treatment in the control group were lower than those before the self-treatment, indicating that the symptoms of the two groups were improved after treatment. The total effective rate of DARS in the observation group was higher than that in the control group (P 0.05), which indicated that the overall curative effect of the observation group was better than that of the control group. After treatment, the score was lower than that before treatment, and there was a difference (P 0.05), indicating that the symptoms of the two groups after treatment were better than those before self treatment. The total effective rate of TCM symptom rating scale in the observation group was higher than that in the control group (P 0.05), which indicated that the observation group was better than the control group. 3. There were no adverse events and adverse reactions in both the observation group and the control group during the period of drug therapy, and there was no interruption of treatment because of the adverse events. Conclusion 1. Cervical acupoint application combined with routine therapy and simple routine treatment can improve the DARS scale integral, but cervical acupoint application combined with conventional therapy is better than simple routine treatment. 2. Cervical acupoint application combined with routine therapy and simple routine treatment can improve the integral of TCM symptom rating scale, but the effect of cervical acupoint application combined with conventional therapy is better than that of simple routine treatment. 3. The application of cervical acupoints follows the whole concept of traditional Chinese medicine and the theory of internal and external treatment. At the same time, according to the principle of meridian circulation, it can reach the goal of treating diseases from inside to outside. Application is safe and effective, and it is worth popularizing in practice.
【學(xué)位授予單位】：遼寧中醫(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)】：R255.3

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