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  本文選題：電針 + 中風(fēng)��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本文探討項針結(jié)合攢竹穴治療中風(fēng)后呃逆的臨床療效及其作用機(jī)制。方法:按照納入標(biāo)準(zhǔn)選取64位中風(fēng)后呃逆患者,隨機(jī)分為治療組和對照組,每組各32人。治療組和對照組的基礎(chǔ)治療無差異,如抗凝、擴(kuò)血管、康復(fù)訓(xùn)練等。治療組選取項針結(jié)合攢竹穴的治療方法,選取頸3至頸5段項部的夾脊穴,針刺得氣后,連接脈沖電療儀,電療儀正負(fù)極左右連接交叉通電,雙側(cè)攢竹穴針刺得氣后亦連接脈沖電療儀,雙側(cè)翳風(fēng)穴針刺得氣即可。每日治療一次,每次治療30分鐘,共治療8天。對照組選用口服巴氯芬,初始計量5mg/次,每天3次,逐漸增加,每次增加5mg.間隔三天,直到每日30mg。觀察8天。通過對兩組患者的精神狀態(tài)、食欲狀態(tài)、睡眠狀態(tài)、治療副作用、起效時間及療程的觀察對比及統(tǒng)計學(xué)分析,比較項針結(jié)合攢竹穴療法與巴氯芬的療效。結(jié)果:1、治療組與對照組的總有效率對比不具有顯著性差異(P0.05)。2、治療組的精神狀態(tài)、食欲狀態(tài)、睡眠狀態(tài)與對照組比較均具有顯著性差異(P0.05)。3、治療組相比對照組,起效時間快、療程短,具有顯著差距(P0.05)。結(jié)論:項針結(jié)合攢竹穴治療中風(fēng)后呃逆的方法對患者的精神狀態(tài)、食欲狀態(tài)、睡眠狀態(tài)的改善,起效時間及療程的縮短上均優(yōu)于西藥巴氯芬的治療方法。項針結(jié)合攢竹穴的治療方法無副作用,療效確切,有利于中風(fēng)患者的康復(fù)治療。
[Abstract]:Objective: to explore the clinical effect and mechanism of acupuncture combined with Zanzhu point in treating hiccup after stroke. Methods: 64 patients with hiccup after stroke were randomly divided into treatment group and control group. There was no difference in basic treatment between treatment group and control group, such as anticoagulant, vasodilation, rehabilitation training, etc. In the treatment group, the treatment method of nape acupuncture combined with Zanzhu point was selected, and the Jiaji point in the neck 3 to 5 segment of the neck was selected. After the Qi was punctured, the pulse electrotherapy instrument was connected, and the positive and negative electrode of the electrotherapy instrument was connected with the cross electrification on the left and right. Bilateral Zanzhu acupoint acupuncture Qi is also connected with pulse electrotherapy instrument, bilateral Yifeng point acupuncture qi can be. Treatment once a day, 30 minutes each time, a total of 8 days. In the control group, the oral administration of baclofen, the initial dose of 5mg/, 3 times a day, gradually increased, each time increased by 5 mg. The interval is 3 days, until 30 mg daily. Observe for 8 days. Through the observation and statistical analysis of mental state, appetite state, sleep state, side effect, onset time and course of treatment of the two groups, the curative effects of nape acupuncture combined with Zanzhu point therapy and baclofen were compared. Results: there was no significant difference in the total effective rate between the treatment group and the control group (P 0.05). The mental state, appetite state and sleep state of the treatment group were significantly different from those of the control group (P 0.05 路3). Compared with the control group, the effective time of the treatment group was faster than that of the control group. The course of treatment was short and the difference was significant (P 0.05). Conclusion: the treatment of hiccup after apoplexy by combining nape acupuncture with Zanzhu acupoint is better than that of the western medicine baclofen in improving mental state, appetite state, sleep state, onset time and course of treatment. The treatment of finger acupuncture combined with Zanzhu point has no side effect and is beneficial to the rehabilitation of stroke patients.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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本文編號：1844989