發(fā)布時(shí)間：2018-05-08 10:51

  本文選題：電揑針 + 循經(jīng)感傳�。� 參考：《黑龍江省中醫(yī)藥科學(xué)院》2017年碩士論文

【摘要】：目的:本研究旨在探索電揑針刺激中渚穴激發(fā)循經(jīng)感傳結(jié)合常規(guī)針刺治療肝火上擾型神經(jīng)性耳鳴的臨床療效,以提高臨床上神經(jīng)性耳鳴的療效。方法:按照隨機(jī)的原則,將64例患者分為兩組,治療組和對(duì)照組各32例。治療組取患側(cè)耳門(mén)穴、聽(tīng)會(huì)穴、中諸穴、聽(tīng)宮穴、翳風(fēng)穴、俠溪穴,并于中渚穴行電揑針循經(jīng)感傳針?lè)?其他腧穴行常規(guī)針刺;對(duì)照組取穴同治療組,均行常規(guī)針刺。每日針刺30min,每周連續(xù)針刺6次,共針刺4周。針刺期間因不同原因治療組和對(duì)照組各脫落2例,實(shí)際觀察了60例病患。觀察并記錄兩組接受治療前、后的耳鳴嚴(yán)重程度評(píng)分、耳鳴致殘量表評(píng)分、漢密爾頓抑郁量表評(píng)分、皮膚微循環(huán)血流灌注量及治療組三級(jí)循經(jīng)感傳療效比較。結(jié)果:1.治療組的總有效率為90.00%,對(duì)照組的總有效率為76.67%,兩組對(duì)比差異具有顯著性(P0.05)。2.兩組耳鳴患者治療后耳鳴嚴(yán)重程度評(píng)分、耳鳴致殘量表評(píng)分、漢密爾頓抑郁量表評(píng)分較治療前均下降,與治療前相比具有差異性(P0.05),且治療組對(duì)耳鳴嚴(yán)重程度分級(jí)、耳鳴致殘量表、漢密爾頓抑郁量表評(píng)分的改善程度明顯優(yōu)于對(duì)照組,兩組療效的組間比較具有差異性(P0.05)。3.治療組激發(fā)循經(jīng)感傳后各觀測(cè)點(diǎn)皮膚微循環(huán)血流灌注量與相對(duì)應(yīng)的對(duì)照點(diǎn)對(duì)比,具有顯著差異(P0.05);治療組各觀測(cè)點(diǎn)與對(duì)照組相應(yīng)的觀測(cè)點(diǎn)比較,具有顯著差異(P0.05);對(duì)照組除外關(guān)穴與其對(duì)照點(diǎn)比較具有顯著差異(P0.05),其它觀測(cè)點(diǎn)均無(wú)明顯明變化(P0.05)。4.治療組根據(jù)感傳程度分為Ⅰ、Ⅱ、Ⅲ級(jí),其中Ⅰ級(jí)有效率20.00%;Ⅱ級(jí)有效率36.67%;Ⅲ級(jí)有效率33.33%;經(jīng)統(tǒng)計(jì)分析Ⅱ、Ⅲ級(jí)感傳與Ⅰ級(jí)感傳的有效率比較有顯著性差異(P0.01),而Ⅱ、Ⅲ級(jí)無(wú)差別(P0.05)。結(jié)論:1.電揑針循經(jīng)感傳結(jié)合常規(guī)針刺組與常規(guī)針刺組治療肝火上擾型神經(jīng)性耳鳴均有較好的療效,但電揑針循經(jīng)感傳結(jié)合常規(guī)針刺組的療效優(yōu)于常規(guī)針刺組,說(shuō)明電揑針循經(jīng)感傳能提高臨床療效。2.電揑針循經(jīng)感傳能有效改善耳鳴患者的耳鳴嚴(yán)重程度,使THI量表評(píng)分降低,改善患者的抑郁狀況。3.電揑針中渚穴循經(jīng)感傳程度越明顯,對(duì)肝火上擾型神經(jīng)性耳鳴的治療療效越好。4.循經(jīng)感傳伴隨著穴位皮膚微循環(huán)血流灌注量的升高,且血流升高具備循經(jīng)性。
[Abstract]:Objective: to explore the clinical effect of electroacupuncture on nerve tinnitus induced by Zhonzhu acupoint in combination with routine acupuncture to improve the clinical efficacy of neurotic tinnitus. Methods: according to the random principle, 64 patients were divided into two groups: treatment group and control group. In the treatment group, the eimen points, the hearing points, the Zhongzhu points, the hearing temple points, the Yifeng points and the Xiaxi points were taken, and the electroacupuncture along the meridian and the other acupoints were used in the Zhongzhu point, and the other acupoints were treated with the conventional acupuncture in the control group. Acupuncture for 30 mins, 6 times a week for 4 weeks. During acupuncture period, 2 cases of treatment group and 2 cases of control group were dropped out for different reasons, and 60 cases were observed. To observe and record the scores of tinnitus severity, tinnitus disability scale, Hamilton depression scale, skin microcirculation blood flow perfusion and the curative effect of the treatment group before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 90.00g and that of the control group was 76.67.The difference between the two groups was significant (P 0.05). After treatment, the scores of tinnitus severity, tinnitus disability scale and Hamilton depression scale in both groups were lower than those before treatment, and there were significant differences between the two groups (P 0.05), and the severity of tinnitus was graded in the treatment group. The improvement of tinnitus disability scale and Hamilton depression scale was better than that of the control group. There was a significant difference between the blood perfusion volume of skin microcirculation and the corresponding control points in the treatment group after stimulating the meridian sensory transmission, and the comparison between the observation points of the treatment group and the corresponding observation points of the control group was significant (P 0.05). There was significant difference between the control group and the control group (P 0.05), while there was no obvious change in the other observation points. According to the degree of sensory transmission, the treatment group was divided into 鈪，

本文編號(hào)：1861096