發(fā)布時間：2018-05-08 22:06

  本文選題：中風(fēng) + 足陰陽經(jīng)透刺法��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察足陰陽經(jīng)透刺治療中風(fēng)后足內(nèi)翻的臨床療效,為臨床治療本病提供理論依據(jù)與應(yīng)用借鑒。方法:選擇符合納入標(biāo)準(zhǔn)的中風(fēng)后足內(nèi)翻患者共60例,隨機(jī)分為對照組和治療組,每組30例。兩組患者均按照腦血管病防治指南給予對癥治療。對照組接受傳統(tǒng)針刺治療,選取陽陵泉、陰陵泉、足三里、懸鐘、丘墟、照海、申脈、風(fēng)市;治療組接受足陰陽經(jīng)透刺治療,選取丘墟透照海、陽陵泉透陰陵泉、懸鐘透三陰交。分別在治療前與治療后使用RM Gait步態(tài)分析系統(tǒng)對兩組患者的步行能力進(jìn)行評價,并對足內(nèi)翻角度及下肢Fugl-Meyer評分進(jìn)行測定。利用SPSS18.0統(tǒng)計(jì)軟件對數(shù)據(jù)進(jìn)行處理與分析。結(jié)果:1、兩組患者治療后的步速、步頻、患側(cè)步長較治療前比較,差異有顯著統(tǒng)計(jì)學(xué)意義(p0.01),兩組患者在步速、步頻、患側(cè)步長的差值方面,組間比較差異有統(tǒng)計(jì)學(xué)意義(p0.05),治療組優(yōu)于對照組。2、兩組患者治療后患側(cè)單支撐相占步態(tài)周期百分比、雙支撐相占步態(tài)周期百分比與治療前比較,差異有顯著統(tǒng)計(jì)學(xué)意義(p0.01),兩組患者患側(cè)單支撐相占步態(tài)周期百分比、雙支撐相占步態(tài)周期百分比的差值,組間比較差異有統(tǒng)計(jì)學(xué)意義(p0.05),治療組優(yōu)于對照組。3、兩組患者治療后患側(cè)足內(nèi)翻角度、下肢Fugl-Meyer評分與治療前比較,差異均有顯著統(tǒng)計(jì)學(xué)意義(p0.01),兩組患者患側(cè)踝關(guān)節(jié)內(nèi)翻角度的差值,組間比較差異有統(tǒng)計(jì)學(xué)意義(p0.05),兩組患者下肢Fugl-Meyer評分的差值,組間比較差異有統(tǒng)計(jì)學(xué)意義(p0.05),治療組優(yōu)于對照組。4、兩組臨床療效比較,治療組臨床痊愈7例(23.3%),顯效14例(46.7%),好轉(zhuǎn)7例(23.3%),無效2例(6.7%),總有效率為93.3%;對照組組臨床痊愈1例(10.0%),顯效8例(26.7%),好轉(zhuǎn)10例(33.3%),無效9例(30%),總有效率為70.0%,經(jīng)統(tǒng)計(jì)學(xué)分析,治療組優(yōu)于對照組,差異有顯著統(tǒng)計(jì)學(xué)意義(p0.01)。結(jié)論:1、足陰陽經(jīng)透刺法與傳統(tǒng)針刺法均能改善中風(fēng)后足內(nèi)翻患者的足內(nèi)翻角度、下肢功能,對中風(fēng)后足內(nèi)翻患者步行能力的提升療效顯著。2、足陰陽經(jīng)透刺法對改善中風(fēng)后足內(nèi)翻療效優(yōu)于傳統(tǒng)針刺法。
[Abstract]:Objective: to observe the clinical effect of foot yin and yang meridian penetration in treating foot varus after apoplexy, and to provide theoretical basis and application reference for clinical treatment of this disease. Methods: a total of 60 patients with apoplectic foot varus were randomly divided into control group and treatment group with 30 cases in each group. Patients in both groups were given symptomatic treatment in accordance with the guidelines for the prevention and treatment of cerebrovascular diseases. The control group was treated with traditional acupuncture, including Yangling Spring, Yiling Spring, Zusanli, Xuanzhong, Qiu Hui, Zhaohai, Shenmai and Fengshi; the treatment Group was treated with foot Yin and Yang Meridian puncture, and the Qiu Hui was selected to pass through the sea, and the Yangling Spring to the Yin Ling Spring. The bell hangs through the sanyin jiao. The walking ability of the two groups was evaluated by RM Gait gait analysis system before and after treatment, and the foot varus angle and lower limb Fugl-Meyer score were measured. SPSS18.0 statistical software is used to process and analyze the data. Results there were significant differences in step speed, step frequency, and step length between the two groups after treatment compared with those before treatment (p 0.01). The difference of step speed, step frequency, and step length of the affected side between the two groups was significant. The difference between the two groups was statistically significant (p 0.05), and the treatment group was superior to the control group (P < 0.05). After treatment, the patients in the two groups had a single support phase in the gait cycle percentage, a double support phase in the gait cycle, and a comparison between the two groups before and after treatment. The difference between the two groups was significant (P < 0.01). The difference between the two groups in the percentage of gait cycle with single support phase and double support phase with gait cycle was significant. The difference between the two groups was statistically significant (p 0.05), and the treatment group was superior to the control group (.3). After treatment, the patients in the two groups had the inflection angle of the affected side of the foot, and the lower limb Fugl-Meyer score was compared with that before the treatment. The difference between the two groups was significant (P < 0.01). The difference between the two groups was significant (p 0.05). The difference of lower extremity Fugl-Meyer score between the two groups was significant. The difference between the two groups was statistically significant (P 0.05). The treatment group was superior to the control group (.4). The clinical efficacy of the two groups was higher than that of the control group. In the treatment group, there were 7 cases of clinical recovery, 14 cases of remarkable effect, 7 cases of improvement, 7 cases of improvement, 2 cases of ineffectiveness, 2 cases of ineffectiveness, with a total effective rate of 93.3T; in the control group, 1 case was cured, 8 cases were significantly effective, 10 cases were improved, 10 cases were improved, 9 cases were not effective, the total effective rate was 70.00.The total effective rate was 70.030%. The treatment group was superior to the control group, the difference was statistically significant (P 0.01). ConclusionThe podal varus angle and the lower extremity function of patients with stroke can be improved by the penetration of foot yin and yang and the traditional acupuncture. The effect of foot yin and yang penetration acupuncture on improving foot varus after stroke was better than that of traditional acupuncture.
【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

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 門會娟;潘永清;;針刺足少陽結(jié)合陰蹺脈穴治療中風(fēng)后足內(nèi)翻療效觀察[J];上海針灸雜志;2016年12期

2 尹洪娜;李佳諾;孫忠人;曾祥新;;中風(fēng)后足內(nèi)翻的針灸治療概述[J];中國中醫(yī)急癥;2016年08期

3 萬青;吳偉;劉慧華;燕鐵斌;;腦卒中患者偏癱步態(tài)的時空及關(guān)節(jié)運(yùn)動學(xué)參數(shù)分析[J];中國康復(fù)醫(yī)學(xué)雜志;2014年11期

4 周亞芬;;電針糾翻穴治療中風(fēng)后足內(nèi)翻40例[J];浙江中醫(yī)雜志;2014年09期

5 盧利萍;桑德春;邵翠霞;劉海榮;劉建華;李媛媛;;腦卒中偏癱患者康復(fù)治療前后的三維步態(tài)分析[J];中國康復(fù)理論與實(shí)踐;2014年08期

6 劉艷平;田培良;;電針治療中風(fēng)后足內(nèi)翻40例療效觀察[J];湖南中醫(yī)雜志;2014年06期

7 時國臣;鄭琦;高霞;劉敏;王婧;;瀉陰補(bǔ)陽法結(jié)合康復(fù)訓(xùn)練治療中風(fēng)后足內(nèi)翻療效觀察[J];針灸臨床雜志;2014年06期

8 齊敏;文洪;;針刺足三陰經(jīng)為主配合遠(yuǎn)端取穴對中風(fēng)后足內(nèi)翻的臨床療效觀察[J];中醫(yī)臨床研究;2014年08期

9 謝瑞娟;石翠霞;鄧ok;陳璐;陳龍劍;劉涓;;起立床強(qiáng)化運(yùn)動療法治療腦卒中偏癱后足內(nèi)翻60例療效[J];中國老年學(xué)雜志;2014年01期

10 周璐;謝輝;陳銳;何可;劉小衛(wèi);艾坤;;牽張訓(xùn)練配合“平衡陰陽”電針法治療腦卒中痙攣期足內(nèi)翻的臨床觀察[J];湖南中醫(yī)藥大學(xué)學(xué)報;2013年11期

，

本文編號：1863268