本文選題：揚(yáng)刺 + 鬼堂穴(上星穴)　； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察揚(yáng)刺鬼堂穴為主治療腦卒中后焦慮的臨床療效,為針刺治療腦卒中后焦慮障礙找到一種新思路。方法:將篩選的66例腦卒中后焦慮患者通過隨機(jī)數(shù)字表法隨機(jī)分為兩組,分別為治療組33例和對(duì)照組33例。兩組患者均給予神經(jīng)內(nèi)科的基礎(chǔ)治療和康復(fù)訓(xùn)練,同時(shí)兩組患者規(guī)范化給予氟哌噻噸美利曲辛片(黛力新)口服,每日早晨、中午分別口服1片。治療組采用揚(yáng)刺鬼堂穴治療,對(duì)照組采用常規(guī)針刺方法治療。分別在治療前、治療4周、治療8周后采用漢密爾頓焦慮量表(HAMA)、Zung氏焦慮自評(píng)量表(SAS)、日常生活自理能力評(píng)定Barthe1指數(shù)(BI)進(jìn)行療效評(píng)價(jià)。8周治療結(jié)束后觀察兩組患者的治療效果,用SPSS20.0進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1.兩組患者治療前經(jīng)過HAMA、SAS、BI評(píng)分,治療組和對(duì)照組比較,組間無顯著性差異(p0.05),具可比性。2.兩組患者治療后分別進(jìn)行HAMA、SAS、BI評(píng)定,治療4周后與治療8周后HAMA、SAS評(píng)分均有下降(p0.05),BI評(píng)分均有上升(p0.05);兩組患者治療8周后在改善HAMA、SAS、BI評(píng)分上較治療4周后更明顯,且組間比較(p0.05),治療組優(yōu)于對(duì)照組。3.兩組患者經(jīng)治療后,精神焦慮因子、軀體焦慮因子以及睡眠因子的療效評(píng)分均有明顯改善;4.兩組總療效比較:兩組患者同時(shí)治療8周后,經(jīng)HAMA量表療效評(píng)定分析,BI指數(shù)增分率與HAMA減分率相關(guān)性分析具有顯著差異,表明BI增分率高的治療組患者焦慮癥狀改善效果較好。HAMA減分率可以直觀地判定患者焦慮程度改善情況且有確定療效,治療組總有效率為84.84%,對(duì)照組總有效率63.63%,兩組相比具有統(tǒng)計(jì)學(xué)意義(p0.05)。結(jié)論:1.揚(yáng)刺鬼堂穴治療腦卒中后焦慮療效確切,且可提高患者日常生活能力。2.揚(yáng)刺鬼堂穴治療腦卒中后焦慮的療效優(yōu)于傳統(tǒng)針刺方法。
[Abstract]:Objective: to observe the clinical effect of Yangzhugitang point on post-stroke anxiety, and to find a new way for acupuncture treatment of post-stroke anxiety disorder. Methods: 66 patients with post-stroke anxiety were randomly divided into two groups: treatment group (n = 33) and control group (n = 33). The patients in both groups were given basic treatment and rehabilitation training of neurology. The treatment group was treated with Yang needling Goutang and the control group with routine acupuncture. Before treatment, 4 weeks after treatment, 8 weeks after treatment, the two groups were treated with Hamilton anxiety scale (Hamilton anxiety scale) and Zung's anxiety Self-Rating scale (SASX), and the Barthe1 index of self-care ability of daily living (ADL) was used to evaluate the curative effect of the two groups after the end of the treatment. SPSS20.0 was used for statistical analysis. The result is 1: 1. There was no significant difference between the treatment group and the control group (P 0.05), and the score was comparable with that of the control group (P < 0.05). After 8 weeks of treatment, the scores of HAMA-SASBI were decreased after 4 weeks of treatment and 8 weeks after treatment, and the scores of patients in both groups were significantly higher than those after 4 weeks of treatment, and those of the two groups were significantly higher after 8 weeks of treatment than after 4 weeks of treatment, and the scores of Hama and SASBI in both groups were significantly higher than those after treatment of 4 weeks, and the scores of patients in both groups were significantly higher than those after treatment of 4 weeks. Compared with the control group, the treatment group was better than the control group. After treatment, the scores of mental anxiety factor, somatic anxiety factor and sleep factor were significantly improved in both groups. Comparison of total curative effects between the two groups: after 8 weeks of simultaneous treatment, there were significant differences in the correlation between the increase rate of BI index and the decrease rate of HAMA by evaluating the efficacy of HAMA. The results showed that the improvement of anxiety symptoms in the treatment group with higher BI score rate was better. Hama score reduction rate could directly judge the improvement of anxiety degree of patients and have definite curative effect. The total effective rate was 84.84 in the treatment group and 63.63 in the control group. Conclusion 1. Yangzhuotang point is effective in the treatment of post-stroke anxiety, and can improve the ability of daily life of patients. 2. The therapeutic effect of Yangzhugitang point on post-stroke anxiety is better than that of traditional acupuncture method.
【學(xué)位授予單位】：黑龍江中醫(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)】：R246.6

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