本文選題：小兒腦癱 + 肺氣虛　； 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本研究從中醫(yī)理論出發(fā),采用調(diào)任通督法結(jié)合靳三針的特定針?lè)ㄖ委熞跃哂蟹螝馓摓檎鞯哪X癱患兒,對(duì)其臨床療效進(jìn)行量化,觀察治療前后的癥狀改變,從而確定此種特定針?lè)ㄔ谂R床上的治療效果；同時(shí),對(duì)其發(fā)育學(xué)意義進(jìn)行探討。為治療小兒腦癱肺氣虛的表現(xiàn)提供更完善有效的治療方法,并為腦癱患兒的發(fā)育提供正確的指導(dǎo)方向。方法：根據(jù)小兒腦癱的診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)及排除標(biāo)準(zhǔn),在我院針灸科門(mén)診就診的患者中篩選合格受試者60例。將合格者隨機(jī)分成2組,每組各30例。對(duì)照組予普通針刺法治療,治療組予調(diào)任通督法結(jié)合靳三針療法進(jìn)行治療。通過(guò)比較對(duì)照組與治療組,運(yùn)用肺氣虛癥狀分級(jí)量表分別對(duì)治療前及治療后的癥狀進(jìn)行評(píng)分,觀察兩種治療方法對(duì)治療肺氣虛型腦癱患兒的臨床效果,并分析患兒治療前后腦癱兒童綜合功能評(píng)定量表評(píng)分的變化,對(duì)本研究的發(fā)育學(xué)意義進(jìn)行探討。所用的實(shí)驗(yàn)數(shù)據(jù),均采用SPSS19.0統(tǒng)計(jì)軟件,嚴(yán)格根據(jù)其使用原則進(jìn)行統(tǒng)計(jì)學(xué)分析,以雙側(cè)檢驗(yàn)作為標(biāo)準(zhǔn)。不同組別性別等基線資料使用卡方檢驗(yàn)。年齡、肺氣虛癥狀及腦癱兒童綜合功能評(píng)分等數(shù)據(jù)都為計(jì)量資料,如果符合正態(tài)性分布且方差齊性,則治療前、后的數(shù)據(jù)比較使用組內(nèi)配對(duì)t檢驗(yàn),如果計(jì)量資料不符合正態(tài)性分布和(或)方差不齊或者計(jì)數(shù)資料中的等級(jí)資料部分使用非參數(shù)檢驗(yàn)。檢驗(yàn)結(jié)果以P0.05為差異具有統(tǒng)計(jì)學(xué)意義,P0.01為差異具有顯著的統(tǒng)計(jì)學(xué)意義。結(jié)果：兩組病例肺氣虛癥狀療效：其中對(duì)照組共有30例,總有效率為80%,治療組共有30例,總有效率為96.667%,治療組總有效率優(yōu)于對(duì)照組(P0.05)。兩組病例患兒發(fā)育比較：腦癱綜合功能評(píng)定量表總評(píng)分,治療組與對(duì)照組在治療前后總分的改變差異均有統(tǒng)計(jì)學(xué)意義(P0.05)；特別是在認(rèn)知能力還有社會(huì)適應(yīng)能力的方面,治療組在治療前后的積分差異均有統(tǒng)計(jì)學(xué)意義(P0.05),且治療組在治療的前后,差異顯著優(yōu)于對(duì)照組治療前后的差異(P0.01)。結(jié)論：調(diào)任通督結(jié)合靳三針對(duì)肺氣虛腦癱患兒具有確切的臨床療效,與對(duì)照組的普通針刺療法相比較,對(duì)肺氣虛型腦癱患兒的癥狀改善有顯著的效果。普通針刺與調(diào)任通督結(jié)合靳三針療法對(duì)腦癱患兒發(fā)育均有療效,但后者療效更顯著,尤其是在認(rèn)知能力及社會(huì)適應(yīng)能力方面,治療組治療前后差異對(duì)比顯著性明顯優(yōu)于對(duì)照組治療前后的療效差異。對(duì)肺氣虛型腦癱患兒的治療能夠反作用于患兒的發(fā)育狀態(tài),具有積極的發(fā)育學(xué)意義。
[Abstract]:Objective: based on the theory of traditional Chinese medicine (TCM), a special acupuncture method was used to treat children with cerebral palsy with deficiency of lung qi. The clinical effect was quantified and the changes of symptoms before and after treatment were observed. In order to determine the clinical efficacy of this specific acupuncture method, at the same time, to explore its developmental significance. To provide a more complete and effective treatment for children with cerebral palsy lung qi deficiency, and to provide a correct direction for the development of children with cerebral palsy. Methods: according to the diagnostic criteria of cerebral palsy in children, including criteria and exclusion criteria, 60 eligible subjects were selected from the outpatient department of acupuncture and moxibustion in our hospital. The eligible patients were randomly divided into 2 groups with 30 cases in each group. The control group was treated with common acupuncture and the treatment group with Jin's three-needle therapy. By comparing the control group and the treatment group, the symptoms before and after treatment were scored with the lung qi deficiency symptom scale, and the clinical effects of the two treatment methods on the treatment of children with cerebral palsy of pulmonary qi deficiency type were observed. The developmental significance of this study was discussed by analyzing the changes of the comprehensive functional assessment scale before and after treatment in children with cerebral palsy. All the experimental data were analyzed by SPSS19.0 software, according to the principle of statistical analysis, and the bilateral test was used as the standard. Chi-square test was used for baseline data of different gender groups. Age, symptoms of deficiency of lung qi and comprehensive functional score of children with cerebral palsy were all measured data. If the distribution was normal and the variance was homogeneity, the data before and after treatment were compared with in-group paired t test. If the measurement data does not conform to the normal distribution and / or variance, or the rank data part of the counting data uses nonparametric test. The test results with P0.05 as the difference has statistical significance and P0.01 as the difference has significant statistical significance. Results: there were 30 cases in the control group and 30 cases in the treatment group, the total effective rate was 96.6677.The total effective rate in the treatment group was better than that in the control group (P 0.05). Comparison of development between the two groups: the total score of the comprehensive functional assessment scale for cerebral palsy, the difference of the total score between the treatment group and the control group before and after treatment were statistically significant (P 0.05), especially in the cognitive ability and the ability of social adaptation. The scores of the treatment group were significantly different before and after treatment, and the difference before and after treatment in the treatment group was significantly better than that in the control group before and after treatment. Conclusion: transfer of Tongdu combined with Jin San has definite clinical effect on children with cerebral palsy due to deficiency of lung qi. Compared with the common acupuncture therapy of control group, it has significant effect on the improvement of symptoms of children with cerebral palsy due to deficiency of lung qi. Common acupuncture and transfer to Tongdu combined with Jin's three-needle therapy have curative effects on the development of children with cerebral palsy, but the latter is more effective, especially in cognitive ability and social adaptation. The difference before and after treatment in the treatment group was significantly better than that in the control group before and after treatment. The treatment of lung qi deficiency type cerebral palsy can counteract the developmental state of the children, which has positive developmental significance.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張麗春;陳瑞雪;姚洪儒;;小兒腦性癱瘓康復(fù)治療研究進(jìn)展[J];臨床合理用藥雜志;2012年20期

2 馬曉明;李淑珍;蔡南哨;于海波;張志玲;;調(diào)任通督針刺法改善腦卒中患者生存質(zhì)量的研究[J];山東中醫(yī)雜志;2011年06期

3 姚秀麗;詹慶元;;解讀神經(jīng)調(diào)節(jié)通氣輔助模式[J];中國(guó)實(shí)用內(nèi)科雜志;2011年06期

4 王艷;唐強(qiáng);李曉艷;張春艷;;小兒腦癱的康復(fù)研究進(jìn)展[J];中國(guó)康復(fù);2010年06期

5 汪軍;孫克興;吳緒波;;頭針治療對(duì)腦癱兒童粗大運(yùn)動(dòng)功能的影響[J];上海針灸雜志;2010年07期

6 殷方明;史敏康;史麗峰;;神經(jīng)節(jié)苷脂治療新生兒中重度缺氧缺血性腦病療效觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2010年14期

7 羅文舒;吳永剛;饒曉丹;于海波;楊卓欣;;調(diào)任通督針?lè)ㄖ委熑毖阅X血管病研究概況[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2010年03期

8 俞茹云;王彤;;感覺(jué)神經(jīng)系統(tǒng)-肺神經(jīng)內(nèi)分泌細(xì)胞與支氣管哮喘的關(guān)系[J];中國(guó)現(xiàn)代醫(yī)藥雜志;2009年10期

9 朱梅;馬丙祥;琚瑋;鄭宏;;小兒腦性癱瘓中醫(yī)證候初步探討[J];中國(guó)實(shí)用神經(jīng)疾病雜志;2009年14期

10 成蓮英;劉紅英;劉衛(wèi)民;李理;陶瑩;張國(guó)勛;;“靳三針”治療腦癱患兒智力障礙療效分析[J];中國(guó)誤診學(xué)雜志;2008年24期

相關(guān)碩士學(xué)位論文 前1條

1 賈廣良;王雪峰教授治療痙攣型腦癱應(yīng)用“脊背六法”經(jīng)驗(yàn)探討[D];遼寧中醫(yī)藥大學(xué);2008年

，

本文編號(hào)：1934077