本文選題：卒中后疲勞 + 中風(fēng)　； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本研究通過艾灸足三里穴對(duì)卒中后疲勞患者進(jìn)行干預(yù),通過疲勞程度及安全性指標(biāo)的監(jiān)測(cè),客觀評(píng)價(jià)艾灸足三里穴干預(yù)卒中后疲勞患者的臨床療效及安全性,探討艾灸在卒中后疲勞患者中的應(yīng)用效果,為緩解卒中后疲勞患者的疲勞程度,提供一種簡(jiǎn)便、安全、廉價(jià)、有效的方法,為其臨床應(yīng)用提供依據(jù)。方法:根據(jù)腦卒中及卒中后疲勞的診斷標(biāo)準(zhǔn),收集2015年12月～2016年9月在廣東省中醫(yī)院康復(fù)科住院的腦卒中后遺癥期患者60例,采用隨機(jī)數(shù)字表法隨機(jī)分為觀察組和對(duì)照組。對(duì)照組患者給予常規(guī)治療與護(hù)理,觀察組患者在常規(guī)治療和護(hù)理的基礎(chǔ)上,給予艾灸療法。艾灸方法采用溫和灸,高度3-5cm,每次每穴10分鐘,每日1次,連續(xù)治療6天,休息1天。共治療2周,12次。干預(yù)前后采用多維疲勞問卷(MFI-20)、疲勞嚴(yán)重度量表(FSS)及卒中專用生活質(zhì)量量表精力部分(SS-QOL-E)量表進(jìn)行評(píng)分;并記錄不良反應(yīng)以對(duì)艾灸法在卒中后疲勞患者中的臨床療效進(jìn)行安全性評(píng)價(jià)。療程結(jié)束后,數(shù)據(jù)采用SPSS 17.0統(tǒng)計(jì)軟件進(jìn)行分析,以P0.05為有顯著性差異。結(jié)果:1.本研究共納入卒中后疲勞患者60例,其中觀察組31例,對(duì)照組29例。研究期間觀察組患者脫落3例,其中1例因住院期間突發(fā)肛周膿腫轉(zhuǎn)科治療,無法繼續(xù)干預(yù)而脫落;1例因拒絕配合治療而脫落;1例因住院期間病情好轉(zhuǎn)要求出院無法完成干預(yù)療程而脫落;其余患者均按要求完成了整個(gè)試驗(yàn)及觀察指標(biāo)的評(píng)估。對(duì)照組患者均按要求完成了整個(gè)試驗(yàn)及觀察指標(biāo)的評(píng)估。最終,本研究實(shí)際納入病例共57例,其中觀察組28例,對(duì)照組29例。干預(yù)前,兩組在性別、年齡、職業(yè)、婚姻狀況、文化程度、計(jì)費(fèi)類型、卒中類型、卒中部位、中醫(yī)證型、病程、既往史、疲勞程度、卒中后生活質(zhì)量等基線上均獲得平衡(均P0.05),差異無統(tǒng)計(jì)學(xué)意義,具有可比性。2.在疲勞程度方面,兩組疲勞評(píng)分(包括MFI-20評(píng)分、FSS疲勞評(píng)分)在干預(yù)前及干預(yù)后第6、12日天均呈下降趨勢(shì),且觀察組兩種疲勞評(píng)分下降趨勢(shì)優(yōu)于對(duì)照組。兩組的疲勞評(píng)分在干預(yù)后第6、12天組間的比較,差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。兩組的MFI-20評(píng)分在干預(yù)前及干預(yù)后第6、12天組內(nèi)前后的比較,差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。兩組MFI-20量表評(píng)分差值(干預(yù)后第3天-干預(yù)前)的比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05),在MFI-20量表評(píng)分差值(干預(yù)后第12天與干預(yù)后第6天)比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。兩組FSS(干預(yù)后第6天-干預(yù)前)疲勞評(píng)分差值、FSS(干預(yù)后第12天-干預(yù)后第6天)疲勞評(píng)分差值的比較,差異均有統(tǒng)計(jì)學(xué)意義(均P0.05)。安全性評(píng)價(jià)方面,進(jìn)行艾灸治療的28例患者,局部皮膚完好,未出現(xiàn)燙傷、水泡、潰破、等現(xiàn)象;及其他明顯不適或不良反應(yīng)。結(jié)論:1.艾灸足三里穴可以緩解卒中后疲勞患者的臨床癥狀,減輕患者的疲勞程度,改善患者疲勞癥狀。2.艾灸足三里穴可改善卒中后疲勞患者的生活質(zhì)量,有助于控制病情進(jìn)展,增強(qiáng)患者恢復(fù)健康的信心。3.艾灸療法操作簡(jiǎn)單方便,效果安全可靠,值得臨床推廣應(yīng)用。
[Abstract]:Objective: To investigate the clinical efficacy and safety of moxibustion at Zusanli (moxibustion) Zusanli (moxibustion) at Zusanli (Zusanli), through the intervention of moxibustion at Zusanli (Zusanli) and the monitoring of fatigue and safety indicators, and to explore the effect of moxibustion on the fatigue patients after stroke to alleviate fatigue after stroke. To provide a simple, safe, inexpensive and effective method to provide a basis for its clinical application. Methods: according to the diagnostic criteria of stroke and post stroke fatigue, 60 patients with post-stroke sequelae hospitalized in rehabilitation department of Guangdong Province Traditional Chinese Medical Hospital from December 2015 to September 2016 were randomly divided into an observation group and a random digital table. The control group was given routine treatment and nursing. The patients in the observation group were treated with Moxibustion on the basis of conventional treatment and nursing. Moxibustion was treated with mild moxibustion, high 3-5cm, 10 minutes per point each time, 1 times a day, 6 days of continuous treatment and 1 days of rest. A total of 2 weeks and 12 times were treated with a multidimensional fatigue questionnaire (MFI-20) before and after intervention. The severe scale (FSS) and the apoplexy specific quality of life scale (SS-QOL-E) scale were scored, and the adverse reactions were recorded to evaluate the clinical efficacy of Moxibustion in patients with post-stroke fatigue. After the course of treatment, the data were analyzed with SPSS 17 statistical software, with a significant difference in P0.05. Results: 1. studies 60 cases of post-stroke fatigue were included, of which 31 cases in the observation group and 29 cases in the control group. During the study, 3 cases were dropped out of the observation group, of which 1 cases were lost because of the sudden anal abscess in the hospital during the hospitalization, and the 1 cases fell off because of the refusal to cooperate with the treatment. The 1 cases were discharged from the hospital during the period of residence and were unable to complete the intervention course. The whole test and observation index were completed according to the requirements of the control group. Finally, 57 cases were included in this study, including 28 in the observation group and 29 in the control group. Before the intervention, the two groups were in sex, age, occupation, marital status, and educational level. Billing type, stroke type, stroke location, TCM syndrome, history, history, fatigue, and quality of life after stroke were all balanced (P0.05), with no statistically significant difference, with comparable.2. in the degree of fatigue, two groups of fatigue scores (including MFI-20 score, FSS fatigue score) before and after 6,12 day after the intervention. The decline trend of the two types of fatigue scores in the observation group was better than that of the control group. The difference of the two groups was statistically significant (P0.05). The MFI-20 scores of the two groups were statistically significant (P0.05) before and after the intervention in the 6,12 day group (all P0.05). Two groups of MFI- were statistically significant (P0.05). The difference between the score of the 20 scale (third days after the intervention) was statistically significant (P0.05). There was no significant difference in the difference between the score of the MFI-20 scale (twelfth days after the intervention and sixth days after the intervention). The two group of FSS (sixth days before intervention), the difference in fatigue score, and the fatigue evaluation of FSS (twelfth days of dry prognosis, sixth days after the dry prognosis) The difference was statistically significant (all P0.05). In the safety evaluation, 28 patients with moxibustion were treated with moxibustion, without scald, blister, break and other phenomena, and other obvious discomfort or adverse reactions. Conclusion: 1. moxibustion at Zusanli can relieve the clinical symptoms of patients with post stroke fatigue and relieve the patients. The degree of fatigue and improvement of patients' fatigue symptoms.2. moxibustion Zusanli can improve the quality of life of patients with post stroke fatigue, help to control the progress of the patients, and enhance the confidence of the patients to restore their health..3. moxibustion therapy is simple and convenient, the effect is safe and reliable, and it is worthy of clinical application.
【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】：2017
【分類號(hào)】：R248.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 謝高生;翟志永;高旭萍;馮娟;閆榮;;卒中后疲勞的相關(guān)影響因素及發(fā)病機(jī)制研究進(jìn)展[J];中國(guó)全科醫(yī)學(xué);2016年02期

2 于川;申斌;許世聞;;不同留針時(shí)間對(duì)缺血性腦卒中后疲勞患者生活質(zhì)量的影響[J];針灸臨床雜志;2015年06期

3 于川;申斌;;不同針刺間隔時(shí)間對(duì)中風(fēng)后疲勞的影響[J];河北中醫(yī);2015年04期

4 尹春月;任毅;張勇;;耳穴貼壓改善腦卒中后失眠患者睡眠狀況的臨床觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2015年07期

5 申斌;于川;王磊;劉福奇;鄒憶懷;;三仙地黃飲治療中風(fēng)后疲勞45例療效觀察[J];北京中醫(yī)藥;2015年01期

6 崔清風(fēng);熊冰;;腦卒中后疲勞評(píng)估及治療的研究進(jìn)展[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;2014年12期

7 李文輝;;卒中后疲勞風(fēng)險(xiǎn)因素的相關(guān)分析[J];山東醫(yī)藥;2014年25期

8 張立波;馬修堂;王楊;胡西;劉杰;梁濤;代新年;;高壓氧治療對(duì)卒中后疲勞的影響[J];中國(guó)療養(yǎng)醫(yī)學(xué);2014年06期

9 譚瑜;;中風(fēng)后疲勞應(yīng)用自擬玉郎消疲湯治療的臨床療效探究[J];中醫(yī)臨床研究;2014年11期

10 孫新亭;遲倩倩;王曉艷;;大補(bǔ)肝湯治療卒中后疲勞的臨床效果[J];中國(guó)康復(fù)理論與實(shí)踐;2014年03期

相關(guān)會(huì)議論文 前1條

1 陳紅霞;郭友華;歐海寧;詹樂昌;;中風(fēng)后疲勞的中醫(yī)證候分布規(guī)律及影響因素初探[A];中國(guó)康復(fù)醫(yī)學(xué)會(huì)第十一屆全國(guó)腦血管病康復(fù)學(xué)術(shù)會(huì)議論文匯編[C];2008年

相關(guān)博士學(xué)位論文 前2條

1 林玉敏;艾灸對(duì)慢性疲勞模型大鼠的免疫干預(yù)及臨床研究[D];廣州中醫(yī)藥大學(xué);2014年

2 趙麗;艾灸對(duì)慢性疲勞模型大鼠神經(jīng)內(nèi)分泌免疫系統(tǒng)的影響[D];廣州中醫(yī)藥大學(xué);2012年

相關(guān)碩士學(xué)位論文 前10條

1 郭玉懷;揚(yáng)刺百會(huì)穴結(jié)合康復(fù)訓(xùn)練治療卒中后疲勞的臨床療效觀察[D];黑龍江中醫(yī)藥大學(xué);2016年

2 黃珍;腹針結(jié)合康復(fù)訓(xùn)練對(duì)卒中后疲勞的療效觀察及機(jī)制研究[D];廣州中醫(yī)藥大學(xué);2015年

3 鄒利云;培元還五湯合康復(fù)治療對(duì)PoSF療效及血清致炎因子的影響[D];廣州中醫(yī)藥大學(xué);2014年

4 龐秀霏;耳穴壓豆聯(lián)合電針在腹部術(shù)后疼痛護(hù)理中的應(yīng)用研究[D];廣州中醫(yī)藥大學(xué);2014年

5 陳曦;住院腦卒中患者希望、應(yīng)對(duì)方式與生活質(zhì)量相關(guān)性的研究[D];山西醫(yī)科大學(xué);2013年

6 黎小雅;培元還五湯改善中風(fēng)后疲勞提高運(yùn)動(dòng)功能的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

7 郭芳芳;艾灸關(guān)元中脘穴結(jié)合針刺治療中風(fēng)后軟癱的臨床療效[D];南京中醫(yī)藥大學(xué);2012年

8 鄔卓文;艾灸對(duì)運(yùn)動(dòng)性疲勞大鼠行為學(xué)及血清IL-1β、IL-6、TNF-α影響的實(shí)驗(yàn)研究[D];北京中醫(yī)藥大學(xué);2011年

9 宋新劍;加味補(bǔ)陽還五湯配合現(xiàn)代康復(fù)對(duì)中風(fēng)后疲勞患者血清炎性因子的影響[D];廣州中醫(yī)藥大學(xué);2011年

10 王知非;腦卒中后疲勞與中醫(yī)證型的相關(guān)性研究[D];廣州中醫(yī)藥大學(xué);2009年

，

本文編號(hào)：1955719