本文選題：腦卒中后感覺障礙 + 舌針��； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:研究舌針治療腦卒中后感覺障礙的臨床療效,以評價舌針治療腦卒中后感覺障礙的優(yōu)效性,為舌針治療腦卒中后感覺障礙提供臨床依據(jù)。方法:將70例腦卒中后感覺障礙的合格受試者隨機(jī)分為治療組(舌針+常規(guī)針刺組)和對照組(常規(guī)針刺組)2組,每組35例。常規(guī)針刺組采用徐恒澤主編的《針灸學(xué)》中"中風(fēng)病"的取穴方案:肩毭、曲池、手三里、合谷、外關(guān)、環(huán)跳、足三里、陽陵泉、昆侖、解溪。治療組在常規(guī)針刺治療的基礎(chǔ)上,應(yīng)用孫介光的《實(shí)用舌針學(xué)》中"腦血管意外"治療方案:主穴:襞中穴、腦靈穴、腦中穴、腦源穴、頸穴、心穴。配穴:舌下襞腫脹區(qū)域、舌下節(jié)結(jié)處、顏色形態(tài)異常反應(yīng)點(diǎn)。兩組均為每天治療1次,6天為1個療程,療程間休息1天,共2個療程。分別在治療前、治療中(治療6次后)、治療結(jié)束時(治療12次后)進(jìn)行療效評價。療效評價:感覺障礙評定采用感覺障礙評定積分表(改進(jìn)Fugl—Meyer及Lind-mark評價法)、運(yùn)動功能評定采用Fugl-me yer運(yùn)動量表、日常生活能力評定采用改良Barthel指數(shù)評定量表(MBI)。結(jié)果:(一)兩組患者的一般情況,如性別、年齡、病程、治療前感覺障礙評定積分表(改進(jìn)Fugl—Meyer及Lindmark評價法)、Fugl-meyer運(yùn)動量表、改良Barthel指數(shù)評定量表(MBI)評分情況比較,差異均無統(tǒng)計學(xué)意義(P0.05),具有可比性。(二)療效分析:1.組內(nèi)比較:兩組的感覺障礙評定積分表、Fugl-meyer運(yùn)動量表、MBI量表在治療前、第6次治療后、第12次治療后組內(nèi)比較,第6次治療后優(yōu)于治療前(P0.001),第12次治療后優(yōu)于第6次治療后(P0.001),第12次治療后優(yōu)于治療前(P0.001),提示兩種針刺療法均能改善患者感覺、運(yùn)動功能及提高日常生活能力。2.組間比較:感覺障礙評定積分表第6次治療后、第12次治療后組間比較,治療組優(yōu)于對照組(P0.001);Fugl-meyer運(yùn)動量表第6次治療后、第12次治療后組間比較,治療組優(yōu)于對照組(P0.001);MBI量表第6次治療后、第12次治療后組間比較,治療組優(yōu)于對照組(P0.001)。提示舌針結(jié)合常規(guī)針刺組(治療組)在改善患者感覺、運(yùn)動功能及日常生活能力方面均優(yōu)于常規(guī)針刺組(對照組),舌針在改善感覺、運(yùn)動功能及日常生活能力方面療效確切。結(jié)論:舌針與常規(guī)體針均可改善腦卒中后感覺障礙患者的感覺、運(yùn)動功能及日常生活能力,且舌針結(jié)合常規(guī)體針在改善感覺、運(yùn)動功能及日常生活能力方面較常規(guī)針刺效果顯著。
[Abstract]:Objective: to study the clinical effect of tongue acupuncture on sensory disorders after stroke, to evaluate the efficacy of tongue acupuncture in treating poststroke sensory disorders, and to provide clinical basis for tongue acupuncture treatment of poststroke sensory disorders. Methods: 70 eligible subjects with sensory disorders after stroke were randomly divided into treatment group (tongue acupuncture group) and control group (conventional acupuncture group 2), with 35 cases in each group. In the routine acupuncture group, the acupoints of apoplexy in Xu Hengze's Science of Acupuncture and moxibustion were selected as follows: shoulder, Quchi, hand, Hegu, Waiguan, Ring-Jump, Zusanli, Yanglingquan, Kunlun, and Jiexi. On the basis of routine acupuncture therapy, the treatment group was treated with "cerebrovascular accident" in Sun Jie-guang 's "practical tongue Acupuncture": main points: central point in the fold, point in the brain, point in the source of the brain, point in the neck and the point in the heart. Matching points: sublingual plica swelling area, sublingual ganglion node, color shape abnormal reaction point. The two groups were treated once a day for 6 days as a course of treatment, and between courses of treatment for 1 day, a total of 2 courses of treatment. The therapeutic effect was evaluated before and after treatment (6 times after treatment and 12 times after treatment). The sensory disorders were evaluated with the sensory dysfunction scale (improved Fugl-Meyer and Lind-mark method), the motor function was evaluated by Fugl-me yer exercise volume table, and the ability of daily living was evaluated by modified Barthel Index. Results the general situation of the two groups, such as gender, age, course of disease, scores of sensory disorders before treatment (improved Fugl-Meyer and Lindmark evaluation method) and modified Barthel Index scale (MBI), were compared between the two groups. The differences were not statistically significant (P 0.05) and were comparable. (2) Therapeutic Analysis: 1. Intra-group comparison: the two groups were compared with the Fugl-meyer exercise volume scale before treatment, after the sixth treatment, and after the 12th time of treatment with the Fugl-meyer exercise Meter scale MBI before and after the treatment. After the sixth treatment, it was better than that before treatment (P 0.001), after the twelfth treatment (P 0.001) and after the 12th treatment (P 0.001), it was better than that before treatment (P 0.001). It was suggested that the two kinds of acupuncture therapy could improve the feeling, motor function and daily life ability of the patients. Comparison between groups: after the sixth treatment and the 12th time treatment, the comparison between the treatment group and the control group was better than that in the control group after the sixth treatment and the 12th time treatment. The treatment group was better than the control group (P 0.001) after the sixth treatment and the 12th time treatment. The treatment group was superior to the control group (P 0.001). The results suggest that the tongue acupuncture combined with conventional acupuncture group (treatment group) is more effective than the conventional acupuncture group in improving the feeling, motor function and daily living ability of the patients (control group, tongue acupuncture is effective in improving sensation, motor function and daily living ability). Conclusion: tongue acupuncture and routine body acupuncture can improve sensation, motor function and daily living ability of patients with sensory disorders after stroke, and tongue acupuncture combined with conventional body acupuncture can improve feeling. The effect of motor function and daily life ability was more remarkable than that of routine acupuncture.
【學(xué)位授予單位】：廣州中醫(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
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本文編號：2010128