本文選題：外展神經(jīng)麻痹 + 電針��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過比較透刺風(fēng)池穴配合電針治療外展神經(jīng)麻痹與傳統(tǒng)針刺治療外展神經(jīng)麻痹的臨床療效,為臨床提供更高效、簡(jiǎn)便的治療方案。方法:收集黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院針灸科門診及針灸科病房符合標(biāo)準(zhǔn)被納入的60例外展神經(jīng)麻痹患者隨機(jī)分為兩組;包括透刺風(fēng)池穴配合電針治療外展神經(jīng)麻痹的治療組30例,及傳統(tǒng)針刺治療外展神經(jīng)麻痹的對(duì)照組30例。治療方法:對(duì)照組選取病側(cè)的太陽、睛明、魚腰、攢竹、絲竹空、瞳子毼,雙側(cè)的足三里、太沖、合谷、三陰交。各穴進(jìn)針約0.5寸,進(jìn)針后行平補(bǔ)平瀉法。得氣后患側(cè)太陽與絲竹空連接電針儀的正負(fù)極(太陽連正極、絲竹空連接負(fù)),攢竹與魚腰連接電針儀的正負(fù)極(攢竹連正極、魚腰連接負(fù)),同側(cè)的足三里與太沖連接電針儀的正負(fù)極(足三里連正極、太沖連接負(fù))。治療組在對(duì)照組的基礎(chǔ)上加風(fēng)池穴,風(fēng)池穴進(jìn)針時(shí)針尖朝對(duì)側(cè)風(fēng)池穴方向快速進(jìn)針約1.5寸后行快速捻轉(zhuǎn)手法,對(duì)側(cè)風(fēng)池以相同的手法操作。進(jìn)針得氣后將雙側(cè)風(fēng)池連接電麻儀的正負(fù)極,頻率為20Hz,波形為連續(xù)波,強(qiáng)度為患者可以耐受為宜,持續(xù)15分鐘。共留針30分鐘,十分鐘行針一次,日一次。每周進(jìn)行針灸治療5天,休息2天。28天為一治療療程,共兩療程。通過對(duì)比治療組與對(duì)照組1個(gè)療程,2個(gè)療程各個(gè)階段治療的效果。分別對(duì)患者治療的總有效率及復(fù)視、斜視、惡心、代償頭位、眩暈的恢復(fù)程度進(jìn)行綜合性評(píng)分,利用SPSS20.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行處理與分析。結(jié)果:經(jīng)過統(tǒng)計(jì)學(xué)的分析得出,兩組患者的癥狀都有明顯的改變,治療組的改善程度明顯優(yōu)于對(duì)照組;兩組患者治療前后斜視度的比較具有顯著差異,P0.05,有統(tǒng)計(jì)學(xué)意義。治療組:治愈11例,顯效10例,有效8例,無效1例,總有效率為97%。對(duì)照組:治愈4例,顯效9例,有效15例,無效2例,總有效率為93%。治療組的總有效率高于對(duì)照組的總有效率,兩者比較、P0.05,有統(tǒng)計(jì)學(xué)意義。治療期間,全部患者無不良事件。結(jié)論:通過治療組與對(duì)照組臨床療效的對(duì)比得出:兩組治療對(duì)外展神經(jīng)麻痹均有療效。治療組透刺風(fēng)池穴配合電針治療外展神經(jīng)麻痹臨床療效顯著,對(duì)于外展神經(jīng)麻痹疾病的患者可施用此方法治療,操作簡(jiǎn)便可行。
[Abstract]:Objective: to compare the clinical effect of penetrating acupuncture on Fengchi point combined with electroacupuncture on abducent nerve paralysis and traditional acupuncture on abducent nerve paralysis, and to provide a more effective and simple treatment scheme for clinical treatment. Methods: 60 cases of abducent nerve palsy were randomly divided into two groups: the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine, Department of Acupuncture and moxibustion Department and Acupuncture ward were included in the standard of 60 cases of abducent nerve paralysis; The treatment group consisted of 30 cases of abducens nerve paralysis treated with penetration of Fengchi point and electroacupuncture, and 30 cases of control group of traditional acupuncture treatment of abducens nerve paralysis. Treatment: control group selected the diseased side of the sun, clear, fish waist, save bamboo, bamboo empty, pupil, bilateral Zusanli, Taichong, Hegu, Sanyinjiao. Each point into the needle about 0.5 inch, into the needle after the flat-tonifying flat-diarrhea method. After getting qi, the affected side of the sun connects the positive and negative poles of the electroacupuncture instrument with the silk bamboo space (the sun connects the positive poles, the silk bamboo space connects the negative ones), and the savings bamboo and the fish waist connect the positive and negative electrodes of the electroacupuncture apparatus (Zanzhu connected with the positive poles). Fish waist connection negative, the same side of Zusanli and too impulse connection of the positive and negative electroacupuncture instrument (Zusanli connected to the positive pole, too strong connection negative). In the treatment group, on the basis of the control group, the point of Fengchi was added to the Fengchi point, and the tip of the needle to the opposite side of the Fengchi point was rapidly injected into the direction of the opposite wind pool about 1.5 inches later, and the opposite side of the wind pool was operated with the same technique. The positive and negative electrodes of the apparatus were connected to the two wind pools after the injection of gas, the frequency was 20 Hz, the waveform was continuous wave, and the intensity was suitable for the patient to tolerate for 15 minutes. A total of 30 minutes, 10 minutes needle once, once a day. Acupuncture and moxibustion for 5 days a week, rest 2 days. 28 days as a course of treatment, a total of two courses. By comparing the treatment group and the control group one course of treatment, two courses of treatment of each stage of the effect. The total effective rate and recovery degree of diplopia, strabismus, nausea, compensatory head position and vertigo were evaluated. SPSS 20.0 statistical software was used to process and analyze the data. Results: after statistical analysis, the symptoms of the two groups were obviously changed, the improvement of the treatment group was obviously better than that of the control group, and the difference of strabismus between the two groups was significant (P 0.05). In the treatment group, 11 cases were cured, 10 cases were markedly effective, 8 cases were effective and 1 case was ineffective. The total effective rate was 97%. In the control group, 4 cases were cured, 9 cases were markedly effective, 15 cases were effective and 2 cases were ineffective. The total effective rate was 93%. The total effective rate of the treatment group was higher than that of the control group (P 0.05). During the treatment, all patients had no adverse events. Conclusion: by comparing the clinical effect of treatment group and control group, it is concluded that both groups have curative effect on abducens nerve paralysis. In the treatment group, acupuncture at Fengchi point combined with electroacupuncture was effective in the treatment of abducent nerve paralysis, and it was simple and feasible to treat the patients with abducent nerve paralysis.
【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

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 牛西武;吳敏;孫濤;李會(huì)媛;羅文娟;閔陽;王麗榮;;自擬健脾通絡(luò)湯聯(lián)合西藥治療糖尿病性動(dòng)眼神經(jīng)麻痹的臨床觀察[J];中國(guó)中醫(yī)藥科技;2016年06期

2 薛鳳蕊;;復(fù)方樟柳堿配合針刺治療老年人眼外肌麻痹的療效分析[J];中國(guó)現(xiàn)代醫(yī)生;2016年19期

3 黃玲;王磊;尹世敏;王佳楠;陳紅;李秋俐;;外傷性頸內(nèi)動(dòng)脈海綿竇段動(dòng)脈瘤導(dǎo)致外展神經(jīng)麻痹1例并文獻(xiàn)復(fù)習(xí)[J];神經(jīng)損傷與功能重建;2016年02期

4 趙蘭風(fēng);馬洪舉;林國(guó)華;;原絡(luò)配穴針刺治療外展神經(jīng)麻痹1例[J];中醫(yī)外治雜志;2016年01期

5 趙靜;張建;;針刺聯(lián)合α-硫辛酸治療糖尿病性眼肌麻痹的臨床觀察[J];中國(guó)中醫(yī)眼科雜志;2015年06期

6 馬朝廷;楊迎新;馬秋艷;張丹丹;趙彥萍;李喜文;;電針改善單純外展神經(jīng)麻痹性眼球運(yùn)動(dòng)障礙的臨床分析[J];國(guó)際眼科雜志;2015年12期

7 董潔玉;;肌注神經(jīng)生長(zhǎng)因子治療糖尿病合并急性外展神經(jīng)麻痹的臨床療效[J];神經(jīng)損傷與功能重建;2015年06期

8 王紅秀;;張玉蓮治療外展神經(jīng)麻痹驗(yàn)案1則[J];湖南中醫(yī)雜志;2015年10期

9 費(fèi)遠(yuǎn)麗;楊光;;針刺眼周穴聯(lián)合眼外直肌穴治療展神經(jīng)麻痹臨床研究[J];上海針灸雜志;2015年08期

10 李曉寧;趙冬杰;趙普;;用滯針動(dòng)療法對(duì)1例外展神經(jīng)麻痹患者進(jìn)行治療的效果研究[J];當(dāng)代醫(yī)藥論叢;2015年03期

，

本文編號(hào)：2092377