【摘要】：目的:觀察眼針治療中風后構音障礙患者的療效,為臨床提供一種更有效、可行的治療方案。對象與方法:選擇2015年1月-2015年12月遼寧中醫(yī)藥大學附屬醫(yī)院康復中心腦病康復二科中風后構音障礙患者80例,均符合診斷標準和納入標準。將80例患者隨機分為試驗組和對照組,每組各40例。其中試驗組男性21例,女性19例,年齡最大者77歲,最小者51歲,平均年齡65.12歲,腦出血13例,腦梗死27例。對照組男性26例,女性14例,年齡最大者74歲,最小者54歲,平均年齡64.25歲,腦出血14例,腦梗死26例。兩組均進行中風后常規(guī)藥物治療,試驗組加用眼針,選取上焦穴、下焦穴、心穴、脾穴。操作方法:使用“眼針運動療法”針具,用鑷子將針快速刺入穴區(qū),患者得氣后留針30分鐘,每日1次,四周1個療程。對照組加用體針,選取廉泉、百會、人中、腦戶、風池、翳風穴。操作方法:選用華佗牌0.25*30mm號針灸針,采用平補平瀉進針法,患者得氣后留針30分鐘,每日1次,四周1個療程。采用改良Frenchay構音障礙評定量表評定,觀察兩組患者構音功能的恢復情況。結果:試驗組40例,顯效18例,有效16例,無效6例,總有效率85.00%。對照組40例,顯效9例,有效16例,無效15例,總有效率62.50%。試驗組患者構音障礙改善情況明顯優(yōu)于對照組(P0.05)。結論:1.眼針改善中風患者構音障礙療效優(yōu)于對照組;2.眼針以其療效肯定,便于帶針康復等優(yōu)勢,值得臨床廣泛推廣應用。
[Abstract]:Objective: to observe the effect of eye acupuncture on postapoplectic dysarthria. Participants and methods: 80 patients with post-stroke dysarthria were selected from January 2015 to December 2015 in the Rehabilitation Center of affiliated Hospital of Liaoning University of traditional Chinese Medicine. 80 patients were randomly divided into experimental group and control group with 40 cases in each group. There were 21 males and 19 females in the experimental group, the oldest was 77 years old, the youngest was 51 years old, the average age was 65.12 years old, 13 cases had cerebral hemorrhage and 27 cases had cerebral infarction. The control group consisted of 26 males and 14 females, the oldest being 74 years old and the youngest 54 years old, with an average age of 64.25 years, cerebral hemorrhage in 14 cases and cerebral infarction in 26 cases. Both groups were treated with routine medicine after stroke, the experimental group was treated with eye acupuncture, and the points of upper Jiao, Xijiao, Xin and spleen were selected. Operation method: using "eye acupuncture exercise therapy" needle, using tweezers to quickly needle into the point area, the patient after Qi retention needle 30 minutes, once a day, four weeks a course of treatment. In the control group, Lianquan, Baihui, Naohu, Fengchi and Yifeng were selected. Operation method: adopt 0.25*30mm acupuncture needle of Huatuo brand, adopt the method of flat tonifying and purging into the needle, keep the needle for 30 minutes after getting qi, once a day, for four weeks for a course of treatment. The improved Frenchay dysarthria scale was used to evaluate the recovery of the articulation function in the two groups. Results: in the test group, there were 40 cases, 18 cases marked effect, 16 cases effective and 6 cases ineffective. The total effective rate was 85.00%. There were 40 cases in control group, 9 cases in marked effect, 16 cases in effective and 15 cases in ineffectiveness. The total effective rate was 62.50%. The improvement of dysarthria in the trial group was significantly better than that in the control group (P0.05). Conclusion 1. The effect of eye acupuncture on dysarthria in stroke patients was better than that in control group. Eye needle is worthy of extensive clinical application because of its definite curative effect and convenient rehabilitation with needle.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6
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本文編號：2174445