通元針法治療中風(fēng)后遺癥的臨床研究
發(fā)布時間：2018-08-11 11:46
【摘要】：目的:本臨床實驗采用隨機對照研究,將例中風(fēng)后遺癥患者按照隨機分組原則分為2組,其中治療組采用通元針法,對照組單純采用傳統(tǒng)針灸治療,進行對比觀察。療程為7天,兩個療程后,采用Barthel指數(shù)評分、FIM評分、腦卒中后偏癱恢復(fù)六階段測評、臨床總體療效評價標(biāo)準(zhǔn)觀察實驗兩組對中風(fēng)后遺癥的臨床療效,進一步驗證通元針法治療中風(fēng)后遺癥的臨床療效,初步探討通元針法的理論特色。方法:將符合納入標(biāo)準(zhǔn)的60例中風(fēng)后遺癥患者按照隨機分組原則分為2組,兩組在基礎(chǔ)藥物治療的基礎(chǔ)上,治療組(A組)采用通元針法治療,對照組(B組)采用普通針刺療法治療。兩組留針時間相同。治療組與對照組每日治療1次,七天為1個療程,共治療2個療程。治療前后均應(yīng)用Barthel指數(shù)評分、FIM評分、腦卒中后偏癱恢復(fù)六階段測評對患者進行病情程度評估,2個療程結(jié)束后對患者進行臨床總體療效評價。統(tǒng)計方法:兩組計數(shù)資料采用獨立樣本t檢驗,分類資料(如性別)采用卡方檢驗,等級資料用雙樣本秩和檢驗,自身前后比較用配對t檢驗或配對秩和檢驗。結(jié)果：1.治療前,兩組在年齡、性別、日常生活活動能力量表(Barthel指數(shù)評分)、功能獨立測定(FIM評分)、腦卒中后偏癱恢復(fù)六階段評定(Brunnstrom評定)無統(tǒng)計學(xué)差別(P0.05),兩組具有可比性。2.治療后Barthel指數(shù)評分:t=8.012,p=0.0000.01,說明兩組評分存在差異(P0.01),結(jié)果有統(tǒng)計學(xué)意義。治療組前后Barthel指數(shù)評分自身對照比較,t=-12.711,p=0.0000.01,說明在Barthel指數(shù)評分方面,治療組治療前后差異明顯,結(jié)果有統(tǒng)計學(xué)意義。對照組前后Barthel指數(shù)評分自身對照比較,t=-5.410,p=0.0000.01,說明在Barthel指數(shù)評分方面,對照組治療前后差異明顯,結(jié)果有統(tǒng)計學(xué)意義。3.治療后FIM評分:t=7.55,p=0.0000.01,說明兩組治療后FIM評分具有統(tǒng)計學(xué)差異(P0.01),結(jié)果有統(tǒng)計學(xué)意義。治療組前后FIM評分自身對照比較,t=-16.912,p=0.0000.01,說明在FIM評分方面,治療組治療前后差異明顯,結(jié)果有統(tǒng)計學(xué)意義。對照組前后FIM評分自身對照比較,t=-8.993,p=0.0000.01,說明在FIM評分方面,對照組治療前后差異明顯,結(jié)果有統(tǒng)計學(xué)意義。4.治療后腦卒中后偏癱恢復(fù)六階段測評:通過對兩組治療后各階段例數(shù)進行秩和檢驗,Z=-1.632,p=0.1030.05,兩組治療前兩組Brunnstrom評定分布差異不明顯,說明治療后兩組在中風(fēng)后偏癱恢復(fù)各階段病例數(shù)對比不具有統(tǒng)計學(xué)意義。5.治療后總體療效對比:通過秩和檢驗分析得出:Z=-2.508,p=0.0120.05,說明兩組在總體療效上存在顯著差異,結(jié)果具有統(tǒng)計學(xué)意義。結(jié)論:1.治療前,兩組在性別、年齡方面不具有統(tǒng)計學(xué)差異,在病情程度方面,包括日常生活活動能力量表(Barthel指數(shù)評分)、功能獨立測定(FIM評分)、腦卒中后偏癱恢復(fù)六階段評定(Brunnstrom評定)均不具有統(tǒng)計學(xué)差異,保證了兩組的實驗數(shù)據(jù)的可對比性。2.治療后,通過對Barthel指數(shù)評分、FIM評分兩組組內(nèi)治療前后對比統(tǒng)計學(xué)分析得出結(jié)果均具有差異性(P0.01),說明兩種治療方法均可以明顯改善患者的病情。而組間比較則治療組在Barthel指數(shù)評分、FIM評分方面均與對照組有顯著差異,說明治療采用的療法對患者的評分情況改善程度優(yōu)于對照組。3.通過對兩組治療后總體療效的對比,治療組總有效率優(yōu)于對照組,并且在顯效方面優(yōu)于對照組,本次課題兩組均沒有發(fā)現(xiàn)臨床治愈病例。4.在Brunnstrom評定方面,兩組在治療前后各階段病例數(shù)對比均不具有顯著差異性,說明在腦卒中后偏癱恢復(fù)六階段評定方面,兩組療效不具有統(tǒng)計學(xué)意義。
[Abstract]:Objective:To study the clinical effect of Tongyuan Acupuncture on stroke sequelae by randomized controlled study.The treatment group was treated with Tongyuan Acupuncture and the control group was treated with traditional acupuncture. Methods: 60 patients with stroke sequelae were divided into two groups according to the principle of random grouping, and the two groups were divided into two groups. On the basis of basic drug therapy, the treatment group (group A) was treated with Tongyuan acupuncture, while the control group (group B) was treated with ordinary acupuncture. The needle retention time of the two groups was the same. Stage assessment was used to assess the severity of the disease and two courses were completed to evaluate the overall clinical efficacy of the patients. Before treatment, there was no significant difference between the two groups in age, sex, activity of daily living scale (Barthel index score), functional independence test (FIM score), stroke recovery six-stage assessment (Brunnstrom assessment), the two groups were comparable. 2. After treatment, Barthel index score: t = 8.012, P = 0.0000.01, indicating that the two groups were evaluated. Barthel index score before and after treatment group self-control comparison, t = - 12.711, P = 0.0000.01, indicating that the Barthel index score before and after treatment in the treatment group, the difference was significant, the results were statistically significant. In Barthel index score, the control group before and after treatment significant difference, the results were statistically significant. 3. After treatment FIM score: t = 7.55, P = 0.0000.01, indicating that the two groups after treatment FIM score was statistically significant (P 0.01), the results were statistically significant. Compared with the control group, the FIM score of the control group before and after treatment was t = - 8.993, P = 0.0000.01, indicating that the FIM score of the control group before and after treatment was significantly different, the results were statistically significant. Rank sum test, Z = - 1.632, P = 0.1030.05, the two groups before treatment Brunnstrom evaluation distribution difference is not significant, indicating that the two groups after treatment in the recovery of hemiplegia after stroke in different stages of the number of cases compared has no statistical significance.5. After treatment, the overall efficacy of comparison: through rank sum test analysis: Z = - 2.508, P = 0.0120.05, indicating that the two groups in the overall situation. Before treatment, there was no significant difference in gender and age between the two groups, including the degree of disease, including activity of daily living scale (Barthel index score), functional independence test (FIM score), stroke recovery six-stage assessment (Brunnstrom assessment) of hemiplegia. 2. There was no statistical difference between the two groups, which ensured the comparability of the experimental data. 2. After treatment, through the Barthel index score, FIM score of the two groups before and after treatment, the results were statistically different (P 0.01), indicating that the two treatment methods can significantly improve the patient's condition. Hel index score, FIM score were significantly different from the control group, indicating that the treatment used to improve the patient's score is better than the control group. 3. By comparing the overall efficacy of the two groups after treatment, the total effective rate of the treatment group is better than the control group, and is better than the control group in the significant effect, the two groups have not found impending. In Brunnstrom evaluation, there was no significant difference in the number of cases between the two groups before and after treatment, indicating that there was no statistical significance in the six-stage evaluation of hemiplegia recovery after stroke.
【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
本文編號：2176908
[Abstract]:Objective:To study the clinical effect of Tongyuan Acupuncture on stroke sequelae by randomized controlled study.The treatment group was treated with Tongyuan Acupuncture and the control group was treated with traditional acupuncture. Methods: 60 patients with stroke sequelae were divided into two groups according to the principle of random grouping, and the two groups were divided into two groups. On the basis of basic drug therapy, the treatment group (group A) was treated with Tongyuan acupuncture, while the control group (group B) was treated with ordinary acupuncture. The needle retention time of the two groups was the same. Stage assessment was used to assess the severity of the disease and two courses were completed to evaluate the overall clinical efficacy of the patients. Before treatment, there was no significant difference between the two groups in age, sex, activity of daily living scale (Barthel index score), functional independence test (FIM score), stroke recovery six-stage assessment (Brunnstrom assessment), the two groups were comparable. 2. After treatment, Barthel index score: t = 8.012, P = 0.0000.01, indicating that the two groups were evaluated. Barthel index score before and after treatment group self-control comparison, t = - 12.711, P = 0.0000.01, indicating that the Barthel index score before and after treatment in the treatment group, the difference was significant, the results were statistically significant. In Barthel index score, the control group before and after treatment significant difference, the results were statistically significant. 3. After treatment FIM score: t = 7.55, P = 0.0000.01, indicating that the two groups after treatment FIM score was statistically significant (P 0.01), the results were statistically significant. Compared with the control group, the FIM score of the control group before and after treatment was t = - 8.993, P = 0.0000.01, indicating that the FIM score of the control group before and after treatment was significantly different, the results were statistically significant. Rank sum test, Z = - 1.632, P = 0.1030.05, the two groups before treatment Brunnstrom evaluation distribution difference is not significant, indicating that the two groups after treatment in the recovery of hemiplegia after stroke in different stages of the number of cases compared has no statistical significance.5. After treatment, the overall efficacy of comparison: through rank sum test analysis: Z = - 2.508, P = 0.0120.05, indicating that the two groups in the overall situation. Before treatment, there was no significant difference in gender and age between the two groups, including the degree of disease, including activity of daily living scale (Barthel index score), functional independence test (FIM score), stroke recovery six-stage assessment (Brunnstrom assessment) of hemiplegia. 2. There was no statistical difference between the two groups, which ensured the comparability of the experimental data. 2. After treatment, through the Barthel index score, FIM score of the two groups before and after treatment, the results were statistically different (P 0.01), indicating that the two treatment methods can significantly improve the patient's condition. Hel index score, FIM score were significantly different from the control group, indicating that the treatment used to improve the patient's score is better than the control group. 3. By comparing the overall efficacy of the two groups after treatment, the total effective rate of the treatment group is better than the control group, and is better than the control group in the significant effect, the two groups have not found impending. In Brunnstrom evaluation, there was no significant difference in the number of cases between the two groups before and after treatment, indicating that there was no statistical significance in the six-stage evaluation of hemiplegia recovery after stroke.
【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
【參考文獻】
相關(guān)期刊論文 前10條
1 宋志超;李國威;王佩;王翠;寇少杰;鄧鈺杰;韓祖成;;建瓴湯治療中風(fēng)60例[J];陜西中醫(yī);2013年02期
2 王瑞峰;王新明;;顳三針為主治療中風(fēng)偏癱50例[J];中國民間療法;2012年12期
3 杜保東;王建國;;王氏夾脊穴治療中風(fēng)54例[J];陜西中醫(yī);2012年10期
4 張曦;王世娟;王恩龍;;運用石學(xué)敏“醒腦開竅”針法治療中風(fēng)的研究[J];實用中醫(yī)內(nèi)科雜志;2012年04期
5 賴龍勝;胡玲香;;華佗夾脊穴配合體針分型治療中風(fēng)250例[J];光明中醫(yī);2012年03期
6 武繼濤;;張錫純中風(fēng)學(xué)術(shù)思想探討[J];中國醫(yī)藥導(dǎo)報;2011年30期
7 王鵬琴;王健;周鴻飛;;眼針對急性腦梗死患者神經(jīng)功能缺損及血漿纖維蛋白原水平的影響[J];上海針灸雜志;2008年03期
8 郭閆萍;;醒腦開竅針刺法對針灸治療中風(fēng)的貢獻[J];針灸臨床雜志;2007年11期
9 熊杰;張(豐韋);李亞東;郭捷;石學(xué)敏;;醒腦開竅針刺法治療超早期腦梗死的臨床觀察[J];武警醫(yī)學(xué);2006年06期
10 管遵惠;;針灸治療中風(fēng)病的研究進展及展望[J];云南中醫(yī)學(xué)院學(xué)報;2006年01期
相關(guān)會議論文 前1條
1 林遠方;朱其廣;鄭曉斌;劉特熹;;調(diào)和陰陽法治療中風(fēng)病療效觀察及對血管內(nèi)皮素(ET)的影響[A];廣東省針灸學(xué)會第十一次學(xué)術(shù)研討會論文匯編[C];2010年
相關(guān)碩士學(xué)位論文 前1條
1 夏榮蓉;鎮(zhèn)肝熄風(fēng)湯治療出血性中風(fēng)的理論探討與實驗研究[D];南京中醫(yī)藥大學(xué);2006年
，本文編號：2176908
本文鏈接：http://sikaile.net/zhongyixuelunwen/2176908.html
最近更新
教材專著
