【摘要】：目的:觀察對比傳統(tǒng)針法與圍刺丘墟穴為主治療中風(fēng)后足內(nèi)翻的臨床療效及有效性,為醫(yī)學(xué)上治療足內(nèi)翻提供一種更好、更簡便的治療方法。方法:本課題研究將60例患者符合納入標(biāo)準(zhǔn),按隨機數(shù)字表法分為治療組和對照組各30例。對照組采取傳統(tǒng)穴位治療為主;治療組采用圍刺丘墟穴加傳統(tǒng)穴位治療,兩組治療均為每日1次,留針40分鐘,6日為1個療程,間歇1天后繼續(xù)進行下一個療程,共進行3個療程后進行療效測定。本研究采用治療前后觀測臨床神經(jīng)功能缺損量表(MESSS)、足內(nèi)翻程度測量表評定及Fugl-meyer下肢功能評定量表,并將得到各量表評分,進行療效的評估。將所得數(shù)據(jù)用SPSS20.0軟件進行統(tǒng)計學(xué)分析。結(jié)果:1.療前療后兩組患者Fugl-meyer下肢的功能評判總積分比較均無明顯性差別,顯示兩組關(guān)于改善下肢的功能均有療效,但治療組相對照組更有優(yōu)勢。2.治療前,兩組患者MESSS評分對照,無明顯差別(P0.05)。療后,治療組與對照組組間MESSS評分對照,明顯差別。3.療前,兩組患者,足內(nèi)翻角度測量評定總積分比較,均無明顯區(qū)別(P0.05),療后,治療組與對照組及組間對照,差異明顯(P0.05)。顯示兩組對于糾正足內(nèi)翻程度方面均有療效,但治療組優(yōu)于對照組。4.療后,兩組足內(nèi)翻患者組間情況對照具有顯著差異,具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.圍刺丘墟穴為主明顯改善中風(fēng)后足內(nèi)翻患者的神經(jīng)功能缺損(MESSS)程度。2.圍刺丘墟穴為主顯著改善中風(fēng)后足內(nèi)翻患者的下肢的運動功能Fugl-meyer及足內(nèi)翻程度。
[Abstract]:Objective: to observe and compare the clinical efficacy and effectiveness of traditional acupuncture and acupuncture Qiu Hui points in the treatment of foot varus after apoplexy, and to provide a better and more simple treatment for the treatment of foot varus. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was mainly treated with traditional acupoint treatment, and the treatment group was treated with Weichiqiu acupoint plus traditional acupoint therapy, both groups were treated once a day for 40 minutes and 6 days as a course of treatment, and the next course of treatment was continued after one day of intermittent treatment, and the curative effect was measured after three courses of treatment. In this study, the clinical neurological deficit scale (MESSS), foot varus scale and Fugl-meyer lower extremity function scale were used before and after treatment, and the scores of each scale were obtained to evaluate the curative effect. The data were statistically analyzed by SPSS20.0 software. Result: 1. After treatment, there was no significant difference in the total score of Fugl-meyer lower extremity function between the two groups, which showed that the two groups had curative effect on improving the function of lower extremity, but the treatment group had more advantages than the control group. 2. Before treatment, there was no significant difference in MESSS score between the two groups (P 0.05). After treatment, there was a significant difference in MESSS score between the treatment group and the control group. 3. Before treatment, there was no significant difference in the total score of foot varus angle measurement between the two groups (P 0.05). After treatment, there was significant difference between the treatment group and the control group (P 0.05). The results showed that both groups were effective in correcting the degree of foot varus, but the treatment group was superior to the control group. 4. After treatment, there was significant difference between the two groups (P 0.05). Conclusion: 1. The (MESSS) degree of neurological deficit in patients with foot varus after apoplexy was significantly improved. 2. The motor function Fugl-meyer and the degree of foot varus in patients with foot varus after apoplexy were significantly improved.
【學(xué)位授予單位】：黑龍江中醫(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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