温针灸联合耳针疗法在中风后肩手综合症患者中的疗效观察
发布时间：2018-11-07 09:33
【摘要】：目的:温针灸作为艾灸疗法里的一种治疗方法,结合了针与灸的双重作用,在临床中适应证广,疗效显著,经济方便,无不良反应;耳针作为非药物治疗的方法,有诊疗范围广、操作方便、疗效肯定的特点和优势,深受广大患者接受。本研究通过比较温针灸联合耳针疗法及单独使用温针灸治疗中风后肩手综合症患者的临床疗效,为温针灸联合耳针疗法治疗中风后肩手综合症患者提供循证医学理论依据。方法:选取2016年1月-2016年8月于寒亭区人民医院中医科、康复医学科门诊及病房就诊病人,共收集符合纳入标准的肩手综合症病例90例。采用分组对照法研究。用随机数表法(SAS统计分析系统),将所有患者随机分为温针灸组、联合治疗组,每组各45例。两组患者均采用常规治疗及对症治疗。治疗期间防止输液患侧,避免牵拉不当、挤压,防止因意外而造成伤害。温针灸组采用温针灸的治疗方法;联合治疗组在温针灸的治疗基础上加用耳针疗法。治疗10次为1个疗程,共治疗2个疗程。对患者治疗前后的一般资料、疼痛指数(VAS)、上肢关节活动度(FMA)、总体治疗结果、日常生活活动功能(ADL)进行统计分析。结果:通过对两组患者的一般资料进行数据统计分析,结果表明两组患者在性别、年龄、病程、疾病类型、卒中次数等方面差异无统计学意义(P0.05)。观察组温针灸联合耳针疗法在降低中风肩手综合症VAS评分方面具有很好的效果,且与温针灸治疗组相比,治疗作用更明显(P0.05)。观察组温针灸联合耳针疗法对于改善中风肩手综合症上肢运动情况等临床症状具有很好的效果,且优于单独应用温针灸治疗法(P0.05)。两组患者总体治疗结果显示:两组患者治疗总有效例数,经统计学软件分析,观察组治疗效果显著优于对照组(P0.05)。观察组温针灸联合耳针疗法治疗中风肩手综合症具有很好的效果,且与温针灸治疗组相比,治疗作用更加明显(P0.05)。结论:温针灸联合耳针疗法在患者的疼痛指数、上肢关节活动度、总体治疗效果、日常生活活动功能方面治疗效果明显。
[Abstract]:Objective: warming acupuncture and moxibustion as a treatment method in moxibustion, combined with the dual effect of acupuncture and moxibustion, has wide indication, remarkable curative effect, economic convenience and no adverse reaction in clinical practice. Ear acupuncture, as a non-drug treatment method, has the characteristics and advantages of wide range of diagnosis and treatment, convenient operation, positive curative effect, and is accepted by the majority of patients. This study compared the clinical efficacy of warming acupuncture combined with ear acupuncture and warming acupuncture alone in treating patients with shoulder hand syndrome after apoplexy and provided evidence based medical theory basis for warming acupuncture combined ear acupuncture therapy for patients with shoulder hand syndrome after stroke. Methods: 90 patients with shoulder hand syndrome were collected from January 2016 to August 2016 in the Department of traditional Chinese Medicine, Department of Rehabilitation Medicine, Department of traditional Chinese Medicine, Hanting District people's Hospital. A group control study was used. All the patients were randomly divided into warm acupuncture group and combined treatment group with 45 cases in each group by using the random number table method (SAS statistical analysis system). Both groups were treated with routine treatment and symptomatic treatment. Prevent infusion during treatment, avoid improper traction, extrusion and injury caused by accident. Warm-moxibustion group was treated with warm-moxibustion and combined treatment group was treated with auricular acupuncture on the basis of warm-moxibustion treatment. 10 times of treatment was a course of treatment, a total of 2 courses of treatment. The general data of the patients before and after treatment, the total treatment results of the pain index (VAS),) upper limb joint motion degree (FMA),) and the daily life function (ADL) were analyzed statistically. Results: through the statistical analysis of the general data of the two groups, the results showed that there was no significant difference in sex, age, course of disease, disease type, stroke frequency and so on between the two groups (P0.05). Observation group warming acupuncture combined with ear acupuncture in reducing stroke shoulder hand syndrome VAS score has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Observation group warming acupuncture combined with ear acupuncture for improving stroke shoulder and hand syndrome upper limb movement and other clinical symptoms have a good effect, and better than the only use of warm acupuncture therapy (P0.05). Two groups of patients overall treatment results showed that: two groups of patients treated the total effective cases, statistical software analysis, observation group significantly better than the control group (P0.05). Observation group warming acupuncture combined with ear acupuncture treatment of shoulder and hand syndrome apoplexy has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Conclusion: the therapeutic effect of warming acupuncture combined with ear acupuncture therapy on pain index, upper limb joint motion, total therapeutic effect and daily life function is obvious.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
本文编号：2315943
[Abstract]:Objective: warming acupuncture and moxibustion as a treatment method in moxibustion, combined with the dual effect of acupuncture and moxibustion, has wide indication, remarkable curative effect, economic convenience and no adverse reaction in clinical practice. Ear acupuncture, as a non-drug treatment method, has the characteristics and advantages of wide range of diagnosis and treatment, convenient operation, positive curative effect, and is accepted by the majority of patients. This study compared the clinical efficacy of warming acupuncture combined with ear acupuncture and warming acupuncture alone in treating patients with shoulder hand syndrome after apoplexy and provided evidence based medical theory basis for warming acupuncture combined ear acupuncture therapy for patients with shoulder hand syndrome after stroke. Methods: 90 patients with shoulder hand syndrome were collected from January 2016 to August 2016 in the Department of traditional Chinese Medicine, Department of Rehabilitation Medicine, Department of traditional Chinese Medicine, Hanting District people's Hospital. A group control study was used. All the patients were randomly divided into warm acupuncture group and combined treatment group with 45 cases in each group by using the random number table method (SAS statistical analysis system). Both groups were treated with routine treatment and symptomatic treatment. Prevent infusion during treatment, avoid improper traction, extrusion and injury caused by accident. Warm-moxibustion group was treated with warm-moxibustion and combined treatment group was treated with auricular acupuncture on the basis of warm-moxibustion treatment. 10 times of treatment was a course of treatment, a total of 2 courses of treatment. The general data of the patients before and after treatment, the total treatment results of the pain index (VAS),) upper limb joint motion degree (FMA),) and the daily life function (ADL) were analyzed statistically. Results: through the statistical analysis of the general data of the two groups, the results showed that there was no significant difference in sex, age, course of disease, disease type, stroke frequency and so on between the two groups (P0.05). Observation group warming acupuncture combined with ear acupuncture in reducing stroke shoulder hand syndrome VAS score has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Observation group warming acupuncture combined with ear acupuncture for improving stroke shoulder and hand syndrome upper limb movement and other clinical symptoms have a good effect, and better than the only use of warm acupuncture therapy (P0.05). Two groups of patients overall treatment results showed that: two groups of patients treated the total effective cases, statistical software analysis, observation group significantly better than the control group (P0.05). Observation group warming acupuncture combined with ear acupuncture treatment of shoulder and hand syndrome apoplexy has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Conclusion: the therapeutic effect of warming acupuncture combined with ear acupuncture therapy on pain index, upper limb joint motion, total therapeutic effect and daily life function is obvious.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
【参考文献】
相关期刊论文 前10条
1 黄鹰;;中药泡洗联合康复训练治疗中风恢复期肩手综合征临床研究[J];亚太传统医药;2016年20期
2 兰长安;;手法按摩配合中药冰疗护理对卒中后肩手综合征患者的影响[J];河北中医;2016年07期
3 黄奏琴;裴建;王伟明;宋毅;;针灸结合康复训练综合治疗中风后肩手综合征的进展[J];天津中医药;2015年11期
4 张晓茹;陆伟霞;;针灸配合康复训练在治疗脑卒中后肩手综合征Ⅰ期中的临床效果分析[J];中国医学工程;2015年11期
5 彭婷婷;刘从秀;;艾灸联合耳穴贴压治疗脑卒中肩手综合征的疗效观察[J];中医药临床杂志;2015年10期
6 马越;李澎;;中风后肩手综合征临床研究进展[J];中华针灸电子杂志;2015年04期
7 任彬彬;;冯明清教授从瘀论治肩手综合征经验[J];中国现代药物应用;2015年15期
8 卢红玉;庞全瑭;郭光远;刘平;宋秀玲;;红外/红光局部照射联合综合康复治疗肩手综合征的疗效观察[J];中华物理医学与康复杂志;2015年05期
9 马婕;曾令丹;张艳;;综合康复干预防治脑梗死后肩手综合征的疗效观察[J];中华物理医学与康复杂志;2015年05期
10 徐珊;王袖平;陈谋珠;;脑卒中后肩手综合征发生的危险因素的临床分析[J];现代诊断与治疗;2015年08期
相关会议论文 前1条
1 孙永新;;动静脉手泵预防和治疗脑卒中合并肩手综合征的临床观察[A];第七届全国康复医学工程与康复工程学术研讨会论文集[C];2010年
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