眼针治疗中风病气虚血瘀证临床疗效观察

发布时间：2018-07-13 20:40

【摘要】：目的：观察眼针带针行走治疗中风病(气虚血瘀证)恢复期偏瘫的临床疗效，探讨眼针带针行走选择的时机。材料与方法：本研究收集了山西省长治市中医研究所附属医院符合中西医诊断标准的60例缺血性中风(气虚血瘀证)恢复期偏瘫患者，且临床神经功能缺损评分在6至25分之间，并按随机数字表法依1:1的比例随机分为治疗组和对照组，每组各30例，两组患者均对其基础病进行常规治疗，同时治疗组给予眼针疗法，针刺后随患者肢体肌力的增强即刻带针行走.对照组予常规体针，两组均治疗30天，总疗程结束后，根据中医症候评分、神经功能缺损评分、日常生活活动能力评分（ADL）量表对两组患者治疗前后进行观察，评价其临床疗效，并对治疗组前三次针刺后即刻带针行走进行了观察。结果： 1．两组患者治疗前中医症候、神经功能缺损和日常生活活动能力的评分及年龄、性别和病程比较无显著性差异（P0.05），说明两组患者随机分组在治疗前具有可比性。 2．治疗组针刺后即刻带针行走的观察：即刻带针行走在第一次针刺后，发病在2周-2月内的阳性率占64.3%，发病在2-4个月的阳性率占50.0%，发病在4-6个月内阳性率的为0%，第二次针刺后分别为78.6%、50.0%和0%，第三次针刺后分别为92.9%、70.0%和16.7%。三次针刺后总的阳性率为70.0%。 3．中医症候评分：治疗后均有明显好转，两组内治疗前后评分比较均有显著性差异(均P0.01)，具有统计学意义。而两组间在治疗后统计学比较无显著性差异（P0.05）。两组治疗后中医症状都有显著改善，总有效率分别为96.7%和90.0%，经统计学分析,两组总有效率比较无统计学意义(P0.05)。 4．神经功能缺损评分：两组内治疗前后比较均有显著性差异(均P0.01)，具有统计学意义。两组间评分比较有明显差异(P0.05)。在总有效率方面，治疗组为96.7%,对照组为90.0%，统计学分析无显著性差异(P0.05)，无统计学意义。而两组愈显率方面，治疗组为60.0%，对照组为40.0%，两组愈显率比较有统计学意义(P0.05)。 5．日常生活活动能力评分：两组内治疗前后比较均有统计学意义(均P0.01)。治疗后两组间比较有显著性差异(P0.05)，，有统计学意义。 6．两组患者安全性及耐受性均良好。结论： 1．眼针针刺后即刻带针行走效果显著，且与中风恢复期患者发病病程呈负相关，即病程越短效果越明显，眼针带针行走不但有利于患者肢体康复，而且更使患者产生乐观心理，建立战胜疾病的信心，更有利于心理康复。 2．在中医症候方面，眼针能明显改善中风患者的中医临床症状。 3.在神经功能缺损方面，眼针能有效改善临床神经功能缺损症状，促使患者的神经功能快速恢复。 4.在日常生活活动能力方面，眼针能有效改善日常生活活动能力，对患者的康复进程更有益。 5．眼针治疗中风偏瘫患者疗效确切，应在临床上广泛地进行推广应用。
[Abstract]:Objective: to observe the clinical effect of eye acupuncture with needle walking on hemiplegia in convalescent stage of apoplexy (qi deficiency and blood stasis syndrome) and to discuss the timing of walking with eye needle with needle. Materials and methods: sixty patients with hemiplegia in convalescence of ischemic stroke (Qi deficiency and blood stasis syndrome) were collected from affiliated Hospital of Changzhi Institute of traditional Chinese Medicine, Shanxi Province, according to the diagnostic criteria of traditional Chinese and Western medicine. The clinical neurological impairment scores ranged from 6 to 25, and were randomly divided into treatment group and control group according to the proportion of 1:1, 30 cases in each group. The patients in both groups were treated with routine treatment for their underlying diseases. At the same time, the treatment group was given eye acupuncture therapy. The patients in the control group were treated with routine body acupuncture for 30 days. After the total course of treatment, the patients in the two groups were observed before and after treatment according to TCM symptom score, neurological deficit score and activity of daily living scale (ADL), and the clinical efficacy was evaluated. The first three times of acupuncture in the treatment group were observed. Results: 1. The scores and ages of TCM symptoms, neurological deficits and activities of daily living (ADL) in the two groups before treatment. 2. There was no significant difference in sex and course of disease (P0.05), indicating that the two groups of patients were randomly divided into two groups before and after treatment. 2. Observation of walking with needle immediately after acupuncture in treatment group: walking with needle immediately after the first acupuncture, The positive rate was 64.3% in 2 weeks to 2 months, 50.03% in 2-4 months, 0 in 4-6 months, 50.0% and 0 in the second acupuncture, 92.970% and 16.7m after the third acupuncture, respectively. After three times of acupuncture, the total positive rate was 70. 0%. 3. TCM symptom score: after treatment, there were significant differences between the two groups before and after treatment (all P0.01), with statistical significance. There was no significant difference between the two groups after treatment (P0.05). After treatment, the TCM symptoms in both groups were significantly improved, the total effective rates were 96.7% and 90.0%, respectively. There was no significant difference in the total effective rate between the two groups (P0.05). 4. Neurological deficit score: there was significant difference between the two groups before and after treatment (P0.01), with statistical significance. There was significant difference between the two groups (P0.05). In the total effective rate, the treatment group was 96.7 and the control group was 90.0. There was no significant difference between the two groups (P0.05). In the two groups, the effective rate was 60.0g in the treatment group and 40.0in the control group. There was significant difference between the two groups (P0.05). 5. The scores of activities of daily living: there were significant differences between the two groups before and after treatment (P0.01). After treatment there was a significant difference between the two groups (P0.05), with statistical significance. 6. The two groups of patients with good safety and tolerance. Conclusion: 1. The effect of walking with needle immediately after acupuncture is significant, and it is negatively correlated with the course of stroke recovery, that is, the shorter the course is, the more obvious the effect is, and the walking with eye needle with needle is not only beneficial to the recovery of limbs. And more optimistic patients to establish the confidence to overcome the disease, more conducive to psychological rehabilitation. 2. In TCM symptoms, eye acupuncture can significantly improve the TCM clinical symptoms of stroke patients. 3. In the aspect of nerve function defect, eye acupuncture can effectively improve the symptoms of clinical nerve function defect and promote the rapid recovery of nerve function of patients. 4. In the aspect of daily life activity, eye acupuncture can effectively improve the activity of daily life, and is more beneficial to the rehabilitation process of patients. 5. Eye acupuncture is effective in treating hemiplegia patients with apoplexy, and should be widely used in clinic.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6

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