针刺三阳穴配合八邪穴治疗中风后腕手功能障碍的临床观察

发布时间：2018-01-26 18:06

本文关键词： 中风针刺三阳穴八邪穴腕手功能障碍　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察研究针刺三阳穴配合八邪穴治疗中风后腕手功能障碍的临床疗效,为临床上治疗中风后腕手功能障碍寻求疗效更佳的治疗措施。方法:选择契合纳入标准的60例患者随机分为治疗组与对照组两个组别:1、治疗组:在传统针刺方法的基础上配合加刺三阳穴与八邪穴。2、对照组:使用传统针刺方法。两组患者进行为期4周的治疗过程,每一周治疗6天,然后暂停治疗1天,每天治疗1次,每次治疗时间为30分钟。总疗程结束后,通过Lindmark腕、手功能评分量表、Bathel ADL指数量表来评价两组在治疗前后的腕手部活动功能及恢复程度。结果:针刺三阳穴配合八邪穴的治疗组与传统针刺方法的对照组均能提高Lindmark腕、手功能评分、Bathel ADL指数量表评分,两组组内治疗前后比较,差异显著(P0.05),说明两种治疗方法均对腕手关节活动障碍具有治疗作用。治疗前,两组间在两种评分量表上均无明显差异(P0.05),治疗后,组间比较差异显著(P0.05),说明治疗组在改善腕手功能活动度及上肢日常生活功能上,疗效优于对照组。结论:1、针刺三阳穴配合八邪穴的治疗方法与传统针刺方法均能治疗患者中风后腕手功能障碍,但治疗组疗效优于对照组。2、针刺三阳穴配合八邪穴的针刺方法明显提高患者中风后腕手部的活动范围及上肢日常生活功能,可应用于临床上治疗中风后腕手功能障碍,改善患者生活。
[Abstract]:Objective: To observe the clinical curative effect of acupuncture points with three eight evils in the treatment of post stroke wrist hand dysfunction after stroke, for the clinical treatment of wrist hand dysfunction for better curative effect treatment. Methods: fit the inclusion criteria 60 patients were randomly divided into treatment group and control group of two groups: 1 in treatment group. Based on traditional acupuncture method combined with acupuncture points and three with eight evils:.2, the control group using the traditional acupuncture method. Two groups of patients for treatment of 4 weeks, every week for 6 days, and then suspended for 1 days, for 1 times a day, each treatment time is 30 minutes. After the end of treatment, the Lindmark wrist, hand function score, Bathel ADL index to evaluate the two groups before and after treatment in the wrist and hand function and the degree of recovery. Results: three acupuncture points with control treatment group eight evil points with traditional acupuncture method Group can improve the Lindmark wrist, hand function score, Bathel index, ADL score, two groups before and after treatment comparison, significant difference (P0.05), shows two kinds of treatment methods have therapeutic effect on wrist joint movement disorder. Before the treatment between the two groups in the two kinds of score scale were not significant the difference (P0.05), after treatment, a significant difference between the two groups (P0.05), indicating that the treatment group in improving the function of wrist and upper limb function of daily life, the effect is better than the control group. Conclusion: 1 acupuncture points with treatment of Sanyang eight evils and traditional acupuncture methods can wrist after therapy in stroke patients the dysfunction of hands, but the efficacy of the treatment group than the control group.2 acupuncture points with acupuncture method, three eight evils the scope of activities of daily life and limb function of wrist hand significantly improve patients after stroke, can be applied to the clinical treatment of wrist hand dysfunction after stroke, improve A patient's life.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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