针刺治疗缺血性中风恢复期（气虚血瘀型）的临床研究

发布时间：2018-02-14 23:07

本文关键词： 针刺缺血性中风气虚血瘀　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察针刺治疗缺血性中风恢复期(气虚血瘀型)的临床疗效。材料与方法:将缺血性中风恢复期(气虚血瘀型)60例患者,采用随机的方法分为治疗组和对照组,并将两组进行对比治疗,每组30例。对照组有神经内科基础治疗及康复训练治疗,治疗组在对照组的基础上增加针刺治疗,疗程均为4周。此后分析改良的Barthel指数(MBI)、Berg平衡量表、中医症候评分、Ashworth评分的改变,据此评定疗效。结果:1.治疗后两组患者的MBI评分均比治疗前有所提高,经比较后表明具有统计学意义(P0.05)。治疗后,治疗组与对照组间MBI评分对比有显著差异(P0.05),说明治疗组在改善日常生活能力方面优于对照组。2.治疗后两组患者的Berg平衡量表评分均比治疗前有所提高,经比较后表明具有统计学意义(P0.05)。治疗后,治疗组与对照组间的Berg平衡量表评分比较具有明显差异(P0.05),说明治疗组在改善患者的平衡能力方面优于对照组。3.治疗后两组患者在改善中医症候疗效及评分方面比治疗前均有所提高,经比较后表明具有统计学意义(P0.05)。对比治疗后两组间的治疗效果,发现治疗组的治疗效果明显优于对照组的治疗效果(P0.05)。4.治疗后两组患者在Ashworth量表评定方面均比治疗前有所提高,具有明显差异(P0.05),说明两组均能改善患者肌张力水平。治疗后对两组间Ashworth量表评定改善情况比较无显著差异(P0.05),说明两组在改善肌张力水平方面没有明显差异。结论:1.针刺可以提高缺血性中风患者的日常生活活动能力。2.针刺可以改善缺血性中风患者的平衡能力。3.针刺可以提高缺血性中风患者的中医疗效。4.治疗组和对照组在改善患者肌张力水平方面都有一定作用,但两组没有明显差异。5.针刺是一种安全、有效的治疗缺血性中风的手段,值得推广。
[Abstract]:Objective: to observe the clinical efficacy of acupuncture in the treatment of ischemic apoplexy (Qi deficiency and blood stasis type). Materials and methods: 60 patients with ischemic stroke (Qi deficiency and blood stasis type) were randomly divided into treatment group and control group. There were 30 cases in each group. The control group had basic treatment of neurology and rehabilitation training. The treatment group was treated with acupuncture on the basis of the control group for 4 weeks. Then, the modified Barthel index was analyzed. The changes of TCM symptom score and Ashworth score were used to evaluate the curative effect. Results: 1. After treatment, the MBI scores of the two groups were higher than those before treatment, and the results showed that there was statistical significance after treatment (P 0.05). There was a significant difference in MBI scores between the treatment group and the control group (P 0.05), which indicated that the treatment group was superior to the control group in improving ADL. 2. After treatment, the Berg balance scale scores of the two groups were higher than those before treatment. After comparison, the results showed that there was statistical significance (P 0.05). The scores of Berg balance scale in the treatment group and the control group were significantly different (P 0.05), which indicated that the treatment group was superior to the control group in improving the balance ability of the patients. 3. After treatment, the curative effect and score of the two groups in improving TCM symptoms and scores were higher than those in the control group. Before treatment, The results showed that there was significant difference between the two groups after treatment. The results showed that the therapeutic effect of the treatment group was significantly better than that of the control group. After treatment, the evaluation of Ashworth scale was improved in both groups. There was significant difference between the two groups (P 0.05), which indicated that both groups could improve the muscular tension level of the patients. There was no significant difference in the improvement of the Ashworth scale between the two groups after treatment, indicating that there was no significant difference between the two groups in improving the muscular tension level. Acupuncture can improve the activity of daily life of ischemic stroke patients .2.Acupuncture can improve the balance ability of ischemic stroke patients .3.Acupuncture can improve the curative effect of traditional Chinese medicine in ischemic stroke patients. All of them play a certain role in improving the muscular tension level of patients. But there is no significant difference between the two groups. 5. Acupuncture is a safe and effective treatment for ischemic stroke.
【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】：2016
【分类号】：R246.6

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