大艾条灸法治疗中风病痰湿型的临床研究

发布时间：2018-02-15 00:00

本文关键词： 大艾条灸法痰湿证中风病血脂 NIHSS BI　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察大艾条灸法对中风病痰湿型的临床疗效以及对血脂的影响,为中风病的治疗和预防再发提供新方法和新思路。方法:严格按照纳入标准及排除标准选取70例合格受试者,按照随机、单盲、对照原则分为大艾条灸法组(治疗组)和西医常规治疗组(对照组),每组35例。对照组予以常规西医治疗,治疗组在常规治疗基础上予以大艾条灸法,选取患侧足三里、阴陵泉、合谷、太冲、丰隆、涌泉及神阙、中脘等穴进行大艾条灸法,每穴灸5分钟,每日一次,连续治疗五次后休息一天,十天一个疗程。两个疗程后分别从神经功能缺损(NIHSS量表)评分、日常生活活动能力(BI指数量表)、证候评分及血脂四项水平评价两组临床疗效。结果:1、两组患者治疗前后NIHSS评分比较:治疗后两组内比较均有统计学意义(P0.05);两组间疗效比较差异有统计学意义(P0.05)。2、两组患者治疗前后BI评分比较:治疗后两组内比较均有统计学意义(P0.05);两组间疗效比较差异有统计学意义(P0.05)。3、两组患者治疗前后痰湿证候评分比较:治疗后两组内比较均有统计学意义(P0.05);两组间疗效比较差异有统计学意义(P0.05)。4、两组患者治疗前后血脂TG、TC、LDL、HDL水平比较:治疗后两组内比较均有统计学意义(P0.05);两组间比较差异有统计学意义(P0.05)。结论:1、大艾条灸法能够改善患者神经功能缺损程度,促进神经功能恢复,提高患者的日常生活能力。2、大艾条灸法能够显著改善患者痰湿证候评分,从而改善临床症状。3、大艾条灸法能够显著改善痰湿型中风病患者的血脂水平,调节血脂水平可能是大艾条灸法改善痰湿症候、治疗痰湿型中风病的机制。
[Abstract]:Objective: to observe the clinical effect of moxibustion of moxa on phlegm dampness type of apoplexy and the effect of moxibustion on blood lipids. Methods: 70 eligible subjects were selected according to inclusion criteria and exclusion criteria. The control principle was divided into two groups: the moxibustion group (treatment group) and the routine western medicine group (35 cases in each group). The control group was treated with routine western medicine, and the treatment group was treated with moxibustion on the basis of routine treatment, and Zusanli of the affected side was selected. Yulingquan, Hegu, Taichung, Fenglong, Yongquan and Shenque, Zhongwan and other points were moxibustion with moxibustion for 5 minutes per point, once a day, after five consecutive treatments, a day's rest, Ten days a course of treatment. After two courses of treatment, they were scored by the NIHSS scale. The activity of daily living (ADL) was evaluated by BI index scale, syndrome score and blood lipids. Results the NIHSS scores of the two groups before and after treatment were significantly higher than those of the control group (P 0.05). There was significant difference in curative effect between the two groups before and after treatment. BI scores were compared before and after treatment: there was statistical significance in the comparison between the two groups before and after treatment, and there was significant difference in the curative effect between the two groups (P 0.05). 3. The phlegm dampness syndrome of the two groups before and after treatment. After treatment, there were significant differences between the two groups (P 0.05), and the difference between the two groups was statistically significant (P 0.05). The comparison of serum lipids (TGG) and TCC LDLL level before and after treatment: there was significant difference between the two groups after treatment (P 0.05), and there was significant difference between the two groups (P < 0.05) after treatment, and there was significant difference between the two groups (P < 0.05). The difference between the two groups was statistically significant (P 0.05). Conclusion: the moxibustion with big moxa can improve the degree of nerve function defect in the patients. Promoting the recovery of nerve function and improving the ability of daily life of the patients. The moxibustion can improve the score of phlegm and dampness syndrome and improve the clinical symptoms. The moxibustion can significantly improve the blood lipid level of the patients with phlegm-dampness type stroke. Regulation of blood lipid level may be the mechanism of moxibustion for improving phlegm dampness syndrome and treating phlegm dampness type apoplexy.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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