夹脊电针治疗吉兰—巴雷综合征肢体功能障碍的临床疗效观察

发布时间：2018-03-23 07:12

本文选题：吉兰-巴雷综合征　切入点：电针　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：对比分析夹脊电针疗法与常规针刺治疗吉兰-巴雷综合征患者肢体功能障碍的临床疗效,寻求有效的吉兰-巴雷综合征肢体功能障碍的针灸治疗方案,以期对临床的治疗起一定的指导作用。方法：选择符合标准的40例吉兰-巴雷综合征患者随机分为电针治疗组(20例)和常规针刺对照组(20例)。两组都接受营养神经药物治疗,体针都以阳明经为主取穴。治疗组取局部相应夹脊穴并使用电针仪通以密波,对照组常规针刺夹脊穴不通电。每日针刺1次,一次30min,每周连续治疗6d休息1d,4周为1个疗程,共治疗2个疗程。分别于治疗前后以四肢肌力(MMT)、感觉功能评级及生活自理能力改良后BI指数评分等为指标,分析两组运动及感觉功能障碍治疗前后变化,并通过疗效评定标准比较两组临床疗效。结果：两组治疗后肌力比较(P0.05),表明夹脊电针法对GBS肌力恢复有明显疗效；两组治疗后感觉功能评级比较(P0.05),表明夹脊电针法对GBS感觉恢复有明显疗效；两组治疗后改良BI指数评分(P0.05),表明夹脊电针法对GBS日常生活自理能力的恢复有明显疗效。两组治疗后通过疗效评价标准比较,夹脊电针疗法临床疗效优于单纯夹脊穴针刺治疗(P0.05)。结论：夹脊电针对吉兰-巴雷综合征患者肢体功能障碍的恢复疗效确切,且效果明显优于常规针刺治疗。
[Abstract]:Objective: to compare and analyze the clinical effect of chiropractic electroacupuncture and routine acupuncture on limb dysfunction in patients with Guillain-Barre syndrome, and to seek effective acupuncture and moxibustion therapy for limb dysfunction in patients with Guilan Barre syndrome. Methods: 40 patients with Guillain-Barre syndrome were randomly divided into electroacupuncture group (n = 20) and routine acupuncture control group (n = 20). The main points of body acupuncture were Yangming Meridian. In the treatment group, the local Jiaji points were taken and the electroacupuncture instrument was used to make the points with dense waves. In the control group, there was no electricity at Jiaji point. The acupuncture was once a day, 30 minutes once a day, 6 days a week, rest for 4 weeks as a course of treatment. Before and after treatment, the changes of motor and sensory dysfunction before and after treatment were analyzed with the index of MMTT of limbs, the score of BI index after the improvement of sensory function and the improvement of self-care ability of life, before and after treatment, and the changes of motor and sensory dysfunction before and after treatment were analyzed. Results: after treatment, the muscle strength of the two groups was compared with that of the control group (P 0.05), which indicated that the chiropractic electroacupuncture method had obvious curative effect on the recovery of GBS muscle strength. The comparison of sensory function between the two groups after treatment showed that the chiropractor electroacupuncture had obvious curative effect on the sensory recovery of GBS. The improved BI index score (P0.05) after treatment in the two groups indicated that the chiropractor electroacupuncture method had a significant effect on the recovery of GBS's self-care ability in daily life. The clinical efficacy of chiropractic electroacupuncture is better than that of Jiaji point acupuncture alone in the treatment of P0.050.Conclusion: the curative effect of Jiaji electroacupuncture on the recovery of limb dysfunction in patients with Guilan-Barre syndrome is more effective than that of routine acupuncture.
【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】：2016
【分类号】：R246.6

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