秦氏太阳夹督针刺治疗脑卒中后平衡功能障碍的临床研究

发布时间：2018-03-29 19:43

本文选题：秦氏太阳夹督针刺　切入点：脑卒中　出处：《广州中医药大学》2016年硕士论文

【摘要】：目的：本课题通过秦氏太阳夹督针刺与常规针刺作对比,观察秦氏太阳夹督针刺对脑卒中后平衡功能障碍的治疗作用,以明确秦氏太阳夹督针刺治疗的优效性,探索一种对改善脑卒中后平衡功能切实可行,更高效、全面的治疗方法。方法：采取临床随机对照方法,根据纳入标准收集符合课题要求的志愿受试者60例,并采用简单随机化分组方法,分配至治疗组(秦氏太阳夹督针刺治疗)与对照组(常规针刺治疗),每组各30人。所有入组患者根据病情,均给予基础药物治疗以及常规康复训练。基础药物治疗包括：降血压、降血脂、降血糖等处理,具体参考《中国脑血管疾病防治指南》。康复治疗包括：坐位平衡、移乘、站立、重心转移、协调训练、立位平衡、步行训练等。具体参考《中国脑卒中康复治疗指南》(2011版)。在此基础上,治疗组采用“秦氏太阳夹督针刺”的方法治疗,对照组予以普通针刺治疗,评价量表采用Berg平衡量表(BBS)、Fugl-Meyer平衡量表(FM-B)以及Barthel指数评定进行评价,分别评定两组患者治疗前、治疗4周后的得分。录入数据,采用统计软件SPSS17.0分析。结果：(1)与治疗前相比,两组患者接受针刺治疗后BBS、FMB及BI评分均有所升高,差异有统计学意义(P0.05)。(2)两组治疗后比较：治疗组Berg平衡量表评分高于对照组,差异有统计学意义(P0.05)。(3)两组治疗后比较：治疗组Fugl-Meyer平衡功能评定量表评分高于对照组,差异有统计学意义(P0.05)。(4)两组治疗后比较：治疗组Barthel指数评定量表评分高于对照组,差异有统计学意义(P0.05)。结论：常规针刺治疗及秦氏太阳夹督针刺治疗对脑卒中后平衡障碍均有改善作用,而秦氏太阳夹督针刺治疗后的平衡能力改善程度明显高于常规针刺治疗,提示秦氏太阳夹督针刺这一治疗方法对脑卒中后平衡功能障碍的疗效优于普通针刺治疗,秦氏太阳夹督针刺治疗脑卒中后平衡功能障碍疗效确切,有创新性,值得进一步推广应用。
[Abstract]:Objective: to observe the therapeutic effect of Qinjiangdu acupuncture on balance dysfunction after stroke by comparing it with routine acupuncture. To explore a feasible, more efficient and comprehensive treatment method for improving the balance function after stroke. The treatment group was divided into two groups: the control group and the control group, with 30 patients in each group. All the patients in the treatment group were treated according to the condition of the disease, and the patients in each group were divided into two groups: the treatment group was treated with routine acupuncture therapy and the control group was treated with routine acupuncture therapy. Basic drug treatment includes: lowering blood pressure, lowering blood lipid, lowering blood sugar, and so on. Refer to the "China guidelines for the Prevention and treatment of Cerebrovascular Diseases". Rehabilitation treatment includes: sitting balance, shifting, standing, etc. Center of gravity shift, coordination training, standing balance, walking training, etc. Refer to the Chinese Rehabilitation treatment guidelines for Stroke, 2011 edition. On this basis, the treatment group was treated with "Qin's Sun clip and Regulation Acupuncture". The control group was treated with general acupuncture, and the evaluation scale was evaluated by Berg balance scale (Berg balance scale) and Barthel index. The scores of the two groups were evaluated before and after treatment for 4 weeks. Results compared with before treatment, the scores of Berg and BI in the two groups increased after acupuncture treatment, and the difference was statistically significant (P 0.05). The comparison between the two groups was as follows: the score of Berg balance scale in the treatment group was higher than that in the control group, and that in the treatment group was higher than that in the control group. After treatment, the scores of Fugl-Meyer balance function rating scale in the treatment group were higher than those in the control group, and the difference was statistically significant (P 0.05). The comparison between the two groups after treatment: the Barthel index rating scale score of the treatment group was higher than that of the control group, and that of the treatment group was higher than that of the control group. Conclusion: routine acupuncture therapy and Qin's sun Jiaduu acupuncture treatment can improve the balance disorder after stroke, and the improvement of balance ability after the treatment is obviously higher than that after routine acupuncture treatment. It is suggested that the therapeutic effect of this method is better than that of common acupuncture in the treatment of poststroke balance dysfunction, and it is effective and innovative in the treatment of poststroke balance dysfunction. It is worth further popularizing and applying.
【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】：2016
【分类号】：R246.6

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