于氏头穴丛刺结合康复训练治疗卒中后平衡功能障碍的临床观察

发布时间：2018-04-02 08:14

本文选题：于氏头穴丛刺　切入点：康复训练　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察于氏头穴丛刺结合康复训练治疗脑卒中后平衡功能障碍的临床疗效。方法:根据纳入标准选择脑卒中后平衡功能障碍患者60例,采用随机数字表法,随机分为治疗组、对照组,各30例。治疗组患者采用于氏头穴丛刺结合康复训练治疗;对照组患者采用单纯康复训练治疗。治疗组头穴选取顶前区、顶区、枕下区、颞区,其中枕下区针刺后行电针2Hz连续波刺激,头穴留针8小时,同时给予两组相同的康复训练。两组均以4周为一疗程,治疗1个疗程后观察患者平衡功能、日常生活活动能力的改善情况及疗效。结果:经过治疗后,两组患者BBS、FM-B评分、MBI指数均明显提高,有统计学意义(P0.01),且治疗组患者BBS、FM-B评分、MBI指数提高程度明显优于对照组,有统计学意义(P0.05)。治疗组日常生活活动能力的临床疗效为93.33%明显高于对照组的70.00%,有统计学意义(P0.05)。结论:于氏头穴丛刺结合康复训练是脑卒中后平衡功能障碍有效的治疗方法,其临床疗效显著,能够有效提高患者BBS、FM-B评分、MBI指数,降低患者平衡功能障碍程度,提高患者生活质量。
[Abstract]:Objective: to observe the clinical effect of treatment of balance dysfunction after stroke with cluster acupuncture of Yu's scalp combined with rehabilitation training. Methods: sixty patients with poststroke balance dysfunction were selected according to the inclusive criteria and were randomly assigned to the digital table method. The patients in the treatment group were treated with tufted points of Yu's head combined with rehabilitation training, while the patients in the control group were treated with rehabilitation training alone. The head points of the treatment group were selected preparietal, parietal, suboccipital and temporal areas. The suboccipital area was treated with 2Hz continuous wave stimulation, the scalp point was kept for 8 hours, and the two groups were given the same rehabilitation training. Both groups were treated with 4 weeks as a course of treatment, and the balance function of the patients was observed after one course of treatment. Results: after treatment, the BBS FM-B score and MBI index of the two groups were significantly increased, with statistical significance (P 0.01), and the improvement of the BBS FM-B score and MBI index in the treatment group was significantly better than that in the control group. The clinical effect of ADL in the treatment group was 93.33% higher than that in the control group (70.005%). Conclusion: the treatment group with scalp cluster acupuncture combined with rehabilitation training is an effective treatment method for balance dysfunction after stroke. Its clinical effect is remarkable. It can effectively improve the BBS FM-B score and MBI index, reduce the degree of balance dysfunction and improve the quality of life of the patients.
【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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