五穴透刺配合十宣放血治疗中风后手指拘挛的疗效观察
发布时间：2018-04-08 08:08
本文选题：十宣穴 切入点：放血疗法 出处：《辽宁中医药大学》2016年硕士论文
【摘要】：目的:观察五穴透刺配合十宣放血治疗中风后手指拘挛的疗效材料与方法:将60名符合诊断标准的患者随机分成治疗组和对照组,对照组予常规药物治疗和科室常规针刺治疗(头针,眼针,体针),治疗组在常规治疗的基础上,配合十宣放血治疗(一周三次)。治疗周期为14天。治疗前后分别应用Fugl-meyer评价量表(FMA)中的手指评分部分,Brunnstrom运动功能评定法和修订的Ashworth痉挛评定量表评定手指功能的恢复情况。比较治疗组和对照组治疗前后的评分,利用统计学软件对数据进行分析,分析其差异,观察疗效。结果:1.治疗周期结束后,对照组和治疗组的患者,手指拘挛症状均有改善。2.通过Fugl-meyer评价量表(FMA)中的手指评分部分对患者的手功能进行评分,运用统计学软件SPSS17.0,配对t检验方法,将两组患者治疗前手部评分结果的数据进行分析,结果显示无统计学差异(P㧐0.05),证明其不具备可比性。两组治疗前和治疗后的数据分别进行数据分析,结果显示差异有统计学意义(P㩳0.05),且治疗组评分高于对照组,则证明治疗组疗效优于对照组。3.通过Brunnstrom运动功能评定法和修订的Ashworth痉挛评定量表进行评价,通过对其有效无效的计数和百分率的分析,结果显示治疗组的有效率高于对照组。结论:1.三棱针点刺十宣放血疗法可以有效的治疗中风后手指拘挛,且具有操作简便快捷、副作用少的优势。2.三棱针点刺十宣放血疗法与手部五穴透刺疗法对治疗中风后手指拘挛均有疗效,但配合十宣放血效果更好。3.配合十宣放血疗法的治疗组在疗效上总体疗效优于常规治疗的对照组。
[Abstract]:Objective: To observe the five acupoint penetration needling combined with bloodletting therapy after stroke ten Xuan finger muscularconstricture effect of materials and methods: 60 patients met the diagnostic criteria were randomly divided into treatment group and control group, the control group received routine drug therapy and conventional acupuncture treatment (Acupuncture Department, eye acupuncture, body acupuncture), the treatment group based on routine treatment on the ten, with Xuan bloodletting (three times a week). The treatment period is 14 days. Before and after treatment respectively using Fugl-meyer evaluation scale (FMA) score finger portion, Ashworth spasm scale recovery assessment finger function Brunnstrom motor function assessment and revision. Comparison of treatment group and control group the score before and after treatment, the data were analyzed by statistical analysis software, the difference of curative effect observation. Results: after the end of the 1. cycle of treatment, the treatment group and the control group of patients, finger spasm symptoms were improved by.2. Fugl-me Yer evaluation scale (FMA) score finger part of the score of patients with hand function, the use of statistical software SPSS17.0, paired t test, two groups of patients before treatment of hand score the results of data analysis, the results showed no significant difference (P? 0.05), prove its not comparable the two groups before and after treatment respectively, data for data analysis, the results showed a statistically significant difference (P? 0.05), and the treatment group was higher than that of the control group, that the treatment group than the control group.3. was evaluated by Ashworth spasm rating scale Brunnstrom motor function assessment and revision, through effective analysis the invalid counts and the percentage of the results showed that the effective rate of treatment group was higher than that of control group. Conclusion: 1. needle pricking ten Xuan bloodletting therapy can be effective in the treatment of stroke after finger contracture, and has convenient operation, vice The role of the advantage of fewer.2. Needle Pricking Bloodletting Therapy and ten Xuan hand five points acupuncture treatment of stroke after finger contracture have the curative effect, but the control group ten announced better.3. with bloodletting therapy group ten Xuan bloodletting therapy on the efficacy of the overall curative effect is superior to conventional therapy.
【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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本文编号：1720761
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