电针上八邪治疗缺血性脑卒中恢复期手功能障碍的临床观察

发布时间：2018-04-22 10:34

本文选题：针刺 + 缺血性脑卒中　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的观察电针上八邪治疗缺血性脑卒中恢复期手功能障碍的临床疗效。方法将60例符合研究入选标准的缺血性脑卒中患者,按就诊先后顺序随机分为观察组和对照组(各30例)。两组均给以药物小牛血清去蛋白注射液、丹红注射液静滴治疗,基础针刺及康复锻炼,其中观察组:取患侧上八邪给以深刺配合电针治疗;对照组:取患侧八邪穴针刺配合电针。1周为1疗程,疗程间休息1天,共4个疗程。以改良Lindmark评定表、手关节活动度、Brunnstrom偏瘫手运动功能评价、Barthel指数评分为指标,观察两组患者治疗前后的临床疗效并进行分析评定。结果1.两组患者治疗前基础资料(如年龄、性别、病程等)差异均无统计学意义(P0.05),具有可比性。2.疗效评定:治疗后,两组患者改良Lindmark评定表、手关节活动度、Brunnstrom偏瘫手运动功能评价、Barthel指数评分均较前改善,与疗前比较,差异有统计学意义(P0.05)。两组之间比较,观察组较对照组改善更为显著,差异有统计学意义(P0.05)。3.两组患者在观察周期内均未出现严重不良反应。结论本研究得出上八邪组和八邪组均能改善缺血性脑卒中患者恢复期手功能障碍,通过对比得出电针上八邪组疗效更优,且操作更加简便,患者痛苦减小,依从性更优,具有较好的临床意义。
[Abstract]:Objective to observe the clinical effect of electroacupuncture on hand dysfunction in convalescent stage of ischemic stroke. Methods 60 patients with ischemic stroke according to the study criteria were randomly divided into observation group and control group (30 cases each). Both groups were given drug calf serum deproteinization injection, Danhong injection intravenous drip treatment, basic acupuncture and rehabilitation exercise. In the control group, the patients were treated with Acupuncture of eight pathogenic points and electroacupuncture for one course of treatment, and rest for one day between the courses of treatment, altogether 4 courses of treatment. Based on the modified Lindmark evaluation table and Brunnstrom hemiplegic hand motor function evaluation, the clinical efficacy of the two groups before and after treatment was observed and evaluated. Result 1. There was no significant difference in basic data (such as age, sex, course of disease, etc.) before treatment between the two groups (P 0.05). Evaluation of curative effect: after treatment, the modified Lindmark evaluation table and the assessment of hand motor function of hand joint motion degree and Brunnstrom hemiplegia were improved in both groups, and the difference was statistically significant compared with that before treatment (P 0.05). Comparison between the two groups, the observation group than the control group, the improvement was more significant, the difference was statistically significant P 0.05. 3. There were no serious adverse reactions in both groups during the observation period. Conclusion this study shows that both the upper eight evil group and the eight evil group can improve the hand dysfunction in the recovery period of ischemic stroke patients. By comparison, it is concluded that the electroacupuncture upper eight evil group is more effective, and the operation is more simple, the patient pain is reduced, and the compliance is better. It has good clinical significance.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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