颈部穴位贴敷治疗眩晕60例疗效探析

发布时间：2018-04-30 19:07

本文选题：颈部穴位贴敷 + 眩晕　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:本研究通过对辽宁中医药大学附属第二医院脑病一科明确诊断为后循环缺血性眩晕的住院患者按入院先后顺序随机进行观察,以期近一步了解脑病一科应用颈部穴位贴敷治疗后循环缺血性眩晕病的临床疗效性与安全性,为进一步临床实践提供依据。材料与方法:本研究所选对象是从辽宁中医药大学附属第二医院脑病一科2015到2016年1年间住院接受治疗的眩晕患者中随机观察的60例。按入院先后顺序随机将符合纳入、排除标准的患者作为观察对象,其中男患33例,女患27例,年龄区间是在35岁至88岁之间。其中30例患者应用中西医结合常规治疗,将此组视为对照组;另外30例患者在此基础上加用颈部穴位贴敷视为观察组。两组患者均予常规治疗14天,观察组在此基础上予清眩散日一次颈部贴敷,每次约30分钟;并应用DARS量表及中医症候评定量表对治疗前后症状进行评分。最后,采用软件SPSS17.0对所得资料、数据进行统计学处理,对统计结果进行讨论分析。结果:1.两组间的均衡比较1.1观察组、对照组的性别、平均年龄分布情况经统计学分析后,无差异(P0.05);一般情况可比。1.2观察组、对照组治疗前DARS量表积分比较有可比性(P0.05)。两组治疗前中医症候评定量表积分比较,有可比性(P0.05)。2.结果比较2.1DARS量表结果比较观察组、对照组治疗后与自身治疗前DARS量表积分比较,治疗后积分比自身治疗前降低,有差异(P0.05);说明两组治疗后症状均比自身治疗前改善。观察组DARS量表总有效率高于对照组,有差异(P0.05);说明总体疗效上观察组优于对照组。2.2中医症候评定量表结果比较观察组、对照组治疗后与自身治疗前中医症候评定量表积分比较,治疗后积分比治疗前降低,有差异(P0.05);说明两组治疗后症状均比自身治疗前改善。观察组中医症候评定量表总有效率高于对照组,有差异(P0.05);说明总体疗效上观察组优于对照组。3.在应用药物治疗期间,观察组和对照组患者均未出现不良事件及不良反应,没有因不良事件而中断治疗。结论:1.颈部穴位贴敷配合常规治疗及单纯应用常规治疗均可以改善DARS量表积分情况,但颈部穴位贴敷配合常规治疗比单纯应用常规治疗效果好。2.颈部穴位贴敷配合常规治疗及单纯应用常规治疗均可以改善中医症候评定量表积分情况,但颈部穴位贴敷配合常规治疗比单纯应用常规治疗效果好。3.颈部穴位贴敷遵循的是中医整体观念及内病外治理论,同时根据经络循行原理直达病所,从而达到从内而外治疗疾病的目的。应用安全有效,值得人们在实践中推广使用。
[Abstract]:Objective: the purpose of this study was to investigate the patients with posterior circulatory ischemic vertigo diagnosed in the Department of Encephalopathy in the second affiliated Hospital of Liaoning University of traditional Chinese Medicine at random according to the order of admission. To further understand the clinical efficacy and safety of treating circulatory ischemic vertigo with cervical acupoint application in Encephalopathy Department, and to provide the basis for further clinical practice. Materials and methods: the subjects of this study were 60 patients with vertigo who were hospitalized in the Department of Encephalopathy of the second affiliated Hospital of Liaoning University of traditional Chinese Medicine from 2015 to 2016. According to the order of admission, 33 cases of male and 27 cases of female were randomly selected as observation objects. The age range was between 35 and 88 years old. 30 patients were treated with the combination of traditional Chinese and western medicine as the control group, and the other 30 patients were treated as the observation group with cervical acupoint application on this basis. The patients in both groups were treated with routine therapy for 14 days, the observation group was treated with QXS once a time for 30 minutes, and the symptoms before and after treatment were evaluated with DARS scale and TCM symptom rating scale. Finally, the data are processed statistically by software SPSS17.0, and the statistical results are discussed and analyzed. The result is 1: 1. After statistical analysis, there was no difference in the sex and average age distribution between the two groups, and the comparison of DARS scale scores before treatment in the control group was comparable to that in the .1.2 observation group (P 0.05). The scores of TCM symptom rating scale were comparable between the two groups before treatment. Results the results of 2.1DARS scale were compared in the observation group. The scores of DARS scale after treatment in the control group were lower than those before the self-treatment, indicating that the symptoms of the two groups were improved after treatment. The total effective rate of DARS in the observation group was higher than that in the control group (P 0.05), which indicated that the overall curative effect of the observation group was better than that of the control group. After treatment, the score was lower than that before treatment, and there was a difference (P 0.05), indicating that the symptoms of the two groups after treatment were better than those before self treatment. The total effective rate of TCM symptom rating scale in the observation group was higher than that in the control group (P 0.05), which indicated that the observation group was better than the control group. 3. There were no adverse events and adverse reactions in both the observation group and the control group during the period of drug therapy, and there was no interruption of treatment because of the adverse events. Conclusion 1. Cervical acupoint application combined with routine therapy and simple routine treatment can improve the DARS scale integral, but cervical acupoint application combined with conventional therapy is better than simple routine treatment. 2. Cervical acupoint application combined with routine therapy and simple routine treatment can improve the integral of TCM symptom rating scale, but the effect of cervical acupoint application combined with conventional therapy is better than that of simple routine treatment. 3. The application of cervical acupoints follows the whole concept of traditional Chinese medicine and the theory of internal and external treatment. At the same time, according to the principle of meridian circulation, it can reach the goal of treating diseases from inside to outside. Application is safe and effective, and it is worth popularizing in practice.
【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】：2017
【分类号】：R255.3

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