化痰醒神开窍针法预防卒中相关性肺炎的临床研究

发布时间：2018-05-01 13:42

本文选题：化痰醒神开窍法 + 针刺　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：卒中相关性肺炎是脑卒中并发症之一,发病率及死亡率均较高。本研究通过对脑卒中及卒中相关性肺炎的既往资料搜集、分析,在现代研究的基础上,归纳总结卒中相关性肺炎的中医病因病机,创立化痰醒神开窍治疗原则,运用针刺预防卒中相关性肺炎的发生发展,为指导临床防治卒中相关性肺炎提供客观依据。方法：本研究采用前瞻性随机对照试验,以24小时内突发脑卒中、尚未罹患卒中相关性肺炎的患者为试验对象,共收集病例80例,按照针刺组：对照组=1：1随机分为两组,对照组给予脑卒中基础治疗,针刺组在对照组的治疗基础上予化痰醒神开窍针法针刺治疗,每日1次,共计7天。通过比较两组患者试验后症状积分、体征积分、实验室数据积分,得出试验结论。结果：1.针刺组与对照组的症状积分在试验前后有显著差异,组间比较差异(P0.01)2.针刺组与对照组在试验前后体征积分组间存在显著差异(P0.05)3.针刺组与对照组治疗前后实验室数据(器械检查)积分有显著差异,组间比较差异(P0.05),血常规检验中白细胞计数异常情况差异显著(P0.01)4.针刺组与对照组在试验后对卒中相关性肺炎的发病率影响差异具有统计学意义(P0.05)结论：针刺运用化痰醒神开窍针法干预脑卒中患者,在症状、体征、实验室数据积分各方而均低于对照组,总发病率低于对照组,疗效明确。
[Abstract]:Objective: stroke-associated pneumonia is one of the complications of stroke with high morbidity and mortality. Based on the data collection and analysis of stroke and stroke associated pneumonia, this study summarized the etiology and pathogenesis of stroke related pneumonia in traditional Chinese medicine, and established the principle of eliminating phlegm and waking up mind to open orifices, on the basis of modern research, we summarized the etiology and pathogenesis of stroke associated pneumonia. Acupuncture is used to prevent the occurrence and development of apoplexy associated pneumonia, which provides objective basis for clinical prevention and treatment of stroke associated pneumonia. Methods: a prospective randomized controlled trial was conducted in which 80 patients with stroke within 24 hours who had not suffered from apoplexy pneumonia were randomly divided into two groups according to acupuncture group: control group 1: 1. The control group was treated with basic treatment of stroke, the acupuncture group was treated with acupuncture with acupuncture method of eliminating phlegm and waking spirit and opening resuscitation on the basis of treatment in the control group, once a day for 7 days. By comparing the symptom score, physical sign score and laboratory data score between the two groups, the conclusion of the experiment was obtained. The result is 1: 1. There was significant difference in symptom score between acupuncture group and control group before and after the experiment. There was significant difference between the acupuncture group and the control group in the score of physical signs before and after the test. There was significant difference in the score of laboratory data (instrument examination) between the acupuncture group and the control group before and after treatment, the difference between the two groups was significant (P 0.05), and the abnormal situation of white blood cell count in the blood routine examination was significantly different from that of the control group (P 0.01). The difference of incidence of apoplexy associated pneumonia between acupuncture group and control group was statistically significant (P0.05) conclusion: acupuncture used the method of eliminating phlegm to awaken the mind and open the orifices to intervene stroke patients in symptoms and signs. Laboratory data scores were lower than the control group, the total incidence was lower than the control group, the curative effect was clear.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

【相似文献】