项针结合攒竹穴治疗中风后呃逆的临床观察

发布时间：2018-05-04 22:34

本文选题：电针 + 中风　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:本文探讨项针结合攒竹穴治疗中风后呃逆的临床疗效及其作用机制。方法:按照纳入标准选取64位中风后呃逆患者,随机分为治疗组和对照组,每组各32人。治疗组和对照组的基础治疗无差异,如抗凝、扩血管、康复训练等。治疗组选取项针结合攒竹穴的治疗方法,选取颈3至颈5段项部的夹脊穴,针刺得气后,连接脉冲电疗仪,电疗仪正负极左右连接交叉通电,双侧攒竹穴针刺得气后亦连接脉冲电疗仪,双侧翳风穴针刺得气即可。每日治疗一次,每次治疗30分钟,共治疗8天。对照组选用口服巴氯芬,初始计量5mg/次,每天3次,逐渐增加,每次增加5mg.间隔三天,直到每日30mg。观察8天。通过对两组患者的精神状态、食欲状态、睡眠状态、治疗副作用、起效时间及疗程的观察对比及统计学分析,比较项针结合攒竹穴疗法与巴氯芬的疗效。结果:1、治疗组与对照组的总有效率对比不具有显著性差异(P0.05)。2、治疗组的精神状态、食欲状态、睡眠状态与对照组比较均具有显著性差异(P0.05)。3、治疗组相比对照组,起效时间快、疗程短,具有显著差距(P0.05)。结论:项针结合攒竹穴治疗中风后呃逆的方法对患者的精神状态、食欲状态、睡眠状态的改善,起效时间及疗程的缩短上均优于西药巴氯芬的治疗方法。项针结合攒竹穴的治疗方法无副作用,疗效确切,有利于中风患者的康复治疗。
[Abstract]:Objective: to explore the clinical effect and mechanism of acupuncture combined with Zanzhu point in treating hiccup after stroke. Methods: 64 patients with hiccup after stroke were randomly divided into treatment group and control group. There was no difference in basic treatment between treatment group and control group, such as anticoagulant, vasodilation, rehabilitation training, etc. In the treatment group, the treatment method of nape acupuncture combined with Zanzhu point was selected, and the Jiaji point in the neck 3 to 5 segment of the neck was selected. After the Qi was punctured, the pulse electrotherapy instrument was connected, and the positive and negative electrode of the electrotherapy instrument was connected with the cross electrification on the left and right. Bilateral Zanzhu acupoint acupuncture Qi is also connected with pulse electrotherapy instrument, bilateral Yifeng point acupuncture qi can be. Treatment once a day, 30 minutes each time, a total of 8 days. In the control group, the oral administration of baclofen, the initial dose of 5mg/, 3 times a day, gradually increased, each time increased by 5 mg. The interval is 3 days, until 30 mg daily. Observe for 8 days. Through the observation and statistical analysis of mental state, appetite state, sleep state, side effect, onset time and course of treatment of the two groups, the curative effects of nape acupuncture combined with Zanzhu point therapy and baclofen were compared. Results: there was no significant difference in the total effective rate between the treatment group and the control group (P 0.05). The mental state, appetite state and sleep state of the treatment group were significantly different from those of the control group (P 0.05 路3). Compared with the control group, the effective time of the treatment group was faster than that of the control group. The course of treatment was short and the difference was significant (P 0.05). Conclusion: the treatment of hiccup after apoplexy by combining nape acupuncture with Zanzhu acupoint is better than that of the western medicine baclofen in improving mental state, appetite state, sleep state, onset time and course of treatment. The treatment of finger acupuncture combined with Zanzhu point has no side effect and is beneficial to the rehabilitation of stroke 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

【参考文献】