足阴阳经透刺治疗中风后足内翻的临床疗效观察

发布时间：2018-05-08 22:06

本文选题：中风 + 足阴阳经透刺法　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察足阴阳经透刺治疗中风后足内翻的临床疗效,为临床治疗本病提供理论依据与应用借鉴。方法:选择符合纳入标准的中风后足内翻患者共60例,随机分为对照组和治疗组,每组30例。两组患者均按照脑血管病防治指南给予对症治疗。对照组接受传统针刺治疗,选取阳陵泉、阴陵泉、足三里、悬钟、丘墟、照海、申脉、风市;治疗组接受足阴阳经透刺治疗,选取丘墟透照海、阳陵泉透阴陵泉、悬钟透三阴交。分别在治疗前与治疗后使用RM Gait步态分析系统对两组患者的步行能力进行评价,并对足内翻角度及下肢Fugl-Meyer评分进行测定。利用SPSS18.0统计软件对数据进行处理与分析。结果:1、两组患者治疗后的步速、步频、患侧步长较治疗前比较,差异有显著统计学意义(p0.01),两组患者在步速、步频、患侧步长的差值方面,组间比较差异有统计学意义(p0.05),治疗组优于对照组。2、两组患者治疗后患侧单支撑相占步态周期百分比、双支撑相占步态周期百分比与治疗前比较,差异有显著统计学意义(p0.01),两组患者患侧单支撑相占步态周期百分比、双支撑相占步态周期百分比的差值,组间比较差异有统计学意义(p0.05),治疗组优于对照组。3、两组患者治疗后患侧足内翻角度、下肢Fugl-Meyer评分与治疗前比较,差异均有显著统计学意义(p0.01),两组患者患侧踝关节内翻角度的差值,组间比较差异有统计学意义(p0.05),两组患者下肢Fugl-Meyer评分的差值,组间比较差异有统计学意义(p0.05),治疗组优于对照组。4、两组临床疗效比较,治疗组临床痊愈7例(23.3%),显效14例(46.7%),好转7例(23.3%),无效2例(6.7%),总有效率为93.3%;对照组组临床痊愈1例(10.0%),显效8例(26.7%),好转10例(33.3%),无效9例(30%),总有效率为70.0%,经统计学分析,治疗组优于对照组,差异有显著统计学意义(p0.01)。结论:1、足阴阳经透刺法与传统针刺法均能改善中风后足内翻患者的足内翻角度、下肢功能,对中风后足内翻患者步行能力的提升疗效显著。2、足阴阳经透刺法对改善中风后足内翻疗效优于传统针刺法。
[Abstract]:Objective: to observe the clinical effect of foot yin and yang meridian penetration in treating foot varus after apoplexy, and to provide theoretical basis and application reference for clinical treatment of this disease. Methods: a total of 60 patients with apoplectic foot varus were randomly divided into control group and treatment group with 30 cases in each group. Patients in both groups were given symptomatic treatment in accordance with the guidelines for the prevention and treatment of cerebrovascular diseases. The control group was treated with traditional acupuncture, including Yangling Spring, Yiling Spring, Zusanli, Xuanzhong, Qiu Hui, Zhaohai, Shenmai and Fengshi; the treatment Group was treated with foot Yin and Yang Meridian puncture, and the Qiu Hui was selected to pass through the sea, and the Yangling Spring to the Yin Ling Spring. The bell hangs through the sanyin jiao. The walking ability of the two groups was evaluated by RM Gait gait analysis system before and after treatment, and the foot varus angle and lower limb Fugl-Meyer score were measured. SPSS18.0 statistical software is used to process and analyze the data. Results there were significant differences in step speed, step frequency, and step length between the two groups after treatment compared with those before treatment (p 0.01). The difference of step speed, step frequency, and step length of the affected side between the two groups was significant. The difference between the two groups was statistically significant (p 0.05), and the treatment group was superior to the control group (P < 0.05). After treatment, the patients in the two groups had a single support phase in the gait cycle percentage, a double support phase in the gait cycle, and a comparison between the two groups before and after treatment. The difference between the two groups was significant (P < 0.01). The difference between the two groups in the percentage of gait cycle with single support phase and double support phase with gait cycle was significant. The difference between the two groups was statistically significant (p 0.05), and the treatment group was superior to the control group (.3). After treatment, the patients in the two groups had the inflection angle of the affected side of the foot, and the lower limb Fugl-Meyer score was compared with that before the treatment. The difference between the two groups was significant (P < 0.01). The difference between the two groups was significant (p 0.05). The difference of lower extremity Fugl-Meyer score between the two groups was significant. The difference between the two groups was statistically significant (P 0.05). The treatment group was superior to the control group (.4). The clinical efficacy of the two groups was higher than that of the control group. In the treatment group, there were 7 cases of clinical recovery, 14 cases of remarkable effect, 7 cases of improvement, 7 cases of improvement, 2 cases of ineffectiveness, 2 cases of ineffectiveness, with a total effective rate of 93.3T; in the control group, 1 case was cured, 8 cases were significantly effective, 10 cases were improved, 10 cases were improved, 9 cases were not effective, the total effective rate was 70.00.The total effective rate was 70.030%. The treatment group was superior to the control group, the difference was statistically significant (P 0.01). ConclusionThe podal varus angle and the lower extremity function of patients with stroke can be improved by the penetration of foot yin and yang and the traditional acupuncture. The effect of foot yin and yang penetration acupuncture on improving foot varus after stroke was better than that of traditional acupuncture.
【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

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