扬刺鬼堂穴治疗脑卒中后焦虑的临床疗效观察

发布时间：2018-05-19 22:26

本文选题：扬刺 + 鬼堂穴(上星穴)　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察扬刺鬼堂穴为主治疗脑卒中后焦虑的临床疗效,为针刺治疗脑卒中后焦虑障碍找到一种新思路。方法:将筛选的66例脑卒中后焦虑患者通过随机数字表法随机分为两组,分别为治疗组33例和对照组33例。两组患者均给予神经内科的基础治疗和康复训练,同时两组患者规范化给予氟哌噻吨美利曲辛片(黛力新)口服,每日早晨、中午分别口服1片。治疗组采用扬刺鬼堂穴治疗,对照组采用常规针刺方法治疗。分别在治疗前、治疗4周、治疗8周后采用汉密尔顿焦虑量表(HAMA)、Zung氏焦虑自评量表(SAS)、日常生活自理能力评定Barthe1指数(BI)进行疗效评价。8周治疗结束后观察两组患者的治疗效果,用SPSS20.0进行统计分析。结果:1.两组患者治疗前经过HAMA、SAS、BI评分,治疗组和对照组比较,组间无显著性差异(p0.05),具可比性。2.两组患者治疗后分别进行HAMA、SAS、BI评定,治疗4周后与治疗8周后HAMA、SAS评分均有下降(p0.05),BI评分均有上升(p0.05);两组患者治疗8周后在改善HAMA、SAS、BI评分上较治疗4周后更明显,且组间比较(p0.05),治疗组优于对照组。3.两组患者经治疗后,精神焦虑因子、躯体焦虑因子以及睡眠因子的疗效评分均有明显改善;4.两组总疗效比较:两组患者同时治疗8周后,经HAMA量表疗效评定分析,BI指数增分率与HAMA减分率相关性分析具有显著差异,表明BI增分率高的治疗组患者焦虑症状改善效果较好。HAMA减分率可以直观地判定患者焦虑程度改善情况且有确定疗效,治疗组总有效率为84.84%,对照组总有效率63.63%,两组相比具有统计学意义(p0.05)。结论:1.扬刺鬼堂穴治疗脑卒中后焦虑疗效确切,且可提高患者日常生活能力。2.扬刺鬼堂穴治疗脑卒中后焦虑的疗效优于传统针刺方法。
[Abstract]:Objective: to observe the clinical effect of Yangzhugitang point on post-stroke anxiety, and to find a new way for acupuncture treatment of post-stroke anxiety disorder. Methods: 66 patients with post-stroke anxiety were randomly divided into two groups: treatment group (n = 33) and control group (n = 33). The patients in both groups were given basic treatment and rehabilitation training of neurology. The treatment group was treated with Yang needling Goutang and the control group with routine acupuncture. Before treatment, 4 weeks after treatment, 8 weeks after treatment, the two groups were treated with Hamilton anxiety scale (Hamilton anxiety scale) and Zung's anxiety Self-Rating scale (SASX), and the Barthe1 index of self-care ability of daily living (ADL) was used to evaluate the curative effect of the two groups after the end of the treatment. SPSS20.0 was used for statistical analysis. The result is 1: 1. There was no significant difference between the treatment group and the control group (P 0.05), and the score was comparable with that of the control group (P < 0.05). After 8 weeks of treatment, the scores of HAMA-SASBI were decreased after 4 weeks of treatment and 8 weeks after treatment, and the scores of patients in both groups were significantly higher than those after 4 weeks of treatment, and those of the two groups were significantly higher after 8 weeks of treatment than after 4 weeks of treatment, and the scores of Hama and SASBI in both groups were significantly higher than those after treatment of 4 weeks, and the scores of patients in both groups were significantly higher than those after treatment of 4 weeks. Compared with the control group, the treatment group was better than the control group. After treatment, the scores of mental anxiety factor, somatic anxiety factor and sleep factor were significantly improved in both groups. Comparison of total curative effects between the two groups: after 8 weeks of simultaneous treatment, there were significant differences in the correlation between the increase rate of BI index and the decrease rate of HAMA by evaluating the efficacy of HAMA. The results showed that the improvement of anxiety symptoms in the treatment group with higher BI score rate was better. Hama score reduction rate could directly judge the improvement of anxiety degree of patients and have definite curative effect. The total effective rate was 84.84 in the treatment group and 63.63 in the control group. Conclusion 1. Yangzhuotang point is effective in the treatment of post-stroke anxiety, and can improve the ability of daily life of patients. 2. The therapeutic effect of Yangzhugitang point on post-stroke anxiety is better than that of traditional acupuncture method.
【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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