头项针结合眼周穴治疗中风后复视的临床观察

发布时间：2018-05-30 20:33

本文选题：头针 + 项针　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察头项针结合眼周穴治疗中风后复视的临床疗效,为临床上治疗本病提供新的有效的思路及方法,进一步提高患者的生活质量。方法:将所有符合纳入标准的60例中风后复视患者,按照随机数字表法分为治疗组和对照组,每组各30例,治疗组选穴:头针:枕上正中线、枕上旁线;项针:风池、供血、翳明;眼周穴:动眼神经麻痹选睛明、上明、承泣;外展神经麻痹选外明;滑车神经麻痹选下明,进行针刺;对照组选穴:主穴:攒竹、丝竹空、印堂、四白、光明、阳白;配穴:选风池、合谷、太冲、太溪、三阴交进行针刺。两组均是每日针刺1次,每次留针40分钟,一周针刺6天后休息1天,2周为一个疗程,治疗2个疗程后对两组临床疗效进行评价。结果:通过观察患者治疗前后的复视像距离、眼位偏斜角度、主症评分等,得知:治疗组与对照组治疗后均比治疗前好转,且具有统计学意义(P0.05);而两组患者治疗后的情况进行组间比较,治疗组好转效果明显高于对照组,并经统计学处理后,得知两组治疗后组间比较具有统计学意义(P0.05);另治疗组的总有效率为90.00%,对照组的总有效率为76.67%,两组有效率比较具有统计学意义(P0.05),所以头项针结合眼周穴治疗本病的疗效优于传统针刺方法。结论:1.头项针结合眼周穴是治疗中风后复视的一种有效方法;2.头项针结合眼周穴能明显改善中风后复视患者的临床症状,包括复视像距离、头晕、眼位偏斜度等,均可收到满意疗效。
[Abstract]:Objective: to observe the clinical effect of head nape acupuncture combined with eye periocular acupoint in the treatment of diplopia after apoplexy, to provide a new and effective method for the treatment of this disease, and to further improve the quality of life of the patients. Methods: all 60 patients with diplopia after stroke were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group selected points: scalp acupuncture: suboccipital median line, supraoccipital line, nape needle: wind pool, blood supply, Yiming; oculomotor nerve palsy; abducens nerve palsy; trochlear nerve paralysis; trochlear nerve palsy; control group: main points: Zanzhu, Sizhu empty, Yantang, Sibai, Guangming, Yangbai; Points: Fengchi, Hegu, Taichong, Taixi, Sanyinjiao acupuncture. The two groups were treated with acupuncture once a day for 40 minutes each time, rest 1 day and 2 weeks after 6 days a week as a course of treatment. The clinical efficacy of the two groups was evaluated after 2 courses of treatment. Results: by observing the distance of diplopia before and after treatment, the angle of deviation of eye position and the score of main symptom, we know that the treatment group and the control group are better than before treatment. There was significant difference between the two groups after treatment, and the improvement effect of the treatment group was significantly higher than that of the control group, and after statistical treatment, the effect of the treatment group was better than that of the control group. The results showed that the comparison between the two groups after treatment had statistical significance (P 0.05), the total effective rate of the other treatment group was 90.00and the total effective rate of the control group was 76.67. The effective rate of the two groups was significantly higher than that of the control group (P 0.05), so the head and nape acupuncture combined with the point around the eye was used to treat this disease. The curative effect is superior to the traditional acupuncture method. Conclusion 1. Head-nape acupuncture combined with eye-around point is an effective method to treat diplopia after apoplexy. The clinical symptoms of patients with diplopia after apoplexy can be obviously improved by combining head and nape acupuncture with eye periocular acupoints, including the distance of diplopia, dizziness, degree of eye position deviation, etc.
【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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