透穴埋线治疗原发性癫痫的临床观察

发布时间：2018-06-29 11:53

  本文选题：原发性癫痫 + 透穴埋线　； 参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:观察透穴埋线治疗原发性癫痫的近期和远期疗效,及其对癫痫患者服用药物产生的副作用的改善情况,为原发性癫痫的患者提供一种方便、有效、安全的治疗方法。方法:对入选的31例原发性癫痫患者采用自身对照方法,观察为期3个月的透穴埋线治疗,治疗结束2个月后对患者进行回访调查。治疗结束后参考《痫证诊断与疗效评定标准》统计该组患者治疗前后及随访期临床症状计分,进行统计对比,并在治疗前后进行症状评估和疗效判定。应用SPSS17.0统计软件进行统计,以分析治疗前后客观指标和临床症状的改变情况并评估远期疗效。结果:1.透穴埋线组总有效率为93.6%,此疗法对原发性癫痫有良好疗效;2.治疗后,患者的癫痫计分(发作临床表现、发作频率)较前降低,治疗前后差异有显著统计学意义(P≤0.01),说明该种疗法能降低患者痫性发作的频率、改善发作伴随症状如发作持续时间、意识状况等相关症状;3.治疗结束后2个月对患者进行回访,此时癫痫计分稍低于治疗结束后计分,经检验(P0.05),差异无显著统计学意义。4.该疗法对患者由于服用药物导致的不良反应,如嗜睡、头痛头晕、食欲不振等现象有明显改善作用。结论:1.透穴埋线疗法是一种治疗原发性癫痫的科学有效方法,可以降低患者痫性发作频率,改善痫性发作伴随症状;2.从统计结果可以看出,透穴埋线疗法对患者由于服用药物等引起的不良反应的改善方面似乎具有明显优势;3.随访期癫痫计分低于治疗结束时计分,虽然差异不具有统计学意义,但仍可认为透穴埋线法具有的远期疗效,并且与西药治疗癫痫要求癫痫不发作2—3年且不能立即停药形成对比;4.在可行性方面,透穴埋线易于开展,操作简单,作用时间长,无明显副作用,能减少患者的治疗频率,与现代人们的高效快速的生活节奏相符,患者的依从性较好,值得临床推广使用。
[Abstract]:Objective: to observe the short and long term curative effect of catgut embedding in the treatment of primary epilepsy, and to provide a convenient, effective and safe treatment method for patients with primary epilepsy. Methods: 31 patients with primary epilepsy were treated with self-control method. The patients were treated with catgut embedding for 3 months, and the patients were investigated 2 months after the treatment. At the end of the treatment, the clinical symptom scores of the patients before and after treatment and the follow-up period were counted according to the criteria for the diagnosis and efficacy of epilepsy, and the symptoms were evaluated and the curative effects were evaluated before and after the treatment. SPSS 17.0 statistical software was used to analyze the changes of objective indexes and clinical symptoms before and after treatment and to evaluate the long-term efficacy. The result is 1: 1. The total effective rate of the catgut embedding group was 93. 6, and this therapy had a good curative effect on primary epilepsy. After treatment, the epileptic score (clinical manifestation, frequency of seizure) was lower than that before treatment, and the difference was statistically significant (P 鈮，

本文编号：2082027