透刺风池配合电针治疗外展神经麻痹临床疗效观察

发布时间：2018-07-03 04:21

本文选题：外展神经麻痹 + 电针　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过比较透刺风池穴配合电针治疗外展神经麻痹与传统针刺治疗外展神经麻痹的临床疗效,为临床提供更高效、简便的治疗方案。方法:收集黑龙江中医药大学附属第一医院针灸科门诊及针灸科病房符合标准被纳入的60例外展神经麻痹患者随机分为两组;包括透刺风池穴配合电针治疗外展神经麻痹的治疗组30例,及传统针刺治疗外展神经麻痹的对照组30例。治疗方法:对照组选取病侧的太阳、睛明、鱼腰、攒竹、丝竹空、瞳子毼,双侧的足三里、太冲、合谷、三阴交。各穴进针约0.5寸,进针后行平补平泻法。得气后患侧太阳与丝竹空连接电针仪的正负极(太阳连正极、丝竹空连接负),攒竹与鱼腰连接电针仪的正负极(攒竹连正极、鱼腰连接负),同侧的足三里与太冲连接电针仪的正负极(足三里连正极、太冲连接负)。治疗组在对照组的基础上加风池穴,风池穴进针时针尖朝对侧风池穴方向快速进针约1.5寸后行快速捻转手法,对侧风池以相同的手法操作。进针得气后将双侧风池连接电麻仪的正负极,频率为20Hz,波形为连续波,强度为患者可以耐受为宜,持续15分钟。共留针30分钟,十分钟行针一次,日一次。每周进行针灸治疗5天,休息2天。28天为一治疗疗程,共两疗程。通过对比治疗组与对照组1个疗程,2个疗程各个阶段治疗的效果。分别对患者治疗的总有效率及复视、斜视、恶心、代偿头位、眩晕的恢复程度进行综合性评分,利用SPSS20.0统计软件对数据进行处理与分析。结果:经过统计学的分析得出,两组患者的症状都有明显的改变,治疗组的改善程度明显优于对照组;两组患者治疗前后斜视度的比较具有显著差异,P0.05,有统计学意义。治疗组:治愈11例,显效10例,有效8例,无效1例,总有效率为97%。对照组:治愈4例,显效9例,有效15例,无效2例,总有效率为93%。治疗组的总有效率高于对照组的总有效率,两者比较、P0.05,有统计学意义。治疗期间,全部患者无不良事件。结论:通过治疗组与对照组临床疗效的对比得出:两组治疗对外展神经麻痹均有疗效。治疗组透刺风池穴配合电针治疗外展神经麻痹临床疗效显著,对于外展神经麻痹疾病的患者可施用此方法治疗,操作简便可行。
[Abstract]:Objective: to compare the clinical effect of penetrating acupuncture on Fengchi point combined with electroacupuncture on abducent nerve paralysis and traditional acupuncture on abducent nerve paralysis, and to provide a more effective and simple treatment scheme for clinical treatment. Methods: 60 cases of abducent nerve palsy were randomly divided into two groups: the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine, Department of Acupuncture and moxibustion Department and Acupuncture ward were included in the standard of 60 cases of abducent nerve paralysis; The treatment group consisted of 30 cases of abducens nerve paralysis treated with penetration of Fengchi point and electroacupuncture, and 30 cases of control group of traditional acupuncture treatment of abducens nerve paralysis. Treatment: control group selected the diseased side of the sun, clear, fish waist, save bamboo, bamboo empty, pupil, bilateral Zusanli, Taichong, Hegu, Sanyinjiao. Each point into the needle about 0.5 inch, into the needle after the flat-tonifying flat-diarrhea method. After getting qi, the affected side of the sun connects the positive and negative poles of the electroacupuncture instrument with the silk bamboo space (the sun connects the positive poles, the silk bamboo space connects the negative ones), and the savings bamboo and the fish waist connect the positive and negative electrodes of the electroacupuncture apparatus (Zanzhu connected with the positive poles). Fish waist connection negative, the same side of Zusanli and too impulse connection of the positive and negative electroacupuncture instrument (Zusanli connected to the positive pole, too strong connection negative). In the treatment group, on the basis of the control group, the point of Fengchi was added to the Fengchi point, and the tip of the needle to the opposite side of the Fengchi point was rapidly injected into the direction of the opposite wind pool about 1.5 inches later, and the opposite side of the wind pool was operated with the same technique. The positive and negative electrodes of the apparatus were connected to the two wind pools after the injection of gas, the frequency was 20 Hz, the waveform was continuous wave, and the intensity was suitable for the patient to tolerate for 15 minutes. A total of 30 minutes, 10 minutes needle once, once a day. Acupuncture and moxibustion for 5 days a week, rest 2 days. 28 days as a course of treatment, a total of two courses. By comparing the treatment group and the control group one course of treatment, two courses of treatment of each stage of the effect. The total effective rate and recovery degree of diplopia, strabismus, nausea, compensatory head position and vertigo were evaluated. SPSS 20.0 statistical software was used to process and analyze the data. Results: after statistical analysis, the symptoms of the two groups were obviously changed, the improvement of the treatment group was obviously better than that of the control group, and the difference of strabismus between the two groups was significant (P 0.05). In the treatment group, 11 cases were cured, 10 cases were markedly effective, 8 cases were effective and 1 case was ineffective. The total effective rate was 97%. In the control group, 4 cases were cured, 9 cases were markedly effective, 15 cases were effective and 2 cases were ineffective. The total effective rate was 93%. The total effective rate of the treatment group was higher than that of the control group (P 0.05). During the treatment, all patients had no adverse events. Conclusion: by comparing the clinical effect of treatment group and control group, it is concluded that both groups have curative effect on abducens nerve paralysis. In the treatment group, acupuncture at Fengchi point combined with electroacupuncture was effective in the treatment of abducent nerve paralysis, and it was simple and feasible to treat the patients with abducent nerve paralysis.
【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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