针刺治疗脑出血术后康复期患者的疗效研究

发布时间：2018-07-18 12:07

【摘要】：目的观察针刺治疗脑出血术后康复期患者的疗效。方法观察脑出血微创术后的117例患者,根据随机数字表法将其随机分为治疗组1、治疗组2及对照组。三组术后均进行神经外科常规治疗,治疗组1及治疗组2均于发病两周之后,经过微创手术后,开始针刺治疗。治疗组1采用针刺双侧肢体穴位的方法,治疗组2采用针刺患侧肢体穴位的方法。穴位取肩毭、曲池、外关、合谷、髀关、血海、足三里、阴陵泉、三阴交、解溪、太冲。刺法：直刺入穴,施以提插捻转相结合的针刺补法。得气后留针30min,期间行针1次,每周5次,治疗4周,即28天,共20次。对照组不给予针刺治疗。观察指标：日常生活活动能力(ADL)评定、斯堪的纳维亚卒中量表评分(SSS)。结果治疗后三组患者的日常生活活动能力(ADL)评定(Barthel指数)、斯堪的纳维亚卒中量表评分分别与治疗前相比,差异有显著性意义(P0.05)。三组组间进行比较,部分差异有显著性意义(P0.05),说明针刺治疗尤其是针刺双侧肢体穴位相比单纯微创手术治疗疗效更好。结论针刺治疗对促进脑出血术后康复期患者神经功能及肢体功能恢复方面具有重要意义,能够明显改善患者的生存质量,预防并减少并发症的发生,是一种安全、便捷、经济且值得临床推广运用的治疗方法。
[Abstract]:Objective to observe the effect of acupuncture on patients with cerebral hemorrhage. Methods 117 patients with intracerebral hemorrhage after minimally invasive operation were randomly divided into treatment group 1, treatment group 2 and control group. Routine neurosurgical treatment was performed in all three groups. Treatment group 1 and treatment group 2 were treated with acupuncture after minimally invasive operation two weeks after the onset of the disease. Treatment group 1 was treated with acupuncture of bilateral limb acupoints, and treatment group 2 with acupuncture of affected limb acupoints. Acupoints take shoulder, qu Chi, Waiguan, Hegu, Biguan, Blood Sea, Zusanli, Yin Lingquan, Sanyinjiao, Jie Xi, Tai Chong. Pricking method: direct puncture into the point, apply lifting and inserting twirling combined acupuncture method. After getting qi, the needle was kept for 30 mins, during which the needle was given once, 5 times a week, and treated for 4 weeks, that is, 28 days, for 20 times. The control group was not treated with acupuncture. Outcome measures: activity of Daily living (ADL) and Scandinavian Stroke scale (SSS). Results the activity of daily living (ADL) assessment (Barthel index) and Scandinavian Stroke scale (Scandinavian Stroke scale) scores in the three groups after treatment were significantly different from those before treatment (P0.05). There were significant differences among the three groups (P0.05), indicating that acupuncture treatment, especially acupuncture of bilateral limb acupoints, was more effective than simple minimally invasive surgery. Conclusion Acupuncture therapy is of great significance in promoting the recovery of nerve function and limb function in patients with cerebral hemorrhage during the period of convalescence. It can obviously improve the quality of life of patients, prevent and reduce the occurrence of complications, and is safe and convenient. Economic and worthy of clinical application of treatment methods.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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