眼针治疗中风构音障碍的临床观察
发布时间：2018-08-09 14:55
【摘要】：目的:观察眼针治疗中风后构音障碍患者的疗效,为临床提供一种更有效、可行的治疗方案。对象与方法:选择2015年1月-2015年12月辽宁中医药大学附属医院康复中心脑病康复二科中风后构音障碍患者80例,均符合诊断标准和纳入标准。将80例患者随机分为试验组和对照组,每组各40例。其中试验组男性21例,女性19例,年龄最大者77岁,最小者51岁,平均年龄65.12岁,脑出血13例,脑梗死27例。对照组男性26例,女性14例,年龄最大者74岁,最小者54岁,平均年龄64.25岁,脑出血14例,脑梗死26例。两组均进行中风后常规药物治疗,试验组加用眼针,选取上焦穴、下焦穴、心穴、脾穴。操作方法:使用“眼针运动疗法”针具,用镊子将针快速刺入穴区,患者得气后留针30分钟,每日1次,四周1个疗程。对照组加用体针,选取廉泉、百会、人中、脑户、风池、翳风穴。操作方法:选用华佗牌0.25*30mm号针灸针,采用平补平泻进针法,患者得气后留针30分钟,每日1次,四周1个疗程。采用改良Frenchay构音障碍评定量表评定,观察两组患者构音功能的恢复情况。结果:试验组40例,显效18例,有效16例,无效6例,总有效率85.00%。对照组40例,显效9例,有效16例,无效15例,总有效率62.50%。试验组患者构音障碍改善情况明显优于对照组(P0.05)。结论:1.眼针改善中风患者构音障碍疗效优于对照组;2.眼针以其疗效肯定,便于带针康复等优势,值得临床广泛推广应用。
[Abstract]:Objective: to observe the effect of eye acupuncture on postapoplectic dysarthria. Participants and methods: 80 patients with post-stroke dysarthria were selected from January 2015 to December 2015 in the Rehabilitation Center of affiliated Hospital of Liaoning University of traditional Chinese Medicine. 80 patients were randomly divided into experimental group and control group with 40 cases in each group. There were 21 males and 19 females in the experimental group, the oldest was 77 years old, the youngest was 51 years old, the average age was 65.12 years old, 13 cases had cerebral hemorrhage and 27 cases had cerebral infarction. The control group consisted of 26 males and 14 females, the oldest being 74 years old and the youngest 54 years old, with an average age of 64.25 years, cerebral hemorrhage in 14 cases and cerebral infarction in 26 cases. Both groups were treated with routine medicine after stroke, the experimental group was treated with eye acupuncture, and the points of upper Jiao, Xijiao, Xin and spleen were selected. Operation method: using "eye acupuncture exercise therapy" needle, using tweezers to quickly needle into the point area, the patient after Qi retention needle 30 minutes, once a day, four weeks a course of treatment. In the control group, Lianquan, Baihui, Naohu, Fengchi and Yifeng were selected. Operation method: adopt 0.25*30mm acupuncture needle of Huatuo brand, adopt the method of flat tonifying and purging into the needle, keep the needle for 30 minutes after getting qi, once a day, for four weeks for a course of treatment. The improved Frenchay dysarthria scale was used to evaluate the recovery of the articulation function in the two groups. Results: in the test group, there were 40 cases, 18 cases marked effect, 16 cases effective and 6 cases ineffective. The total effective rate was 85.00%. There were 40 cases in control group, 9 cases in marked effect, 16 cases in effective and 15 cases in ineffectiveness. The total effective rate was 62.50%. The improvement of dysarthria in the trial group was significantly better than that in the control group (P0.05). Conclusion 1. The effect of eye acupuncture on dysarthria in stroke patients was better than that in control group. Eye needle is worthy of extensive clinical application because of its definite curative effect and convenient rehabilitation with needle.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
，
本文编号：2174445
[Abstract]:Objective: to observe the effect of eye acupuncture on postapoplectic dysarthria. Participants and methods: 80 patients with post-stroke dysarthria were selected from January 2015 to December 2015 in the Rehabilitation Center of affiliated Hospital of Liaoning University of traditional Chinese Medicine. 80 patients were randomly divided into experimental group and control group with 40 cases in each group. There were 21 males and 19 females in the experimental group, the oldest was 77 years old, the youngest was 51 years old, the average age was 65.12 years old, 13 cases had cerebral hemorrhage and 27 cases had cerebral infarction. The control group consisted of 26 males and 14 females, the oldest being 74 years old and the youngest 54 years old, with an average age of 64.25 years, cerebral hemorrhage in 14 cases and cerebral infarction in 26 cases. Both groups were treated with routine medicine after stroke, the experimental group was treated with eye acupuncture, and the points of upper Jiao, Xijiao, Xin and spleen were selected. Operation method: using "eye acupuncture exercise therapy" needle, using tweezers to quickly needle into the point area, the patient after Qi retention needle 30 minutes, once a day, four weeks a course of treatment. In the control group, Lianquan, Baihui, Naohu, Fengchi and Yifeng were selected. Operation method: adopt 0.25*30mm acupuncture needle of Huatuo brand, adopt the method of flat tonifying and purging into the needle, keep the needle for 30 minutes after getting qi, once a day, for four weeks for a course of treatment. The improved Frenchay dysarthria scale was used to evaluate the recovery of the articulation function in the two groups. Results: in the test group, there were 40 cases, 18 cases marked effect, 16 cases effective and 6 cases ineffective. The total effective rate was 85.00%. There were 40 cases in control group, 9 cases in marked effect, 16 cases in effective and 15 cases in ineffectiveness. The total effective rate was 62.50%. The improvement of dysarthria in the trial group was significantly better than that in the control group (P0.05). Conclusion 1. The effect of eye acupuncture on dysarthria in stroke patients was better than that in control group. Eye needle is worthy of extensive clinical application because of its definite curative effect and convenient rehabilitation with needle.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6
，
本文编号：2174445
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