围刺丘墟穴为主治疗中风后足内翻的临床观察

发布时间：2019-06-19 00:44

【摘要】：目的:观察对比传统针法与围刺丘墟穴为主治疗中风后足内翻的临床疗效及有效性,为医学上治疗足内翻提供一种更好、更简便的治疗方法。方法:本课题研究将60例患者符合纳入标准,按随机数字表法分为治疗组和对照组各30例。对照组采取传统穴位治疗为主;治疗组采用围刺丘墟穴加传统穴位治疗,两组治疗均为每日1次,留针40分钟,6日为1个疗程,间歇1天后继续进行下一个疗程,共进行3个疗程后进行疗效测定。本研究采用治疗前后观测临床神经功能缺损量表(MESSS)、足内翻程度测量表评定及Fugl-meyer下肢功能评定量表,并将得到各量表评分,进行疗效的评估。将所得数据用SPSS20.0软件进行统计学分析。结果:1.疗前疗后两组患者Fugl-meyer下肢的功能评判总积分比较均无明显性差别,显示两组关于改善下肢的功能均有疗效,但治疗组相对照组更有优势。2.治疗前,两组患者MESSS评分对照,无明显差别(P0.05)。疗后,治疗组与对照组组间MESSS评分对照,明显差别。3.疗前,两组患者,足内翻角度测量评定总积分比较,均无明显区别(P0.05),疗后,治疗组与对照组及组间对照,差异明显(P0.05)。显示两组对于纠正足内翻程度方面均有疗效,但治疗组优于对照组。4.疗后,两组足内翻患者组间情况对照具有显著差异,具有统计学意义(P0.05)。结论:1.围刺丘墟穴为主明显改善中风后足内翻患者的神经功能缺损(MESSS)程度。2.围刺丘墟穴为主显著改善中风后足内翻患者的下肢的运动功能Fugl-meyer及足内翻程度。
[Abstract]:Objective: to observe and compare the clinical efficacy and effectiveness of traditional acupuncture and acupuncture Qiu Hui points in the treatment of foot varus after apoplexy, and to provide a better and more simple treatment for the treatment of foot varus. Methods: 60 patients were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was mainly treated with traditional acupoint treatment, and the treatment group was treated with Weichiqiu acupoint plus traditional acupoint therapy, both groups were treated once a day for 40 minutes and 6 days as a course of treatment, and the next course of treatment was continued after one day of intermittent treatment, and the curative effect was measured after three courses of treatment. In this study, the clinical neurological deficit scale (MESSS), foot varus scale and Fugl-meyer lower extremity function scale were used before and after treatment, and the scores of each scale were obtained to evaluate the curative effect. The data were statistically analyzed by SPSS20.0 software. Result: 1. After treatment, there was no significant difference in the total score of Fugl-meyer lower extremity function between the two groups, which showed that the two groups had curative effect on improving the function of lower extremity, but the treatment group had more advantages than the control group. 2. Before treatment, there was no significant difference in MESSS score between the two groups (P 0.05). After treatment, there was a significant difference in MESSS score between the treatment group and the control group. 3. Before treatment, there was no significant difference in the total score of foot varus angle measurement between the two groups (P 0.05). After treatment, there was significant difference between the treatment group and the control group (P 0.05). The results showed that both groups were effective in correcting the degree of foot varus, but the treatment group was superior to the control group. 4. After treatment, there was significant difference between the two groups (P 0.05). Conclusion: 1. The (MESSS) degree of neurological deficit in patients with foot varus after apoplexy was significantly improved. 2. The motor function Fugl-meyer and the degree of foot varus in patients with foot varus after apoplexy were significantly improved.
【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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