【摘要】：目的:溫針灸作為艾灸療法里的一種治療方法,結(jié)合了針與灸的雙重作用,在臨床中適應(yīng)證廣,療效顯著,經(jīng)濟(jì)方便,無(wú)不良反應(yīng);耳針作為非藥物治療的方法,有診療范圍廣、操作方便、療效肯定的特點(diǎn)和優(yōu)勢(shì),深受廣大患者接受。本研究通過(guò)比較溫針灸聯(lián)合耳針療法及單獨(dú)使用溫針灸治療中風(fēng)后肩手綜合癥患者的臨床療效,為溫針灸聯(lián)合耳針療法治療中風(fēng)后肩手綜合癥患者提供循證醫(yī)學(xué)理論依據(jù)。方法:選取2016年1月-2016年8月于寒亭區(qū)人民醫(yī)院中醫(yī)科、康復(fù)醫(yī)學(xué)科門診及病房就診病人,共收集符合納入標(biāo)準(zhǔn)的肩手綜合癥病例90例。采用分組對(duì)照法研究。用隨機(jī)數(shù)表法(SAS統(tǒng)計(jì)分析系統(tǒng)),將所有患者隨機(jī)分為溫針灸組、聯(lián)合治療組,每組各45例。兩組患者均采用常規(guī)治療及對(duì)癥治療。治療期間防止輸液患側(cè),避免牽拉不當(dāng)、擠壓,防止因意外而造成傷害。溫針灸組采用溫針灸的治療方法;聯(lián)合治療組在溫針灸的治療基礎(chǔ)上加用耳針療法。治療10次為1個(gè)療程,共治療2個(gè)療程。對(duì)患者治療前后的一般資料、疼痛指數(shù)(VAS)、上肢關(guān)節(jié)活動(dòng)度(FMA)、總體治療結(jié)果、日常生活活動(dòng)功能(ADL)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:通過(guò)對(duì)兩組患者的一般資料進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析,結(jié)果表明兩組患者在性別、年齡、病程、疾病類型、卒中次數(shù)等方面差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組溫針灸聯(lián)合耳針療法在降低中風(fēng)肩手綜合癥VAS評(píng)分方面具有很好的效果,且與溫針灸治療組相比,治療作用更明顯(P0.05)。觀察組溫針灸聯(lián)合耳針療法對(duì)于改善中風(fēng)肩手綜合癥上肢運(yùn)動(dòng)情況等臨床癥狀具有很好的效果,且優(yōu)于單獨(dú)應(yīng)用溫針灸治療法(P0.05)。兩組患者總體治療結(jié)果顯示:兩組患者治療總有效例數(shù),經(jīng)統(tǒng)計(jì)學(xué)軟件分析,觀察組治療效果顯著優(yōu)于對(duì)照組(P0.05)。觀察組溫針灸聯(lián)合耳針療法治療中風(fēng)肩手綜合癥具有很好的效果,且與溫針灸治療組相比,治療作用更加明顯(P0.05)。結(jié)論:溫針灸聯(lián)合耳針療法在患者的疼痛指數(shù)、上肢關(guān)節(jié)活動(dòng)度、總體治療效果、日常生活活動(dòng)功能方面治療效果明顯。
[Abstract]:Objective: warming acupuncture and moxibustion as a treatment method in moxibustion, combined with the dual effect of acupuncture and moxibustion, has wide indication, remarkable curative effect, economic convenience and no adverse reaction in clinical practice. Ear acupuncture, as a non-drug treatment method, has the characteristics and advantages of wide range of diagnosis and treatment, convenient operation, positive curative effect, and is accepted by the majority of patients. This study compared the clinical efficacy of warming acupuncture combined with ear acupuncture and warming acupuncture alone in treating patients with shoulder hand syndrome after apoplexy and provided evidence based medical theory basis for warming acupuncture combined ear acupuncture therapy for patients with shoulder hand syndrome after stroke. Methods: 90 patients with shoulder hand syndrome were collected from January 2016 to August 2016 in the Department of traditional Chinese Medicine, Department of Rehabilitation Medicine, Department of traditional Chinese Medicine, Hanting District people's Hospital. A group control study was used. All the patients were randomly divided into warm acupuncture group and combined treatment group with 45 cases in each group by using the random number table method (SAS statistical analysis system). Both groups were treated with routine treatment and symptomatic treatment. Prevent infusion during treatment, avoid improper traction, extrusion and injury caused by accident. Warm-moxibustion group was treated with warm-moxibustion and combined treatment group was treated with auricular acupuncture on the basis of warm-moxibustion treatment. 10 times of treatment was a course of treatment, a total of 2 courses of treatment. The general data of the patients before and after treatment, the total treatment results of the pain index (VAS),) upper limb joint motion degree (FMA),) and the daily life function (ADL) were analyzed statistically. Results: through the statistical analysis of the general data of the two groups, the results showed that there was no significant difference in sex, age, course of disease, disease type, stroke frequency and so on between the two groups (P0.05). Observation group warming acupuncture combined with ear acupuncture in reducing stroke shoulder hand syndrome VAS score has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Observation group warming acupuncture combined with ear acupuncture for improving stroke shoulder and hand syndrome upper limb movement and other clinical symptoms have a good effect, and better than the only use of warm acupuncture therapy (P0.05). Two groups of patients overall treatment results showed that: two groups of patients treated the total effective cases, statistical software analysis, observation group significantly better than the control group (P0.05). Observation group warming acupuncture combined with ear acupuncture treatment of shoulder and hand syndrome apoplexy has a good effect, and compared with warm acupuncture treatment group, the therapeutic effect is more obvious (P0.05). Conclusion: the therapeutic effect of warming acupuncture combined with ear acupuncture therapy on pain index, upper limb joint motion, total therapeutic effect and daily life function is obvious.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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