發(fā)布時(shí)間：2018-04-08 08:08

  本文選題：十宣穴　切入點(diǎn)：放血療法　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察五穴透刺配合十宣放血治療中風(fēng)后手指拘攣的療效材料與方法:將60名符合診斷標(biāo)準(zhǔn)的患者隨機(jī)分成治療組和對(duì)照組,對(duì)照組予常規(guī)藥物治療和科室常規(guī)針刺治療(頭針,眼針,體針),治療組在常規(guī)治療的基礎(chǔ)上,配合十宣放血治療(一周三次)。治療周期為14天。治療前后分別應(yīng)用Fugl-meyer評(píng)價(jià)量表(FMA)中的手指評(píng)分部分,Brunnstrom運(yùn)動(dòng)功能評(píng)定法和修訂的Ashworth痙攣評(píng)定量表評(píng)定手指功能的恢復(fù)情況。比較治療組和對(duì)照組治療前后的評(píng)分,利用統(tǒng)計(jì)學(xué)軟件對(duì)數(shù)據(jù)進(jìn)行分析,分析其差異,觀察療效。結(jié)果:1.治療周期結(jié)束后,對(duì)照組和治療組的患者,手指拘攣癥狀均有改善。2.通過(guò)Fugl-meyer評(píng)價(jià)量表(FMA)中的手指評(píng)分部分對(duì)患者的手功能進(jìn)行評(píng)分,運(yùn)用統(tǒng)計(jì)學(xué)軟件SPSS17.0,配對(duì)t檢驗(yàn)方法,將兩組患者治療前手部評(píng)分結(jié)果的數(shù)據(jù)進(jìn)行分析,結(jié)果顯示無(wú)統(tǒng)計(jì)學(xué)差異(P㧐0.05),證明其不具備可比性。兩組治療前和治療后的數(shù)據(jù)分別進(jìn)行數(shù)據(jù)分析,結(jié)果顯示差異有統(tǒng)計(jì)學(xué)意義(P㩳0.05),且治療組評(píng)分高于對(duì)照組,則證明治療組療效優(yōu)于對(duì)照組。3.通過(guò)Brunnstrom運(yùn)動(dòng)功能評(píng)定法和修訂的Ashworth痙攣評(píng)定量表進(jìn)行評(píng)價(jià),通過(guò)對(duì)其有效無(wú)效的計(jì)數(shù)和百分率的分析,結(jié)果顯示治療組的有效率高于對(duì)照組。結(jié)論:1.三棱針點(diǎn)刺十宣放血療法可以有效的治療中風(fēng)后手指拘攣,且具有操作簡(jiǎn)便快捷、副作用少的優(yōu)勢(shì)。2.三棱針點(diǎn)刺十宣放血療法與手部五穴透刺療法對(duì)治療中風(fēng)后手指拘攣均有療效,但配合十宣放血效果更好。3.配合十宣放血療法的治療組在療效上總體療效優(yōu)于常規(guī)治療的對(duì)照組。
[Abstract]:Objective: To observe the five acupoint penetration needling combined with bloodletting therapy after stroke ten Xuan finger muscularconstricture effect of materials and methods: 60 patients met the diagnostic criteria were randomly divided into treatment group and control group, the control group received routine drug therapy and conventional acupuncture treatment (Acupuncture Department, eye acupuncture, body acupuncture), the treatment group based on routine treatment on the ten, with Xuan bloodletting (three times a week). The treatment period is 14 days. Before and after treatment respectively using Fugl-meyer evaluation scale (FMA) score finger portion, Ashworth spasm scale recovery assessment finger function Brunnstrom motor function assessment and revision. Comparison of treatment group and control group the score before and after treatment, the data were analyzed by statistical analysis software, the difference of curative effect observation. Results: after the end of the 1. cycle of treatment, the treatment group and the control group of patients, finger spasm symptoms were improved by.2. Fugl-me Yer evaluation scale (FMA) score finger part of the score of patients with hand function, the use of statistical software SPSS17.0, paired t test, two groups of patients before treatment of hand score the results of data analysis, the results showed no significant difference (P? 0.05), prove its not comparable the two groups before and after treatment respectively, data for data analysis, the results showed a statistically significant difference (P? 0.05), and the treatment group was higher than that of the control group, that the treatment group than the control group.3. was evaluated by Ashworth spasm rating scale Brunnstrom motor function assessment and revision, through effective analysis the invalid counts and the percentage of the results showed that the effective rate of treatment group was higher than that of control group. Conclusion: 1. needle pricking ten Xuan bloodletting therapy can be effective in the treatment of stroke after finger contracture, and has convenient operation, vice The role of the advantage of fewer.2. Needle Pricking Bloodletting Therapy and ten Xuan hand five points acupuncture treatment of stroke after finger contracture have the curative effect, but the control group ten announced better.3. with bloodletting therapy group ten Xuan bloodletting therapy on the efficacy of the overall curative effect is superior to conventional therapy.

【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R246.6
，

本文編號(hào)：1720761