發(fā)布時間：2018-05-01 13:42

  本文選題：化痰醒神開竅法 + 針刺��； 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：卒中相關(guān)性肺炎是腦卒中并發(fā)癥之一,發(fā)病率及死亡率均較高。本研究通過對腦卒中及卒中相關(guān)性肺炎的既往資料搜集、分析,在現(xiàn)代研究的基礎(chǔ)上,歸納總結(jié)卒中相關(guān)性肺炎的中醫(yī)病因病機,創(chuàng)立化痰醒神開竅治療原則,運用針刺預(yù)防卒中相關(guān)性肺炎的發(fā)生發(fā)展,為指導(dǎo)臨床防治卒中相關(guān)性肺炎提供客觀依據(jù)。方法：本研究采用前瞻性隨機對照試驗,以24小時內(nèi)突發(fā)腦卒中、尚未罹患卒中相關(guān)性肺炎的患者為試驗對象,共收集病例80例,按照針刺組：對照組=1：1隨機分為兩組,對照組給予腦卒中基礎(chǔ)治療,針刺組在對照組的治療基礎(chǔ)上予化痰醒神開竅針法針刺治療,每日1次,共計7天。通過比較兩組患者試驗后癥狀積分、體征積分、實驗室數(shù)據(jù)積分,得出試驗結(jié)論。結(jié)果：1.針刺組與對照組的癥狀積分在試驗前后有顯著差異,組間比較差異(P0.01)2.針刺組與對照組在試驗前后體征積分組間存在顯著差異(P0.05)3.針刺組與對照組治療前后實驗室數(shù)據(jù)(器械檢查)積分有顯著差異,組間比較差異(P0.05),血常規(guī)檢驗中白細(xì)胞計數(shù)異常情況差異顯著(P0.01)4.針刺組與對照組在試驗后對卒中相關(guān)性肺炎的發(fā)病率影響差異具有統(tǒng)計學(xué)意義(P0.05)結(jié)論：針刺運用化痰醒神開竅針法干預(yù)腦卒中患者,在癥狀、體征、實驗室數(shù)據(jù)積分各方而均低于對照組,總發(fā)病率低于對照組,療效明確。
[Abstract]:Objective: stroke-associated pneumonia is one of the complications of stroke with high morbidity and mortality. Based on the data collection and analysis of stroke and stroke associated pneumonia, this study summarized the etiology and pathogenesis of stroke related pneumonia in traditional Chinese medicine, and established the principle of eliminating phlegm and waking up mind to open orifices, on the basis of modern research, we summarized the etiology and pathogenesis of stroke associated pneumonia. Acupuncture is used to prevent the occurrence and development of apoplexy associated pneumonia, which provides objective basis for clinical prevention and treatment of stroke associated pneumonia. Methods: a prospective randomized controlled trial was conducted in which 80 patients with stroke within 24 hours who had not suffered from apoplexy pneumonia were randomly divided into two groups according to acupuncture group: control group 1: 1. The control group was treated with basic treatment of stroke, the acupuncture group was treated with acupuncture with acupuncture method of eliminating phlegm and waking spirit and opening resuscitation on the basis of treatment in the control group, once a day for 7 days. By comparing the symptom score, physical sign score and laboratory data score between the two groups, the conclusion of the experiment was obtained. The result is 1: 1. There was significant difference in symptom score between acupuncture group and control group before and after the experiment. There was significant difference between the acupuncture group and the control group in the score of physical signs before and after the test. There was significant difference in the score of laboratory data (instrument examination) between the acupuncture group and the control group before and after treatment, the difference between the two groups was significant (P 0.05), and the abnormal situation of white blood cell count in the blood routine examination was significantly different from that of the control group (P 0.01). The difference of incidence of apoplexy associated pneumonia between acupuncture group and control group was statistically significant (P0.05) conclusion: acupuncture used the method of eliminating phlegm to awaken the mind and open the orifices to intervene stroke patients in symptoms and signs. Laboratory data scores were lower than the control group, the total incidence was lower than the control group, the curative effect was clear.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.6

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本文編號：1829634