發(fā)布時(shí)間：2018-05-26 12:43

  本文選題：針刺 + 腦梗死　； 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過頭皮針聯(lián)合不同針刺技術(shù)在急性腦梗死(ACI)規(guī)范化診療方案中臨床療效的對(duì)比研究,驗(yàn)證頭-體針、頭-平衡針、頭-腹針在腦梗死急性期的臨床療效。為不同針刺技術(shù)在該病規(guī)范化診療方案中應(yīng)用提供可靠科學(xué)依據(jù)。方法：從徐州市中醫(yī)院針灸腦病科住院患者中選取100例符合試驗(yàn)納入標(biāo)準(zhǔn)的患者,按照患者的入院順序用隨機(jī)數(shù)字法分成四組,分別為對(duì)照組、頭-體針組、頭-平衡針組和頭-腹針組。四組患者入院后均采用常規(guī)治療。頭-體針組、頭-平衡針組、頭-腹針組在此基礎(chǔ)上分別加用頭皮針聯(lián)合體針,頭皮針聯(lián)合平衡針,頭皮針聯(lián)合腹針治療。療程均為3周。治療前后均運(yùn)用神經(jīng)功能缺損評(píng)分(NIHSS)對(duì)患者進(jìn)行綜合性的評(píng)定,采用Barthel評(píng)分對(duì)患者的日常生活能力(ADL)進(jìn)行評(píng)定,采用中醫(yī)癥候記分表對(duì)患者癥候評(píng)定。最后采用SPSS 18.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)分析。結(jié)果：1.運(yùn)用NIHSS評(píng)分對(duì)四組患者治療前后神經(jīng)功能缺損進(jìn)行比較,治療前各組數(shù)據(jù)無明顯差異(P0.05),治療后各組NIHSS評(píng)分均較治療前降低,有統(tǒng)計(jì)學(xué)差異(P0.05),治療后各針刺組與對(duì)照組在NIHSS評(píng)分及療效方面比較均有顯著差異(P0.05),說明治療后神經(jīng)功能缺損程度均有所改善,但針刺組效果好于對(duì)照組,各針刺組間無明顯差異(P0.05)。2.選用Barthel評(píng)分對(duì)四組患者治療前后日常生活活動(dòng)能力進(jìn)行比較,治療前各組間無明顯差異(P0.05),治療后各組與治療前相比Barthel評(píng)分均有增加,且差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療后各針刺組與對(duì)照組Barthel評(píng)分比較有顯著差異(P0.05),說明各組都能改善ADL,且針刺組優(yōu)于對(duì)照組,各針刺組間差異不顯著(P0.05)。3.采用中醫(yī)癥候記分對(duì)各組患者治療前后臨床癥候進(jìn)行比較,治療前四組間差異不明顯(P0.05),治療后各組中醫(yī)癥候記分與治療前比較均有下降,差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療后各針刺組與對(duì)照組比較中醫(yī)癥候記分及療效均存在顯著差異(P0.05),說明各組均可改善中醫(yī)癥候,各針刺組效果優(yōu)于對(duì)照組,各針刺組間差異不明顯(P0.05)。結(jié)論：頭皮針聯(lián)合體針、平衡針、腹針治療急性腦梗死具有顯著的療效,能夠提高患者生活質(zhì)量和日常生活活動(dòng)能力,改善中醫(yī)癥候。
[Abstract]:Objective: to compare the clinical efficacy of scalp acupuncture combined with different acupuncture techniques in the diagnosis and treatment of acute cerebral infarction (ACI), and to verify the clinical efficacy of head body acupuncture, head balanced acupuncture and head abdominal acupuncture in acute cerebral infarction. To provide a reliable scientific basis for the application of different acupuncture techniques in the standardized diagnosis and treatment of the disease. Methods: 100 inpatients with acupuncture and encephalopathy were selected from Xuzhou Hospital of traditional Chinese Medicine. According to the admission order of the patients, they were randomly divided into four groups: control group and head-body acupuncture group. Head-balanced acupuncture group and head-abdominal acupuncture group. All the patients in the four groups were treated with routine therapy after admission. Scalp acupuncture combined with scalp acupuncture, scalp acupuncture combined with balanced acupuncture and scalp acupuncture combined with abdominal acupuncture were added to the scalp-body acupuncture group, the head-balanced acupuncture group and the head-abdominal acupuncture group. The course of treatment was 3 weeks. Before and after treatment, the patients were assessed with the neurological impairment score (NIHSS), the patients' daily living ability (ADL) with the Barthel score, and the patients' symptoms with the TCM symptom score table. Finally, SPSS 18.0 statistical software was used to analyze the data. The result is 1: 1. NIHSS score was used to compare the neurological function defect of the four groups before and after treatment. There was no significant difference in the data of each group before and after treatment (P 0.05). The NIHSS score of each group was lower than that before treatment. There was significant difference in NIHSS score and curative effect between the acupuncture group and the control group after treatment, indicating that the degree of nerve function defect was improved after treatment, but the effect of acupuncture group was better than that of control group. There was no significant difference among the acupuncture groups (P 0.05. 2). The activity of daily living (ADL) of the four groups was compared before and after treatment with Barthel score. There was no significant difference between the four groups before and after treatment (P 0.05). After treatment, the Barthel scores in each group were increased compared with those before treatment. The difference was statistically significant (P 0.05). After treatment, there were significant differences in Barthel scores between the acupuncture group and the control group (P 0.05), which indicated that the acupuncture group was superior to the control group, and there was no significant difference between the acupuncture group and the control group. The clinical symptoms of each group were compared before and after treatment by using TCM symptom score. There was no significant difference between the four groups before and after treatment (P0.05). After treatment, the score of TCM symptom in each group was lower than that before treatment. The difference was statistically significant (P 0.05). After treatment, there were significant differences in the score of TCM symptom and the curative effect between the acupuncture group and the control group. It showed that each group could improve the symptoms of traditional Chinese medicine, the effect of each acupuncture group was better than that of the control group, and the difference between the acupuncture group and the control group was not significant (P 0.05). Conclusion: scalp acupuncture combined with acupuncture, balanced acupuncture and abdominal acupuncture are effective in treating acute cerebral infarction, which can improve the quality of life and activities of daily life of patients and improve the symptoms of traditional Chinese medicine.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6

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