【摘要】：目的癌癥、腦血管病和心血管病高居中國人類死亡疾病的前三位。中風發(fā)病率、患病率、死亡率、致殘率和再發(fā)率的逐漸增高,造成了個人、家庭、社會沉重的負擔,推廣有效、簡便、價廉的治療方法顯得迫切需要。我國傳統(tǒng)醫(yī)學在治療中風方面內(nèi)涵豐富,且療效獨到。本文對電針結(jié)合穴位注射療法治療中風恢復期患者進行臨床療效觀察,探究該法治療中風恢復期的有效性及可推廣性。方法收集60例腦梗塞中風恢復期住院患者,均符合1995年中華醫(yī)學會第四次全國腦血管學術(shù)會議制訂的《各類腦血管疾病診斷要點》中的腦梗塞的診斷標準、1996年國家中醫(yī)藥管理局腦病急癥協(xié)作組制訂的中風病診斷與療效評定標準(試行)。采用隨機數(shù)字表法隨機分為電針組和電針結(jié)合穴位注射組,每組30例。電針組予以電針治療,結(jié)合組在電針組基礎(chǔ)上,給予單唾液酸四己糖神經(jīng)節(jié)苷脂鈉注射液穴位注射治療。經(jīng)治療4個療程后,參照1996年國家中醫(yī)藥管理局腦病急癥協(xié)作組制訂的中風病診斷與療效評定標準(試行),評估并比較兩組的療效。結(jié)果(1)4個療程后電針組中2例脫落,結(jié)合組1例脫落。比較治療前后電針組組內(nèi)輕重分型構(gòu)成,兩組治療后均在輕型之列。認為在治療中風恢復期方面,電針療法、電針結(jié)合穴位注射療法均有效。(2)比較治療前兩組組間病類診斷評分,治療后兩組病類診斷評分均有所下降。經(jīng)統(tǒng)計學分析,差異有顯著意義(P0.05),認為電針結(jié)合穴位注射療法在治療中風恢復期上優(yōu)于電針組。(3)比較兩組患者治療后療效,結(jié)合組總有效率(89.66%)明顯高于電針組(75.00%)。經(jīng)統(tǒng)計學分析,差異有顯著意義(P0.05),認為電針結(jié)合穴位注射療法在治療中風恢復期方面能更好的提高臨床療程。結(jié)論在治療中風恢復期方面,電針療法、電針療法結(jié)合穴位注射單唾液酸四己糖神經(jīng)節(jié)苷脂鈉注射液,兩者療效確切,但后者療效優(yōu)于前者。電針結(jié)合穴位注射療法在中風恢復期治療中有神經(jīng)保護作用,促進神經(jīng)功能早期恢復,改善生活水平,提高生存質(zhì)量。降低病類診斷標準評分,提高有效率。該療法值得推廣。
[Abstract]:Objective Cancer, cerebrovascular disease and cardiovascular disease are among the top three death diseases in China. The increasing incidence rate, morbidity, mortality rate, disability rate and recurrence rate of apoplexy cause heavy burden on individuals, families and society. It is urgent to popularize effective, simple and cheap treatment methods. The traditional medicine in our country is rich in connotation in treating apoplexy, and the curative effect is unique. In this paper, the clinical efficacy of electroacupuncture combined with acupoint injection in the treatment of apoplectic convalescence patients was observed, and the effectiveness and generalization of this method in the treatment of apoplexy convalescent stage were explored. Methods 60 inpatients with cerebral infarction in convalescent period were collected, all of whom met the diagnostic criteria of cerebral infarction in the fourth National Congress of Cerebrovascular Medicine in 1995, and the diagnostic criteria of cerebral infarction in the key points of diagnosis of all kinds of cerebrovascular diseases were met. The criteria for diagnosis and curative effect of apoplexy established by the Encephalopathy Emergency Cooperation Group of State Administration of traditional Chinese Medicine in 1996 (trial). The patients in each group were randomly divided into electroacupuncture group (n = 30) and electroacupuncture combined with acupoint injection group (n = 30). The electroacupuncture group was treated with electroacupuncture, and the combination group was treated with monosialic tetrahexose ganglioside sodium injection on the basis of acupuncture group. After four courses of treatment, the curative effect of the two groups was evaluated and compared according to the criteria for diagnosis and curative effect of apoplexy established by the State Administration of traditional Chinese Medicine for Encephalopathy and Emergency Group in 1996 (trial). Results (1) after 4 courses of treatment, 2 cases in the electro-acupuncture group and 1 case in the combination group fell off. Before and after treatment, the light and light types in the electro-acupuncture group were compared, and the two groups were mild after treatment. It is considered that electroacupuncture therapy and electroacupuncture combined with acupoint injection therapy are effective in the treatment of apoplexy recovery stage. (2) compared with the two groups before treatment, the scores of disease diagnosis between the two groups decreased somewhat after treatment. Statistical analysis showed that the difference was significant (P0.05). It was considered that electroacupuncture combined with acupoint injection therapy was superior to the acupuncture group in the recovery period of stroke. (3) comparing the curative effect of the two groups after treatment. The total effective rate of combined group (89.66%) was significantly higher than that of electro-acupuncture group (75.00%). Statistical analysis showed that the difference was significant (P0.05). It was believed that electroacupuncture combined with acupoint injection therapy could improve the clinical course of treatment in the recovery period of apoplexy. Conclusion electroacupuncture combined with acupoint injection of tetrahexose ganglioside sodium monosialate injection is effective in the treatment of apoplexy convalescence, but the latter is superior to the former. Electro-acupuncture combined with acupoint injection therapy has neuroprotective effect in the treatment of apoplexy in convalescence period, which can promote early recovery of neural function, improve living standard and improve quality of life. Reduce the disease diagnosis standard score, improve the effective rate. The treatment is worth popularizing.
【學位授予單位】：湖北中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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