王健教授眼针与自拟扶偏汤并用治疗中风偏瘫拾萃

【作者】 王立舒；

【导师】 王健；

【作者基本信息】 辽宁中医药大学 ， 中西医结合临床， 2011， 硕士

【摘要】 目的:探讨眼针配合自拟扶偏汤治疗缺血性中风偏瘫疗效。材料与方法:根据1995年成都第四届全国脑血管病学术会议通过的各类脑血管病诊断要点所拟定的脑梗死诊断标准及1996年国家中医药管理局脑病急症协作组制定的《中风病中医证侯诊断疗效评定标准》,选择60例年龄在45-85岁之间的急性脑梗死患者,采用简单随机法分为两组。对照组:在西医学常规治疗基础上,仅用阿司匹林。治疗组:在对照组基础上,采用眼针配合自拟扶偏汤治疗。治疗三周,观察各组治疗前后神经功能缺损评分、Fugl-Meyer运动功能评分、日常生活活动能力评分(ADL),并评价两组临床疗效。结果:1.治疗组和对照组治疗后均能明显降低临床神经功能缺损评分。治疗前组间比较无明显差异(P>0.05)。治疗后,治疗组对神经功能缺损的治疗作用优于对照组,两组间比较具有显著差异(P<0.01)。2.治疗组和对照组治疗后均能明显提高Fugl-Meyer运动功能评分。治疗前组间比较无明显差异(P>0.05)。治疗后治疗组对运动功能改善作用优于对照组,组间比较具有显著差异(P<0.01)。3.治疗组与对照组治疗后均能明显提高ADL评分。治疗前组间无明显差异(P>0.05)。治疗后治疗组对改善日常生活活动能力优于对照组,组间比较具有显著差异(P<0.01)。结论:眼针配合扶偏汤在中风偏瘫治疗上,更有利于发挥眼针的即刻治疗效应。更多还原

【Abstract】 Purpose:To observe the effect of ophthalmic acupuncture and moxibustion, and traditional Chinese herbal decoctions on the patients with ischemic apoplexy hemiplegia.Material and method:60 cases with acute cerebral infraction whose age ranged from 40 to 85, were classified randomly into two group according to the diagnostic criteria of infraction of the brain, which were declared on the Third National Cerebral Vascular Disease Conference held in Chengdu in 1995, and the evaluation criteria of curative effect about apoplexia syndrome in traditional Chinese medical science, which were established by association of encephalopathy acute syndrome of National traditional Chinese medicine. Control group: the patients were treated administrated of Asprin only according to the common cure. Cure group: based on the control group, the patients were treated with ophthalmic acupuncture and moxibustion, and with Chinese traditional herbal decoctions. Three weeks later, the neural function defect grades, Fugl-Meyer motor function grades, the Activity of daily livings grades of the patients in each group were evaluated, and were compared with in control group and cure group in parallel.Results:1. The clinical neural function defect grades of the patients in control and cure groups were both decrease after therapy. There was no significantly difference between control group and cure group before therapy (p>0.05). After therapy, the clinical neural function defect grades of the patients in cure group are lower than those in control group, and the differences were significant (P<0.01).2. The Fugl-Meyer motor function grades in control and cure groups were both increase after therapy. There was no significantly difference between control group and cure group before therapy (p0.0>5). After therapy, the motor function of the patients in cure group recovered better than those in control group, and the differences were marked (P<0.01).3. The activity of daily livings grades of the patients in control and cure groups were increase both after therapy. There was no significantly difference between control group and cure group before therapy (p>0.05). The activity of daily livings motor function of the patients in cure group was improved much more than those in control group, and the differences were significant after therapy (P<0.01).Conclusion:The methods which the patients were treated with ophthalmic acupuncture and moxibustion, and with Chinese traditional herbal decoctions together, were more effective on the patients than those who was treated by common cure.更多还原