【作者】 黄庆兴；

【导师】 李艳慧；

【作者基本信息】 广州中医药大学 ， 针灸推拿学， 2009， 硕士

【摘要】 研究目的:观察提插补泻手法治疗中风偏瘫的临床疗效,并初步探讨其作用机理,为临床探索一种疗效确切、易于操作的治疗方法。研究方法:将符合诊断标准和纳入标准的60例中风偏瘫患者随机分为提插补泻手法治疗组30例和电针对照组30例。两组选取相同穴位,治疗时间为每周五次,每天治疗一次,休息两天后继续治疗,连续治疗4周,并于4周后进行疗效评价。疗效评价采用《中风病诊断疗效评定标准》(《二代标准》)、脑卒中患者临床神经功能缺损程度评分标准以及日常生活能力(ADL)改良Barthel指数评定表。研究结果:治疗后两组总体疗效比较经Ridit检验,差异有显著性意义(P＜0.05),提插补泻组疗效优于电针组;两组患者治疗后临床神经功能缺损程度及日常生活活动能力均有明显改善,两组自身治疗前后比较,经配对t检验,差异均有显著性意义(P＜0.05);组间比较,经两独立样本t检验,差异有显著性意义(P＜0.05),治疗组疗效优于对照组。研究结论:针刺提插补泻手法与电针治疗中风偏瘫均有明显效果,都能改善患者的神经功能缺损症状及提高患者日常生活活动能力。治疗后治疗组总体疗效优于对照组,治疗组神经功能缺损程度及日常生活活动能力改善更明显,且组间比较差异有统计学意义。更多还原

【Abstract】 Objective:To observe the clinical efficacy of treating apoplexy hemiplegia with reducing and reinforcing manipulations by lifting and inserting the needle and to discuss initially its mechanism so as to explore the clinical treatment approach that has acknowledged effect and is easy to use.Methods:According to the diagnostic criteria and inclusion criteria,60 stroke patients with apoplexy hemiplegia were selected and were randomly divided into treatment group and control group,with 30 cases in each group. The treatment group were treated with reducing and reinforcing manipulations by lifting and inserting the needle while the control group were treated by electro-acupuncture.For both groups,the same acupoints were chosen and the treatment frequency was five times a week,one time each day.After a rest for two days,the treatment continued and the total treatment duration was two weeks.Efficacy evaluation was conducted after two weeks’ treatment according to the《stroke diagnosis and efficacy evaluation criteria》("second-generation standard"),the standards for scoring the degree of neurological deficit of stroke patients as well as Barthel Index scale which was modified from activities of daily living(ADL).Results:After treatment,comparing the overall effects of the two groups by Ridit test,the difference was statistically significant(P＜0.05),indicating that the treatment group had better effect than electro-acupuncture group; For patients in both groups,their clinical neurological deficits and activities of daily living had been significantly improved after treatment, compared with each other,by independent samples t test,the difference was statistically significant(P＜0.05);for patients in each group,comparing their clinical neurological deficits and activities of daily living before and after the treatment,by paired t test,the differences were statistically significant(P＜0.05);indicating the treatment group had better effect than the control group.Conclusion:Both reducing and reinforcing manipulations by lifting and inserting the needle and electro-acupuncture have remarkable effect in treating apoplexy hemiplegia patients.Both methods can improve symptoms of the degree of neurological deficit and enhance their activities of daily living. After treatment,the overall efficacy of the treatment group was better than the control group and the treatment group had a more obvious improvement in neurological deficits and activities of daily living.Comparing the two groups with each other,the difference was statistically significant.更多还原