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ID:33234740
大小:1.50 MB
页数:39页
时间:2019-02-22
《透刺经筋法治疗周围性面瘫的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、湖北中医药大学硕士学位论文“透刺经筋法”治疗周围性面瘫的临床研究姓名:蒋瑞珂申请学位级别:硕士专业:针灸推拿学指导教师:陈敏20120518中文摘要目的:观察“透刺经筋法"治疗周围性面瘫的临床疗效,并探讨其作用机理。通过House-Brackmann(H-B)分级量表、面部残疾指数(FDI)量表等观察指标,科学的评价“透刺经筋法"治疗周围性面瘫的临床疗效,为该治疗方法的在临床上的应用提供可靠的依据和指导原则。方法:本研究的观察病例均来自2010午4月至2011年10月黄石市中医医院门诊部及住院部接诊的周围性面瘫患者
2、,根据周围性面瘫的研究标准共纳入83例患者,采用随机单盲对照试验方法,将符合标准的受试者随机分为两组:“透刺经筋法’’组(治疗组)45例和常规针刺组(对照组)38例.治疗组采用以“透刺经筋法”为主的治疗,对照组采用常规针刺法治疗,10天为1个疗程,治疗3个疗程后对两组的疗效进行总体的观察分析。结果:经秩和检验,比较两组患者在治疗前H-B面神经功能分级,差异无显著性意义(P>O.05);比较两组患者在治疗后H-B面神经功能分级,差异有显著性意义(P3、性意义(P>O.05);比较两组患者在治疗后的面部残疾指数(FDI),差异有显著性意义(PO.05,比较无统计学意义,说明两种治疗方法均可改善周围性面瘫的症状;两组治疗后愈显率比较,P4、言之,该疗法具有疗程短、痊愈率高的优点,且其操作简便,安全经济,没有毒副作用,临床上可作为针对周围性面瘫患者治疗的优选方案。关键词:透刺经筋法;针刺;周围性面瘫;临床研究TheCI.nicaIResearch013theTreatmentofPeripheraIFacialParaIysiSby“TouCiJingJin”AcupunctureMethodSpeciality:CIinicaIstudyofAcupunctureandmoxibustionAuthor:JiangRuikeTutor:OhenMin5、ABSTRACTObjectiMe:toobservethe”methodofpenetratingreinforced”theclinicaleffectoftreatmentofperipheralfacialparalysiSanddiscussiononitsmechaniSill.ByHouse—Brackmann(H—B)ratingscale,faceadisabilityindex(FDI)outcomemeasuressuchasscale,scientificevaluationof”penet6、ratingreinforcedby”theclinicaleffectoftreatmentofperipheralfacialparalysis,tothetreatmentintheclinicalapplicationofthemethodofprovidingreliablebasiSandguidingprinciples.Method:ThisresearchofobservationcasearefromApril2010toOctober2011inHuangshicityTCMhospitalc7、linicandtheHospitalDepartmentreceptionofaroundsexualparalysiSpatients,underaroundsexualparalysisofresearchstandardtotalinto83casespatients,usedrandomsingleblindcontroltestmethod,willmeetstandardofbytrywhorandomisdividedintotwogroup:”throughthornbyglutenmethod”8、Group(treatmentgroup)45casesandGeneralacupunctureGroup(controlgroup)38cases.Treatmentgroupusedto’’throughthornbyglutenmethod”mainlyoftreatment,controlgroupusedGeneralacupuncturemet
3、性意义(P>O.05);比较两组患者在治疗后的面部残疾指数(FDI),差异有显著性意义(PO.05,比较无统计学意义,说明两种治疗方法均可改善周围性面瘫的症状;两组治疗后愈显率比较,P4、言之,该疗法具有疗程短、痊愈率高的优点,且其操作简便,安全经济,没有毒副作用,临床上可作为针对周围性面瘫患者治疗的优选方案。关键词:透刺经筋法;针刺;周围性面瘫;临床研究TheCI.nicaIResearch013theTreatmentofPeripheraIFacialParaIysiSby“TouCiJingJin”AcupunctureMethodSpeciality:CIinicaIstudyofAcupunctureandmoxibustionAuthor:JiangRuikeTutor:OhenMin5、ABSTRACTObjectiMe:toobservethe”methodofpenetratingreinforced”theclinicaleffectoftreatmentofperipheralfacialparalysiSanddiscussiononitsmechaniSill.ByHouse—Brackmann(H—B)ratingscale,faceadisabilityindex(FDI)outcomemeasuressuchasscale,scientificevaluationof”penet6、ratingreinforcedby”theclinicaleffectoftreatmentofperipheralfacialparalysis,tothetreatmentintheclinicalapplicationofthemethodofprovidingreliablebasiSandguidingprinciples.Method:ThisresearchofobservationcasearefromApril2010toOctober2011inHuangshicityTCMhospitalc7、linicandtheHospitalDepartmentreceptionofaroundsexualparalysiSpatients,underaroundsexualparalysisofresearchstandardtotalinto83casespatients,usedrandomsingleblindcontroltestmethod,willmeetstandardofbytrywhorandomisdividedintotwogroup:”throughthornbyglutenmethod”8、Group(treatmentgroup)45casesandGeneralacupunctureGroup(controlgroup)38cases.Treatmentgroupusedto’’throughthornbyglutenmethod”mainlyoftreatment,controlgroupusedGeneralacupuncturemet
4、言之,该疗法具有疗程短、痊愈率高的优点,且其操作简便,安全经济,没有毒副作用,临床上可作为针对周围性面瘫患者治疗的优选方案。关键词:透刺经筋法;针刺;周围性面瘫;临床研究TheCI.nicaIResearch013theTreatmentofPeripheraIFacialParaIysiSby“TouCiJingJin”AcupunctureMethodSpeciality:CIinicaIstudyofAcupunctureandmoxibustionAuthor:JiangRuikeTutor:OhenMin
5、ABSTRACTObjectiMe:toobservethe”methodofpenetratingreinforced”theclinicaleffectoftreatmentofperipheralfacialparalysiSanddiscussiononitsmechaniSill.ByHouse—Brackmann(H—B)ratingscale,faceadisabilityindex(FDI)outcomemeasuressuchasscale,scientificevaluationof”penet
6、ratingreinforcedby”theclinicaleffectoftreatmentofperipheralfacialparalysis,tothetreatmentintheclinicalapplicationofthemethodofprovidingreliablebasiSandguidingprinciples.Method:ThisresearchofobservationcasearefromApril2010toOctober2011inHuangshicityTCMhospitalc
7、linicandtheHospitalDepartmentreceptionofaroundsexualparalysiSpatients,underaroundsexualparalysisofresearchstandardtotalinto83casespatients,usedrandomsingleblindcontroltestmethod,willmeetstandardofbytrywhorandomisdividedintotwogroup:”throughthornbyglutenmethod”
8、Group(treatmentgroup)45casesandGeneralacupunctureGroup(controlgroup)38cases.Treatmentgroupusedto’’throughthornbyglutenmethod”mainlyoftreatment,controlgroupusedGeneralacupuncturemet
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