眼体针并用治疗阴虚阳亢型中风的临床观察
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摘要
目的:通过观察眼体针并用治疗阴虚阳亢型中风的临床疗效,并与单纯使用体针治疗的疗效作比较,说明眼体针并用治疗阴虚阳亢型中风的有效性和优势。
对象与方法:从神经内科病房就诊的患者中选取58例诊断为阴虚阳亢型中风并符合试验纳入标准的患者,按照随机原则分为试验组和对照组。两组患者均进行内科常规治疗方案。试验组29人,予以眼体针并用治疗。对照组29人,单纯使用体针治疗,两组疗程均为4周。在治疗前对两组患者的性别、年龄、中医证候评分及神经功能缺损程度进行评定,疗程结束后再记录两组患者的中医证候评分和神经功能缺损程度评分,观察两组患者中医证候以及临床疗效的变化。
结果:
1.两组治疗前后的中医证候评分相比较,P值均小于0.05,差异有显著性意义,即试验组和对照组患者的治疗前后中医证候评分均有显著差异,说明眼体针并用疗法与单纯使用体针疗法均能改善患者的临床症状。两组治疗后的中医证候评分相比较,P值小于0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
2.两组治疗方法在治疗中风方面均具有显著疗效,试验组总有效率为93.1%,对照组总有效率为82.7%,两组临床疗效组间比较, P=0.004,P<0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
3.两组治疗前后的神经功能缺损程度评分相比较, P值均小于0.05,差异有显著性意义,即试验组和对照组患者的治疗前后神经功能缺损程度评分均有显著差异,说明眼体针并用疗法与单纯使用体针疗法均能改善患者的临床症状。两组治疗后的神经功能缺损程度评分,P值小于0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
4.两组治疗方法在治疗中风方面均具有显著疗效,试验组总有效率为82.7%,对照组总有效率为51.7%,两组临床疗效组间比较,P=0.045,P<0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
结论:
眼体针并用和单纯使用体针治疗阴虚阳亢型中风均有显著的临床疗效,均能明显改善患者的中医证候和临床症状,但眼体针并用治疗比单纯使用体针治疗的临床疗效更好,提示临床治疗中风病宜眼体针并用。
Purpose:By comparing the clinical efficacy of eye and body acupuncture treatment of of the deficiency of Yin and the hyperactivity of Yang with the simple use of body acupuncture which indicates that eye and body acupuncture treatment of stroke of the deficiency of Yin and the hyperactivity of Yang has more effectiveness and advantages.
Object and method:We selected 58 cases of inpatients from neurological ward who are diagnosed as stroke of the deficiency of Yin and the hyperactivity of Yang and meeting trial inclusion criteria.And the patients were assigned into and control groups at random. All patients were given routine medical treatment. Experimental group ,29 people, were treated with eye and body acupuncture. Control group ,29 people, were treated with simply body acupuncture.Both were treated for 4 weeks. Gender,age,syndrome score and neurologic impairment of two groups of patients were assessed before treatment.After treatment the changes of TCM syndrome and clinical efficacy between the two groups were observed.
Results:
1. Compare syndrome score of the two groups before and after treatment, in which P values was less than 0.05 with significant difference, namely ,there was significant difference of TCM syndrome score between the experimental group and the control group before and after the treatment in patients.So both the treatments can improve the clinical syndromes of patients. The syndrome score of two groups after treatment were compared in which P value was less than 0.05 with significant difference, indicating that the treatment of eye and body acupuncture was better than the simple use of body acupuncture treatment.
2. The two treatments had significant effects in the treating stroke.The total effective rate of the experimental group was 93.1% and the total effective rate of the control group was 82.7%. The clinical efficacy of the two groups was compared between each other ,with P 0.004,less than 0.05, with significant difference.The conclusion that the treatment of both eye and body acupuncture was better than the treatment simple using the body acupuncture treatment.
3. The neurological deficit scores of the two groups before and after treatment were compared, P values less than 0.05 with significant difference.So that neurological deficit scores of the experimental group and control group before and after treatment in patients had significant difference which indicates that both eye and body acupuncture therapy and simple body acupuncture can improve clinical symptoms.The neurological deficit scores of the two groups after treatment were compared, P value less than 0.05, with significant difference, indicating that both eye and body acupuncture and the treatment was better than that with the simple use of body acupuncture treatment.
4. The two groups of therapy both had significant effects in the treatment of stroke. The total effective rate of the experimental group was 82.7% while the total effective rate of control group was 51.7%.The clinical efficacy between the two groups in which P = 0.045 ,less than 0.05 with significant differenc .So we can get the conclusion that the treatment of both eye and body acupuncture was better than the treatment of simple using the body acupuncture treatment.
Conclusion:Both the treatments of eye and body acupuncture and simple using body acupuncture showed significant clinical effects in treating stroke of the deficiency of Yin and the hyperactivity of Yang. Both could improve clinical symptoms of the patients significantly. However, the treatment of eye and body acupuncture had better clinical effects than simple using body acupuncture which indicates that the treatment of eye and body acupuncture should be used more in the treatment of stroke.
对象与方法:从神经内科病房就诊的患者中选取58例诊断为阴虚阳亢型中风并符合试验纳入标准的患者,按照随机原则分为试验组和对照组。两组患者均进行内科常规治疗方案。试验组29人,予以眼体针并用治疗。对照组29人,单纯使用体针治疗,两组疗程均为4周。在治疗前对两组患者的性别、年龄、中医证候评分及神经功能缺损程度进行评定,疗程结束后再记录两组患者的中医证候评分和神经功能缺损程度评分,观察两组患者中医证候以及临床疗效的变化。
结果:
1.两组治疗前后的中医证候评分相比较,P值均小于0.05,差异有显著性意义,即试验组和对照组患者的治疗前后中医证候评分均有显著差异,说明眼体针并用疗法与单纯使用体针疗法均能改善患者的临床症状。两组治疗后的中医证候评分相比较,P值小于0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
2.两组治疗方法在治疗中风方面均具有显著疗效,试验组总有效率为93.1%,对照组总有效率为82.7%,两组临床疗效组间比较, P=0.004,P<0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
3.两组治疗前后的神经功能缺损程度评分相比较, P值均小于0.05,差异有显著性意义,即试验组和对照组患者的治疗前后神经功能缺损程度评分均有显著差异,说明眼体针并用疗法与单纯使用体针疗法均能改善患者的临床症状。两组治疗后的神经功能缺损程度评分,P值小于0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
4.两组治疗方法在治疗中风方面均具有显著疗效,试验组总有效率为82.7%,对照组总有效率为51.7%,两组临床疗效组间比较,P=0.045,P<0.05,差异有显著性意义,说明眼体针并用治疗效果明显优于单纯使用体针治疗效果。
结论:
眼体针并用和单纯使用体针治疗阴虚阳亢型中风均有显著的临床疗效,均能明显改善患者的中医证候和临床症状,但眼体针并用治疗比单纯使用体针治疗的临床疗效更好,提示临床治疗中风病宜眼体针并用。
Purpose:By comparing the clinical efficacy of eye and body acupuncture treatment of of the deficiency of Yin and the hyperactivity of Yang with the simple use of body acupuncture which indicates that eye and body acupuncture treatment of stroke of the deficiency of Yin and the hyperactivity of Yang has more effectiveness and advantages.
Object and method:We selected 58 cases of inpatients from neurological ward who are diagnosed as stroke of the deficiency of Yin and the hyperactivity of Yang and meeting trial inclusion criteria.And the patients were assigned into and control groups at random. All patients were given routine medical treatment. Experimental group ,29 people, were treated with eye and body acupuncture. Control group ,29 people, were treated with simply body acupuncture.Both were treated for 4 weeks. Gender,age,syndrome score and neurologic impairment of two groups of patients were assessed before treatment.After treatment the changes of TCM syndrome and clinical efficacy between the two groups were observed.
Results:
1. Compare syndrome score of the two groups before and after treatment, in which P values was less than 0.05 with significant difference, namely ,there was significant difference of TCM syndrome score between the experimental group and the control group before and after the treatment in patients.So both the treatments can improve the clinical syndromes of patients. The syndrome score of two groups after treatment were compared in which P value was less than 0.05 with significant difference, indicating that the treatment of eye and body acupuncture was better than the simple use of body acupuncture treatment.
2. The two treatments had significant effects in the treating stroke.The total effective rate of the experimental group was 93.1% and the total effective rate of the control group was 82.7%. The clinical efficacy of the two groups was compared between each other ,with P 0.004,less than 0.05, with significant difference.The conclusion that the treatment of both eye and body acupuncture was better than the treatment simple using the body acupuncture treatment.
3. The neurological deficit scores of the two groups before and after treatment were compared, P values less than 0.05 with significant difference.So that neurological deficit scores of the experimental group and control group before and after treatment in patients had significant difference which indicates that both eye and body acupuncture therapy and simple body acupuncture can improve clinical symptoms.The neurological deficit scores of the two groups after treatment were compared, P value less than 0.05, with significant difference, indicating that both eye and body acupuncture and the treatment was better than that with the simple use of body acupuncture treatment.
4. The two groups of therapy both had significant effects in the treatment of stroke. The total effective rate of the experimental group was 82.7% while the total effective rate of control group was 51.7%.The clinical efficacy between the two groups in which P = 0.045 ,less than 0.05 with significant differenc .So we can get the conclusion that the treatment of both eye and body acupuncture was better than the treatment of simple using the body acupuncture treatment.
Conclusion:Both the treatments of eye and body acupuncture and simple using body acupuncture showed significant clinical effects in treating stroke of the deficiency of Yin and the hyperactivity of Yang. Both could improve clinical symptoms of the patients significantly. However, the treatment of eye and body acupuncture had better clinical effects than simple using body acupuncture which indicates that the treatment of eye and body acupuncture should be used more in the treatment of stroke.
引文
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