水族整脊疗法联合针灸治疗中风后遗症的效果观察(1)
摘 要：目的 观察水族整脊疗法联合针灸治疗中风后遗症临床疗效。方法 以我院2014年9月～2016年6月收治的90例中风患者为研究对象，随机分为观察组和对照组，各45例。对照组患者采用针灸常规处理，观察组患者采用针灸联合水族整脊疗法治疗，观察两组治疗效果及患者自理能力评分情况。结果 观察组治愈39例(86.67%)，高于对照组的31例(68.90%)，组间差异有统计学意义(P<0.05)；观察组患者治疗后日常生活能力量表得分优于对照组，组间差异有统计学意义(P<0.05)。结论 水族整脊疗法联合针灸治疗中风后遗症，效果显著，有助于提高患者自理能力，值得临床推广应用。
关键词：水族整脊疗法；针灸；中风后遗症
中图分类号：G804.49 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.048
文章编号：1006-1959(2018)09-0150-02
, http://www.100md.com
Abstract：Objective To observe the clinical effect of aquarium chiropractic therapy combined with acupuncture in treating sequela of apoplexyMethods From September 2014 to June 2016，90 patients with stroke were randomly divided into observation group and control group，with 45 cases each.The patients in the control group were treated with routine acupuncture，the patients in the observation group were treated with acupuncture combined with aquarium chiropractic therapy，the therapeutic effect and the score of self-care ability of patients in the two groups were observed.Results 39 cases were cured in the observation group(86.67%)，which were higher than those in the control group(68.90%)，the difference between the two groups was statistically significant(P<0.05).The scores of daily living capacity scale in the observation group were better than those in the control group，the difference between the two groups was statistically significant(P<0.05).Conclusion The treatment of sequela of apoplexy with aquatic chiropractic therapy combined with acupuncture is effective.It helps to improve patients' self-care ability and is worthy of clinical application.
, 百拇医药
Key words：Aquarium chiropractic；Acupuncture；Sequela of apoplexy
中風是脑血管疾病的一种，临床上诱发因素较多，可以引起脑内主动脉变窄、阻塞甚至出现破裂，造成脑内血液循环障碍[1，2]。中风常用的治疗方法是物理治疗与中医治疗，中医治疗的理论是中枢神经再生疗法，通过一系列生物物理刺激和生物化学效应，能快速修复受损神经的关键物质。研究报道[3，4]，水族整脊疗法联合针灸对于治疗中风有着积极作用。基于此，本研究选取我院90例中风患者为研究对象，分析探讨水族整脊疗法联合针灸在治疗中风后遗症中的应用效果，现报道如下。
1 资料与方法
1.1一般资料 选出辽宁瓦房店第二医院2014年9月～2016年6月收治的90例中风患者作为本研究对象，筛选条件：①患者经临床首次确诊为中风，头疼不明显，意识较为清醒，并且以往无任何抑郁症状；②患者智力正常，不影响正常交流；③患者病情稳定，能够配合工作人员进行所需要的正常研究工作；④患者自愿参加，并签署书面协议。将所有患者随机分为观察组和对照组，各45例。对照组中男24例，女21例，年龄43～72岁，平均年龄(55.81±12.42)岁，病程35～50周，平均病程(42.34±8.26)周。观察组中男26例，女19例，年龄41～73岁，平均年龄(57.74±11.37)岁，病程36～51周，平均病程(43.48±9.12)周。两组患者的年龄、性别及病程比较，差异无统计学意义(P>0.05)，临床可比。
1.2方法 对照组患者给予针灸治疗，调神醒脑、疏通经络。其中主穴：内关、水沟、三阴交、极泉尺泽及委中，根据穴位不同，采取不同入穴方式，随证取穴。治疗原则针对不同部位采取不同针灸方案，患者的若上肢存在严重障碍，主要针灸其肩膀外关、肩井以及合谷穴位；患者的若下肢存在严重障碍，要针灸其下肢的阳陵泉、次髎、环跳、秩边、承隆、昆仑、肾俞、太冲、风市、殷门、足三里。如患者面部存在口歪眼斜等症状，取四白、太冲、合谷、曲池、阳白、承浆等穴位, 百拇医药(金秀明)
关键词：水族整脊疗法；针灸；中风后遗症
中图分类号：G804.49 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.048
文章编号：1006-1959(2018)09-0150-02
, http://www.100md.com
Abstract：Objective To observe the clinical effect of aquarium chiropractic therapy combined with acupuncture in treating sequela of apoplexyMethods From September 2014 to June 2016，90 patients with stroke were randomly divided into observation group and control group，with 45 cases each.The patients in the control group were treated with routine acupuncture，the patients in the observation group were treated with acupuncture combined with aquarium chiropractic therapy，the therapeutic effect and the score of self-care ability of patients in the two groups were observed.Results 39 cases were cured in the observation group(86.67%)，which were higher than those in the control group(68.90%)，the difference between the two groups was statistically significant(P<0.05).The scores of daily living capacity scale in the observation group were better than those in the control group，the difference between the two groups was statistically significant(P<0.05).Conclusion The treatment of sequela of apoplexy with aquatic chiropractic therapy combined with acupuncture is effective.It helps to improve patients' self-care ability and is worthy of clinical application.
, 百拇医药
Key words：Aquarium chiropractic；Acupuncture；Sequela of apoplexy
中風是脑血管疾病的一种，临床上诱发因素较多，可以引起脑内主动脉变窄、阻塞甚至出现破裂，造成脑内血液循环障碍[1，2]。中风常用的治疗方法是物理治疗与中医治疗，中医治疗的理论是中枢神经再生疗法，通过一系列生物物理刺激和生物化学效应，能快速修复受损神经的关键物质。研究报道[3，4]，水族整脊疗法联合针灸对于治疗中风有着积极作用。基于此，本研究选取我院90例中风患者为研究对象，分析探讨水族整脊疗法联合针灸在治疗中风后遗症中的应用效果，现报道如下。
1 资料与方法
1.1一般资料 选出辽宁瓦房店第二医院2014年9月～2016年6月收治的90例中风患者作为本研究对象，筛选条件：①患者经临床首次确诊为中风，头疼不明显，意识较为清醒，并且以往无任何抑郁症状；②患者智力正常，不影响正常交流；③患者病情稳定，能够配合工作人员进行所需要的正常研究工作；④患者自愿参加，并签署书面协议。将所有患者随机分为观察组和对照组，各45例。对照组中男24例，女21例，年龄43～72岁，平均年龄(55.81±12.42)岁，病程35～50周，平均病程(42.34±8.26)周。观察组中男26例，女19例，年龄41～73岁，平均年龄(57.74±11.37)岁，病程36～51周，平均病程(43.48±9.12)周。两组患者的年龄、性别及病程比较，差异无统计学意义(P>0.05)，临床可比。
1.2方法 对照组患者给予针灸治疗，调神醒脑、疏通经络。其中主穴：内关、水沟、三阴交、极泉尺泽及委中，根据穴位不同，采取不同入穴方式，随证取穴。治疗原则针对不同部位采取不同针灸方案，患者的若上肢存在严重障碍，主要针灸其肩膀外关、肩井以及合谷穴位；患者的若下肢存在严重障碍，要针灸其下肢的阳陵泉、次髎、环跳、秩边、承隆、昆仑、肾俞、太冲、风市、殷门、足三里。如患者面部存在口歪眼斜等症状，取四白、太冲、合谷、曲池、阳白、承浆等穴位, 百拇医药(金秀明)