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菖蒲麻胆汤结合阳陵泉、心肝俞等穴埋线治疗脑卒中后癫痫临床疗效及安全性探究 被引量:2
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作者 范建岭 汪爱萍 《四川中医》 2021年第9期128-131,共4页
目的:探究菖蒲麻胆汤结合阳陵泉、心肝俞等穴埋线治疗脑卒中后癫痫临床疗效及安全性。方法:研究共计纳入92例脑卒中后癫痫患者,均由我院2017年5月~2020年6月收治,以随机数字表法将纳入患者分为两组,对照组患者(46例)常规临床治疗,观察... 目的:探究菖蒲麻胆汤结合阳陵泉、心肝俞等穴埋线治疗脑卒中后癫痫临床疗效及安全性。方法:研究共计纳入92例脑卒中后癫痫患者,均由我院2017年5月~2020年6月收治,以随机数字表法将纳入患者分为两组,对照组患者(46例)常规临床治疗,观察组患者(46例)常规治疗+菖蒲麻胆汤结合阳陵泉、心肝俞等穴埋线治疗,比较两组患者临床疗效、治疗前后每个月癫痫发作频率、每次发作时间,采取简易精神量表(MMSE)评估治疗前后认知功能,Fugl-Meyer简易量表评估治疗前后患者运动功能,采取失语商(AQ)评估治疗前后语言功能,改良Barthel指数(MBI)评估治疗前后日常生活能力,治疗前后神经元特异性烯醇化酶(NSE)、白介素2(IL-2)、白介素6(IL-6)、肿瘤坏死因子α(TNF-α)指标变化、不良反应。结果:观察组治疗后有效率(97.83%)高于对照组(84.78%)(P<0.05);治疗前,各组每个月癫痫发作频率、每次发作时间相当(P>0.05),治疗后各组每个月癫痫发作频率、每次发作时间均改善,观察组患者治疗后每个月癫痫发作频率低于对照组,每次发作时间短于对照组(P<0.01);治疗前,两组患者MMSE、Fugl-Meyer、AQ、MBI评分及IL-2、IL-6、NSE、TNF-α水平相当(P>0.05),治疗后各组患者MMSE、Fugl-Meyer、AQ、MBI评分及IL-2、IL-6、NSE、TNF-α水平均改善,观察组患者治疗后MMSE、Fugl-Meyer、AQ、MBI评分及IL-2、IL-6、NSE、TNF-α水平优于对照组(P<0.05);观察组不良反应率(2.17%)与对照组不良反应率(2.17%)比较无显著差异(P>0.05)。结论:菖蒲麻胆汤结合阳陵泉、心肝俞等穴埋线治疗可有效促进脑卒中后癫痫患者康复,患者临床疗效提升,语言、认知、运动等功能均改善,恢复好,不良反应率低,安全可靠,值得推广应用。 展开更多
关键词 脑卒中后癫痫 菖蒲麻胆汤 阳陵泉 心肝俞 埋线疗法 疗效 不良反应
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Clinical research on insomnia treated by acupuncture at back-shu points 被引量:3
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作者 高希言 徐翠香 +4 位作者 陈新旺 王培育 高崚 任珊 马巧琳 《World Journal of Acupuncture-Moxibustion》 2014年第2期36-41,共6页
Objective To observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points. Methods Sixty-four cases of insomnia were selected and divided randomly into a back-shu points group (grou... Objective To observe the clinical therapeutic effect on insomnia treated with acupuncture at back-shu points. Methods Sixty-four cases of insomnia were selected and divided randomly into a back-shu points group (group A) and a conventional acupoints group (group B) by a computer generated allocation list, 32 cases in each one. In the trial group, acupuncture was applied at xinshu (心俞 15), Ganshu (刊俞 18), Pishu (脾俞 BL 20) and Geshu (膈俞 BL 17). In the control group, acupuncture was applied conventionally to Neiguan (内关 PC 6), Shenmen (神门 HT 7), Sanyinjiao (三阴交 SP 6), Baihui (百会 GV 20) and Sishencong (四神聪 EX-HN 2). Ten treatments made a session. The efficacy was analyzed statistically after 3 sessions of treatment. Results There were significant differences between the two groups in the relief of sleep disorders after the treatment (P〈0.O2). The improvement in sleep efficiency was different significantly (P〈0.05). The difference in sleep difficulty was significant in Chinese medicine (TCM) symptom score (P〈0.05). Conclusion The clinical efficacy is achieved by either acupuncture at back-shu points or by acupuncture at conventional acupoints. The improvements of sleep efficiency and sleep disorder scores in PSO.I, and sleep difficulty in TCM as well as the long-term efficacy are superior in group A as compared with those in group B. 展开更多
关键词 INSOMNIA acupuncture therapy back-shu points BL 15 BL 18 BL 20 BL 17 randomized controlled trial
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