中医综合疗法治疗中风后偏瘫的临床应用

中医综合疗法治疗中风后偏瘫的临床应用(论文10000字)
摘  要
目的：观察中医综合疗法治疗中风后偏瘫的临床疗效及应用。
方法：将2016年05月-2017年05月武汉市第二中医医院针灸康复科住院的中风偏瘫患者80例，随机分组为两组：观察组、对照组各40例，对照组采用常规电针治疗，观察组在对照组基础上，配合补阳还五汤加减联合拔罐疗法治疗，两组疗程为1月，疗程结束后进行疗效比较。
结果：通过两组疗效比较，观察组：显效率60%，有效率27.5%,无效率12.5%；对照组：显效率37.5%，有效率40.0%,无效率22.5%；经过卡方检验后P<0.05，表明临床疗效差异具有统计学意义。
结论：中医疗法补阳还五汤、电针、拔罐疗法是一种传统的中医特色治疗手段，具有副作用小，疗效显著，操作便捷、易于调控、安全有效等显著优点，值得临床推广应用。
关键词：中医综合疗法；中风偏瘫；补阳还五汤。

The clinical application of combination therapy of traditional Chinese medicine treatment of cerebral apoplexy after stroke
Abstract
Objective: To observe the clinical efficacy and application of the comprehensive treatment of traditional Chinese medicine in the treatment of cerebral apoplexy.
Methods: 80 cases of Patients with cerebral apoplexy after stroke in Acupuncture and rehabilitation department of The second Chinese hospital in Wuhan during May 2016 and May 2017. They were randomly grouped into two groups: Each of observation group and control group is 40 groups. Control group use conventional electric acupuncture treatment,  On the control group, observation group cooperate with Buyanghuanwu soup and Baguan therapy to treat. The two groups of courses are January . The treatment is compared after the treatment.
Result: By comparing the two groups of outcomes, observation group: show the efficiency of 60%, effective rate of 27.5% , Without efficiency of 12.5%; Control group: show the efficiency of 37.5%, effective rate of 40.0% , Without efficiency of 22.5%;After chi-square test is examined, P<0.05, The results shows that the difference in clinical efficacy is statistically significant.
Conclusion: The method of traditional Chinese medicine of Buyanghuanwu soup, electric acupuncture, Baguan therapy is a traditional treatment of traditional Chinese medicine. It has the advantages of small side effects, remarkable curative effect, convenient operation, easy regulation, safe and effective etc. It deserves clinical promotion.
Keywords: Comprehensive treatment of Chinese medicine; Cerebral apoplexy after stroke; Buyanghuanwu soup.

目 录
摘  要    3
前 言    5
临床资料与方法    6
1病例选择    6
1.1病例来源    6
1.2诊断标准    6
1.2.1蛛网膜下腔出血    6
1.2.2脑出血    7
1.2.3 脑梗塞    7
2病例选择标准    7
2.1病例纳入标准    7
2.2病例排除标准    8
2.3 病例剔除标准    8
3研究方法    8
3.1设计方法    8
3.2  分组    8
3.3治疗方法    8
3.4疗效标准[8]    9
3.5数据处理方法    9
4 结果    9
5讨论    10
6结论    11
参考文献    12
中医治疗中风后遗症的综述    13
概 述    13
1中风偏瘫的定义、病因病机及临床表现    13
1.1中风偏瘫的定义    13
1.2中风偏瘫的病因病机    13
1.3中风偏瘫的临床表现    13
2中风偏瘫近年各种中医疗法    14
2.1内治法    14
2.1.1活血化瘀，益气通络    14
2.1.2祛风化痰，逐瘀通络    14
2.1.3益气温阳, 养阴解痉    15
2.2外治    15
2.2.1针刺    15
2.2.2中药外用    15
2.2.3穴位注射    16
2.3内外结合    16
2.4中医疗法结合现代康复    16
3小结    16
参考文献    17
致谢    18