恢刺经筋结点治疗中风后痉挛性偏瘫的临床疗效观察

发布时间：2018-01-11 23:14

本文关键词：恢刺经筋结点治疗中风后痉挛性偏瘫的临床疗效观察　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的通过观察恢刺经筋结点对中风后痉挛性偏瘫患者的肢体痉挛程度、运动功能及日常生活能力的影响,与普通针刺方法相比较,综合评价二者临床疗效,为临床治疗中风后痉挛性偏瘫提供一种新的治疗方法。研究方法60例入组患者采用随机对照的方法分为治疗组和对照组,治疗组采用恢刺经筋结点方法治疗,对照组采用普通针刺方法治疗,每周针刺6天,治疗3周。在治疗前及治疗后采用改良Ashworth痉挛量表、Fugl-Meyer运动功能评分法、Barthel指数分级法分别评定两组患者的肢体痉挛程度、肢体活动能力及日常生活活动能力以对比两组的治疗效果。研究结果1.两组治疗前Fugl-Meyer评分、改良Ashworth量表、Barthel指数分别进行统计比较,无显著性差异(P0.05),具有可比性。2.两组治疗前后Fugl-Meyer评分、改良Ashworth量表、Barthel指数与治疗前进行比较,有统计学意义(P0.05)。3.治疗组治疗后Fugl-Meyer评分、改良Ashworth量表、Barthel指数与对照组治疗后进行比较,有统计学意义(P0.05)。研究结论恢刺经筋结点能有效治疗中风后痉挛性偏瘫,其改善肢体活动能力、缓解肢体痉挛程度及改善患者日常生活活动能力,均优于普通针刺组。
[Abstract]:Objective to observe the effects of restoring acupuncture on spasticity, motor function and daily living ability of patients with spastic hemiplegia after apoplexy, and to evaluate the clinical efficacy of these two methods. To provide a new method for the treatment of spastic hemiplegia after apoplexy. Methods 60 patients in the study group were randomly divided into two groups: treatment group and control group. The control group was treated with common acupuncture, acupuncture 6 days a week for 3 weeks, and Fugl-Meyer motor function score before and after treatment with modified Ashworth spasticity scale. The degree of limb spasm was evaluated by Barthel index grading method. Limb activity and activity of daily living were compared between the two groups. Results 1. Fugl-Meyer score and modified Ashworth scale before treatment in two groups. 2. There was no significant difference in Barthel index between the two groups (P 0.05). The Fugl-Meyer score was comparable between the two groups before and after treatment. The modified Ashworth scale was significantly higher than that before treatment (P 0.05). The Fugl-Meyer score of the treatment group was higher than that of the control group (P < 0.05). The modified Ashworth scale was compared with the control group after treatment. Conclusion the treatment of spastic hemiplegia after stroke is effective, which can improve the ability of limb movement, alleviate the degree of limb spasm and improve the activity of daily life of patients. All of them were superior to the common acupuncture group.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【相似文献】