巨刺结合康复训练治疗中风后上肢痉挛性偏瘫的临床研究

发布时间：2018-01-01 00:25

本文关键词：巨刺结合康复训练治疗中风后上肢痉挛性偏瘫的临床研究　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察巨刺结合康复训练治疗中风偏瘫患者上肢痉挛的临床疗效。方法：将符合纳入标准的60例受试者,采用随机方法分为治疗组和对照组,两组各30例。对照组采用康复训练结合基础治疗,治疗组在对照组基础上予以巨刺治疗。针刺选取健侧穴位为肩髑、曲池、外关、血海、合谷、足三里及阳陵泉。每天治疗一次,每周治疗五次,休息两日,四周为一个疗程,共治疗三个疗程。治疗前、治疗4周、8周、12周、治疗结束后4周及12周分别针对受试者痉挛进行评价。采用改良的痉挛程度量表Ashworth(MAS)评定痉挛状态,BI指数来评价受试者日常生活活动能力。结果：(1)两组受试者各项指标基线分析均无统计学差异(P0.05),可比性良好。(2)痉挛程度：两组受试者治疗后MAS量表与治疗前相比有统计学意义(P0.05)。治疗组在5个疗效评价时间点的MAS量表改善与对照组相比均有统计学差异(P0.05)。(3)日常生活活动能力：治疗组与对照组BI指数结果显示在治疗4周、治疗8周、治疗12周、治疗后4周及治疗后12周与治疗前相比有统计学差异(P0.05)。两组BI评分在5个时间点组间比较有统计学差异(P0.05)。结论：(1)治疗组与对照组治疗均可以能有效缓解中风偏瘫患者的痉挛状态,提高患者的日常生活活动能力。(2)治疗组疗效上整体有优于对照组的趋势。
[Abstract]:Objective: To observe the clinical effect of opposing needling combined with rehabilitation training in the treatment of stroke patients with hemiplegia upper limb spasm. Methods: 60 patients met the inclusion criteria of the subjects were randomly divided into treatment group and control group, two groups of 30 cases each. The control group received rehabilitation training combined with routine therapy, the treatment group on the basis of the control group to be on the opposing needling treatment. Acupuncture acupoint selection of the contralateral shoulder skull, Quchi, Hegu, Waiguan, Xuehai, Zusanli and Yanglingquan. Treatment once a day, for five times a week, two days rest, week for a course of treatment, a total of three courses of treatment. Before treatment, treatment for 4 weeks, 8 weeks. 12 weeks after the end of treatment, 4 weeks and 12 weeks respectively for the subjects of evaluation. With the modified spasm spasticity scale Ashworth (MAS) assessment of spasticity, BI index to evaluate the activities of daily living subjects. Results: (1) the two groups of subjects were not the baseline analysis indicators No statistical difference (P0.05), is good. (2) spasticity: two groups of subjects after treatment of MAS scale compared with before treatment was statistically significant (P0.05). The treatment group in the 5 time points of the evaluation of the efficacy of MAS table improvement compared with the control group had significant difference (P0.05). (3) the activities of daily living: treatment group and control group BI index showed that in the treatment of 4 weeks, 8 weeks of treatment, treatment for 12 weeks, 4 weeks after treatment and 12 weeks after treatment compared with before treatment there were significant differences (P0.05). The BI scores of the two groups at 5 time points between groups were statistically significant the difference (P0.05). Conclusion: (1) the treatment group and the control group were treatment can effectively relieve spasticity of stroke hemiplegia patients, improve the patient's activities of daily living. (2) the overall efficacy of the treatment group is better than the control group.

【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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