电针拮抗肌穴位治疗中风后足内翻的疗效观察

发布时间：2018-01-09 07:08

本文关键词：电针拮抗肌穴位治疗中风后足内翻的疗效观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:研究电针拮抗肌穴位治疗中风后足内翻的临床疗效。方法:本研究中所观察的病例来自2016年3月至2017年2月于黑龙江中医药大学附属一院癫痫诊疗中心病房就诊的中风后足内翻患者。将符合诊断标准的60例患者随机分为治疗组与对照组,治疗组选择病侧阳陵泉、悬钟、丘墟、足临泣进行电针治疗,对照组选择病侧阳陵泉、阴陵泉、足三里、解溪、丘墟、照海进行单纯针刺治疗。两组患者均每天治疗1次,连续治疗6天后休息1天,此为1个疗程,临床共观察4个疗程。于治疗前后对患者进行踝关节内翻角度、Holden步行能力分级、Brunnstrom下肢分期量表、Berg平衡量表、Tinetti步态分析量表、Fugl-meyer下肢功能评定量表等进行评定,观察并评价电针治疗中风后足内翻的临床疗效。所得数据用SPSS17.0统计软件进行统计学分析。结果:1.治疗组和对照组患者在治疗4周后足内翻角度及各量表评分均较治疗前有明显改善(P0.05)。2.与对照组相比,治疗组患者足内翻角度及各量表评分均有明显改善(P0.05)。结论:1.电针拮抗肌穴位治疗与单纯针刺治疗均能改善中风后足内翻症状;2.电针拮抗肌穴位治疗中风后足内翻疗效优于单纯针刺治疗。
[Abstract]:Objective: To study the clinical efficacy of electroacupuncture antagonist acupoint in the treatment of strephenopodia after apoplexy. Methods: strephenopodia patients observed in this study were from March 2016 to February 2017 in the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine Medical Center ward treatment of epilepsy after stroke. In line with the diagnostic criteria of 60 patients were randomly divided into treatment group and control group, treatment group selection of disease side Yanglingquan, Xuanzhong, Qiuxu, zulinqi electro acupuncture treatment, control group disease side Yanglingquan, Yin Ling Quan, Zusanli, JieXi, Qiuxu, KI6 of acupuncture treatment. Two patients were treated 1 time a day, continuous treatment for 6 days after 1 days of rest, this is the 1 the clinical course, 4 courses were observed. Before and after treatment in patients with ankle varus angle, Holden walking ability of lower limb Brunnstrom grading, staging scale, Berg balance scale, Tinetti gait analysis scale, lower limb Fugl-meyer Functional assessment of evaluation, evaluation and clinical observation on the therapeutic effect of electro acupuncture in the treatment of strephenopodia after apoplexy. The results were statistically analyzed by SPSS17.0 statistical software. Results: the treatment group and 1. patients in the control group after 4 weeks of treatment of strephenopodia angle and the scale scores were significantly improved compared with before treatment (P0.05.2.) compared with the control group, the treatment group of patients with varus angle and scale scores were significantly improved (P0.05). Conclusion: 1. acupuncture antagonistic muscle acupuncture and simple acupuncture treatment can improve the symptoms of strephenopodia after apoplexy; 2. EA acupoint antagonist treatment of strephenopodia after apoplexy curative effect is better than simple acupuncture.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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