基于交叉迁移现象探讨针刺对脑梗死患者上肢功能重建的影响

发布时间：2018-01-17 03:35

本文关键词：基于交叉迁移现象探讨针刺对脑梗死患者上肢功能重建的影响　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:观察依据交叉迁移现象的针刺治疗对脑梗死患者上肢功能重建的影响。方法:将符合病例纳入标准的60例脑梗死患者随机分为2组,每组30例。对照组针刺患侧肢体,治疗组除针刺患侧外,加刺健侧上肢,并于治疗前和治疗4周后对2组患者进行U-FMA、WMFT、sEMG和改良Barthel指数的评定。结果:1、两组患者治疗后的U-FMA评分与治疗前相比较(P0.05),有显著差异,且治疗组优于对照组(P0.05),有显著差异。2、两组患者治疗后的WMFT评分与治疗前相比较(P0.05),有显著差异,且治疗组优于对照组(P0.05),有显著差异。3、两组患者治疗后的三角肌积分肌电值iEMG与治疗前相比较(P0.05),有显著差异,且治疗组优于对照组(P0.05),有显著差异。4、两组患者治疗后的肘屈曲时肱二头肌(CR)与治疗前相比较(P0.05),有显著差异,但治疗组与对照组相比(P0.05),无显著差异。两组患者的肘伸展时肱三头肌(CR)与治疗前相比较(P0.05),有显著差异,且治疗组优于对照组(P0.05),有显著差异。5、两组患者治疗后的改良Barthel指数与治疗前相比较(P0.05),有显著差异,且治疗组优于对照组(P0.05),有显著差异。结论:1、基于交叉迁移现象的针刺方法能有效提高患者上肢的运动功能,改善运动完成的质量与速度。2、基于交叉迁移现象的针刺方法能改善患者的日常生活能力。
[Abstract]:Objective: to observe the effect of acupuncture therapy on the functional reconstruction of upper extremity in patients with cerebral infarction according to the phenomenon of cross migration. Methods: 60 patients with cerebral infarction were randomly divided into two groups. 30 cases in each group were treated with acupuncture of the affected limbs in the control group, and those in the treatment group were treated with U-FMA-WMFT before treatment and 4 weeks after treatment. SEMG and modified Barthel index. Results the U-FMA scores of the two groups after treatment were significantly different from those before treatment (P 0.05). And the treatment group was better than the control group (P 0.05), there was significant difference. 2. The WMFT score of the two groups after treatment was significantly different from that before treatment (P 0.05). And the treatment group is better than the control group (P 0.05), there is significant difference. The two groups after treatment of the deltoid muscle integral value of iEMG compared with the treatment before P0.05, there is a significant difference. And the treatment group is better than the control group (P 0.05), there is significant difference between the two groups after the treatment of elbow flexion of the biceps brachii muscle (CRR) compared with before treatment, there is a significant difference between the two groups. But there was no significant difference between the treatment group and the control group. There was a significant difference between the two groups in the elbow extension of triceps brachii muscle. And the treatment group is better than the control group (P 0.05), there is a significant difference between the two groups after treatment of the modified Barthel index compared with before treatment, there is a significant difference between the two groups. The treatment group was better than the control group (P 0.05), there was significant difference. Conclusion: the acupuncture method based on cross migration phenomenon can effectively improve the upper limb motor function of the patients. To improve the quality and speed of exercise completion, the acupuncture method based on cross-migration can improve the daily life ability of patients.
【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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