电针治疗脑卒中痉挛期膝过伸的临床疗效观察

发布时间：2018-02-11 22:14

本文关键词： 脑卒中痉挛期膝过伸电针疗法针刺　出处：《针灸临床杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨电针治疗脑卒中痉挛期膝过伸的治疗效果。方法:40例脑卒中痉挛期膝过伸患者,经改良Ashworth分级为1级至3级、肌力分级在3级至4级、Brunnstrom分级III级至V级,均符合脑卒中诊断标准,且为病情稳定后的患者。将患者按信封法分成两组,即治疗组和对照组,两组患者人数一致,两组均进行神经内科常规药物治疗,对照组患者采用"十二五"规划教材《针灸学》进行头针体针针刺及电针治疗,治疗组患者头针、上肢、小腿选穴同对照组,大腿针刺后群肌肉。针刺得气后,连接电疗仪,采用疏波。根据行走功能评定、Loudon膝过伸诊断方法、膝关节ROM评定等指标,观察针刺6周后患者膝过伸的改善情况。结果:治疗后Loudon膝过伸疗效评定,治疗组有效15例,无效5例;对照组有效12例,无效8例,治疗组疗效明显优于对照组。Holden功能评定,治疗组膝过伸改善程度明显优于对照组。治疗后ROM膝过伸疗效比较,治疗组显效16例,有效3例,无效1例,对照组显效12例,有效3例,无效5例,治疗组疗效明显优于对照组。结论:电针治疗脑卒中痉挛期膝过伸有效,治疗效果优于常规针刺。
[Abstract]:Objective: to investigate the therapeutic effect of electroacupuncture on knee hyperextension in spastic stage of stroke. Methods: 40 patients with spastic extension of knee in stroke were treated with modified Ashworth grade from grade 1 to grade 3, muscle strength grade from grade 3 to grade 4 and Brunnstrom grade from III grade to grade V. According to the envelope method, the patients were divided into two groups: the treatment group and the control group. The two groups had the same number of patients. The patients in the control group were treated with acupuncture and electroacupuncture in the body of scalp acupuncture and electroacupuncture. The patients in the treatment group were treated with acupuncture, upper extremity, and calf as the control group, and the muscles of the group after acupuncture of the thigh. After the acupuncture, the patients were connected to the electrotherapy apparatus. According to the evaluation of walking function and ROM evaluation of knee joint, the improvement of knee hyperextension after 6 weeks of acupuncture was observed. Results: the curative effect of Loudon knee hyperextension was evaluated after treatment, 15 cases of treatment group were effective. The curative effect of the treatment group was better than that of the control group. The degree of improvement of knee hyperextension in the treatment group was obviously better than that in the control group, and the curative effect of ROM knee hyperextension was significantly better in the treatment group than in the control group. 3 cases were effective, 1 case was ineffective, 12 cases were effective in control group, 3 cases were effective, and 5 cases were ineffective. Conclusion: electroacupuncture is more effective than conventional acupuncture in treating spastic knee hyperextension in stroke.
【作者单位】：黑龙江中医药大学附属第二医院;黑龙江中医药大学;黑龙江中医药大学附属第一医院;
【基金】：黑龙江省教育厅科学技术研究项目,编号:12541759
【分类号】：R246.6

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