手针联合电针治疗脑卒中手痉挛患者的临床疗效观察

发布时间：2018-02-27 00:35

本文关键词： 脑卒中手功能痉挛针刺电针偏瘫随机对照试验　出处：《中国针灸》2017年09期 　论文类型：期刊论文

【摘要】：目的:观察手针联合电针与单纯手针治疗脑卒中手痉挛患者的临床疗效差异。方法:将60例脑卒中手痉挛患者随机分为手针组和手针联合电针组,每组30例。手针组穴取患侧肩毭、臂佈、肩毼、曲池、手三里、外关、伏兔、梁丘、血海、足三里、上巨虚、下巨虚、阴陵泉、三阴交、太溪、太冲以及各掌骨骨间背侧肌中央;手针联合电针组在手针组的基础上于外关和第2、3掌骨骨间背侧肌中央接以断续波型的电针仪。两组均留针40 min,每天治疗1次,每周5次,4周为一疗程,共治疗3个疗程。观察两组患者治疗前后改良Ashworth分级(MAS)、Fugl-Meyer手指运动功能评定量表以及改良Barthel指数(BI)。结果:两组患者治疗后MAS较治疗前分级均下降(均P0.05);治疗后,手针联合电针组患者MAS较手针组分级降低(P0.05);两组患者治疗后Fugl-Meyer手指运动功能评分和BI均较治疗前提高(均P0.05);治疗后,手针联合电针组Fugl-Meyer手指运动功能评分和BI均高于手针组(均P0.05)。结论:手针联合电针治疗脑卒中手痉挛与单纯手针相比,更能够缓解脑卒中患者手的痉挛程度、促进手功能的恢复,提高患者生存质量。
[Abstract]:Objective: to observe the difference of clinical effect between hand acupuncture combined with electroacupuncture and simple hand acupuncture in the treatment of hand spasm after stroke methods: 60 patients with hand spasm were randomly divided into hand acupuncture group and hand acupuncture combined electroacupuncture group. There were 30 cases in each group. The acupoints of the hand acupuncture group were collected from the affected side of the shoulder, arm cloth, shoulder, bend pool, hand Sanli, Waiguan, Fu Rabbit, Liang Qiu, Xuehai, Zusanli, Shangzuxu, Lower Juxu, Yinling Spring, Sanyinjiao, Taixi, Taichong and the center of the intermetacarpal interosseous dorsal muscle, the hand acupuncture combined with electroacupuncture group and the hand acupuncture group received intermittent wave electroacupuncture at the center of the intermetacarpal interosseous dorsal muscle on the basis of the hand acupuncture group. Both groups were treated once a day for 40 minutes. Five times a week for 4 weeks as a course of treatment, Before and after treatment, the modified Ashworth grading and the modified Barthel index were observed. Results: after treatment, the MAS of the two groups was lower than that before and after treatment (all P 0.05; after treatment, P < 0.05). The MAS of the patients in the hand acupuncture combined with electroacupuncture group was lower than that of the hand acupuncture group, and the score of Fugl-Meyer finger motor function and the BI of the patients in the two groups were higher than those before the treatment (all P 0.05; after treatment), the patients in the two groups were significantly lower than those in the control group (P < 0.05). The Fugl-Meyer score and BI of hand acupuncture combined with electroacupuncture group were higher than those of hand acupuncture group (all P 0.05). Conclusion: the hand spasm of stroke patients treated by hand acupuncture combined with electroacupuncture can relieve the degree of hand spasm more than that of hand acupuncture alone. To promote the recovery of hand function and improve the quality of life of patients.
【作者单位】：山东中医药大学针灸推拿学院;山东中医药大学第二临床医学院;山东中医药大学第二附属医院;
【基金】：山东省中医药科技发展计划项目:2013-224
【分类号】：R246.6

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