恢刺配合运动针刺经筋结点治疗中风后下肢痉挛性瘫的临床观察

发布时间：2018-03-15 12:23

本文选题：中风　切入点：痉挛性瘫　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察恢刺配合运动针刺经筋结点治疗中风后下肢痉挛性瘫的临床疗效,与传统针刺法进行比较,为临床治疗中风后肢体痉挛性瘫痪提供新的方法。方法：将纳入课题研究的60例中风后下肢痉挛性瘫患者随机分成恢刺配合运动针刺组(治疗组)和传统针刺组(对照组),每组患者各有30例,每周针6次,周日休息一天,连续治疗4周。观察患者的临床痉挛指数(CSI)、Fugl-Meyer运动功能评分、日常生活能力评(ADL量表,Barthel指数)、临床神经功能缺损程度等指标,比较治疗组和对照组患者各项指标的改善程度；并且根据改良Ashworth量表判定临床疗效。结果：(1)两组患者治疗前一般资料经统计比较,无显著性差异(P0.05),具有可比性。(2)两组患者治疗前临床痉挛指数、Fugl-Meyer运动功能评分、日常生活能力评分、临床神经功能缺损程度评分分别进行统计比较,无显著性差异(P0.05),具有可比性。(3)两组患者临床痉挛指数、Fugl-Meyer运动功能评分、日常生活能力评分、临床神经功能缺损程度评分治疗前后进行组内比较、组间比较,均有统计学意义(P0.05),差异显著；(4)两组患者治疗后临床疗效比较,P0.05,有统计学意义,差异显著。结论：(1)两种方法均能改善中风后下肢痉挛患者的肢体痉挛程度、提高患者的肢体运动能力和日常生活活动能力,改善患者的临床神经功能缺损程度,且恢刺配合运动针刺组改善程度优于传统针刺组；(2)恢刺配合运动针刺组临床疗效优于传统针刺组,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of treating spastic paralysis of lower extremities after apoplexy treated by restoring acupuncture combined with exercise acupuncture, and compare it with the traditional acupuncture method. To provide a new method for the treatment of spastic paralysis of limbs after stroke. Methods: 60 patients with spastic paralysis of lower extremities after stroke were randomly divided into two groups: the treatment group and the traditional acupuncture group. In the control group, there were 30 patients in each group, The clinical spasticity index (CSI) and Fugl-Meyer motor function score, ADL and Barthel index, and the degree of clinical neurological impairment were observed. The improvement degree of each index was compared between the treatment group and the control group, and the clinical curative effect was evaluated according to the modified Ashworth scale. Results the general data of the two groups before treatment were statistically compared. There was no significant difference between the two groups (P 0.05, P < 0.05). The scores of Fugl-Meyer motor function, activity of daily life, and the degree of neurological deficit were statistically compared between the two groups before treatment. There was no significant difference between the two groups (P 0.05). The clinical spasticity index and the scores of Fugl-Meyer motor function, activity of daily living and clinical neurological deficit were compared between the two groups before and after treatment. There was significant difference between the two groups (P 0.05). Conclusion the two methods can improve the degree of limb spasm in patients with lower extremity spasm after stroke. To improve the ability of limb movement and daily life, and to improve the degree of clinical nerve function defect, In addition, the improvement of the treatment group was better than that of the traditional acupuncture group (2) the clinical curative effect of the recovery acupuncture combined with exercise acupuncture group was better than that of the traditional acupuncture group, and it was worth popularizing in clinic.
【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】：2016
【分类号】：R246.6

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