PNF技术配合阴阳平衡针法治疗脑卒中后上肢痉挛的临床研究

发布时间：2018-03-28 06:18

本文选题：PNF技术　切入点：阴阳平衡针法　出处：《长春中医药大学》2016年硕士论文

【摘要】：目的:本研究旨在观察PNF技术配合阴阳平衡针法治疗脑卒中后上肢痉挛状态的临床疗效,对比常规康复疗法配合阴阳平衡针法治疗脑卒中后上肢痉挛性瘫痪患者的痉挛程度、上肢运动功能和日常生活能力等方面的变化,对结果进行综合分析,来探讨有效的治疗方法,为其应用于临床提供实践依据。方法:采用随机对照的试验方法,将60例符合纳入标准的脑卒中后上肢痉挛状态患者随机分为治疗组和对照组,每组各30例。两组均接受常规内科药物治疗的基础上,治疗组接受PNF技术结合阴阳平衡针法治疗,对照组接受常规康复结合阴阳平衡针法治疗,各连续治疗6天,休息1天,共治疗24天后,以痉挛程度评定表、日常生活能力指数积分表、简试Fugl-Meyer上肢运动功能评分法为评定标准进行疗效观察,然后采用统计学SPSS19.0软件进行结果分析。结果:治疗组30例患者中显效10例,有效17例,无效3例,总有效率为90%。对照组30例患者显效5例,有效16例,无效9例,总有效率为70%。经秩和检验表明,其差异有统计学意义(P0.05),说明PNF配合阴阳平衡针法治疗脑卒中后上肢痉挛总疗效优于常规康复配合阴阳平衡针法,且治疗后两组患者的上肢痉挛程度、上肢运动功能、日常生活能力等均有不同程度的改善,治疗组均优于对照组,差异有统计学意义(P0.05)。结论:与常规康复配合阴阳平衡针法相对比,PNF技术配合阴阳平衡针法能够明显改善脑卒中后上肢痉挛性瘫痪患者的上肢痉挛程度、降低上肢肌张力,扩大上肢关节活动度,该方法经临床证实安全有效,具有科学性、可行性。
[Abstract]:Objective: to observe the clinical effect of PNF combined with Yin-Yang balanced acupuncture in the treatment of spasticity of upper limb after stroke, and to compare the degree of spasm in patients with spastic paralysis of upper limb after stroke treated by routine rehabilitation therapy and Yin-yang balanced acupuncture. The changes of upper limb motor function and daily life ability were analyzed synthetically to discuss the effective treatment method and to provide practical basis for its clinical application. Methods: a randomized controlled trial method was used. Sixty patients with spasticity of upper limb after stroke were randomly divided into treatment group and control group with 30 cases in each group. On the basis of routine medical treatment, the treatment group was treated with PNF technique combined with yin and yang balance acupuncture. The control group was treated with routine rehabilitation combined with Yin-Yang balanced acupuncture therapy for 6 consecutive days, rest for 1 day. After 24 days of treatment, the patients were assessed with spasticity scale and the activity of daily living index (ADL) score table. The results were analyzed by statistical SPSS19.0 software. Results: in the treatment group, 10 cases were effective, 17 cases were effective, 3 cases were ineffective. The total effective rate was 90. In the control group, there were 5 cases of remarkable effect, 16 cases of effective and 9 cases of ineffectiveness. The total effective rate was 70%. The difference was statistically significant (P 0.05), which indicated that the total curative effect of PNF combined with Yin-Yang balanced acupuncture in treating spasm of upper limb after stroke was better than that of routine rehabilitation combined with Yin-Yang balanced acupuncture, and the degree of spasticity and motor function of upper limb in the two groups after treatment. The ability of daily living was improved to some extent, and the treatment group was superior to the control group. Conclusion: compared with conventional rehabilitation combined with Yin-Yang balanced acupuncture, PNF combined with Yin-Yang balanced acupuncture can obviously improve the degree of upper limb spasm and reduce the tension of upper limb muscle in patients with spastic paralysis of upper limb after stroke. The method is proved to be safe, effective, scientific and feasible.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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