针刺经筋结点治疗中风后髋关节痉挛状态的临床疗效观察

发布时间：2018-04-02 08:15

本文选题：中风病　切入点：经筋结点　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察针刺经筋结点治疗中风后髋关节痉挛状态的疗效,为中风后髋关节痉挛状态的治疗提供新的思路。方法:纳入符合本课题标准的患者64例,随机分为两组,每组各32例。其中对照组体针采用传统针刺治疗,治疗组采用针刺经筋结点治疗,两组其余常规治疗如头针针刺治疗、神经内科常规治疗均相同,共治疗28日。在治疗前后采用Brunnstrom偏瘫下肢分级、简化Fugl-Meyer运动功能(FMA)、临床痉挛指数(CSI)、髋关节活动度(ROM)、神经功能缺损程度(NDS)进行评定,以此评价本课题所选取治疗方案对于下肢尤其是髋关节痉挛状态的疗效。结果:1.治疗前,治疗组和对照组患者的Brunnstrom偏瘫下肢分级、髋关节活动度(包括屈伸、内收)、FMA、CSI(包括腱反射、肌张力、阵挛)、NDS评分经组间比较P0.05,两组间没有显著差异,可进行进一步比较。2.治疗后两组组内比较,差异均有统计学意义(P0.05),表明两种方法均对中风后患者有一定疗效。3.治疗后组间比较,髋关节内收活动度差异无统计学意义(P0.05);Brunnstrom偏瘫下肢分级、髋关节屈伸活动度、FMA、CSI(包括腱反射、肌张力、阵挛)、NDS评分有统计学意义(P0.05)。结论:1.应用经筋结点针刺治疗可有效的改善中风后髋关节痉挛状态。2.针刺经筋结点可提高中风后髋关节痉挛状态患者的髋关节运动能力,改善患者的神经功能缺损程度。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture on spasticity of hip joint after stroke, and to provide a new idea for treatment of spastic state of hip joint after stroke. Methods: 64 patients who met the criteria of this subject were randomly divided into two groups. There were 32 cases in each group. The control group was treated with traditional acupuncture, the treatment group was treated with acupuncture on the meridian node, and the other routine treatments such as scalp acupuncture and routine neurology were the same in both groups. Before and after treatment for 28 days, Brunnstrom hemiplegic lower extremity grading was used to evaluate Fugl-Meyer motor function, clinical spasticity index (CSI), hip motion degree (ROM) and nerve function defect (NDS). Results: 1. Before treatment, the patients in the treatment group and control group had lower extremity grade of Brunnstrom hemiplegia, hip joint activity (including flexion and extension). FMA-CSI (including tendon reflex, muscle tension, clonoclonic NDS score was compared between the two groups (P0.05), there was no significant difference between the two groups, further comparison could be made between the two groups after treatment. The differences were statistically significant (P 0.05), indicating that the two methods had a certain curative effect on post-stroke patients. 3. After treatment, there was no significant difference in the adductive activity of hip joint between the two groups. There was no significant difference in the adductive activity of hip joint and the lower extremity grade of Brunnstrom hemiplegia, the flexion and extension activity of hip joint and FMACSI (including tendon reflex). There was significant difference in NDS score of muscle tension and clonus. Conclusion: 1. Acupuncture with meridian node can effectively improve the spasticity of hip joint after stroke. Acupuncture can improve the motor ability of hip joint in patients with spastic state of hip joint after stroke. To improve the degree of neurological deficit in 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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