毫火针结合康复训练治疗脑卒中后上肢痉挛的临床疗效观察

发布时间：2018-04-20 13:41

本文选题：毫火针 + 脑卒中　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:观察毫火针结合康复训练治疗脑卒中后上肢痉挛的治疗效果,并证实使用毫火针治疗脑卒中上肢痉挛疗效的确切性。方法:选取自治区中医医院针灸科、神经外科、康复门诊以及病房符合纳入标准的60例患者,随机分成两组。治疗组采用毫火针结合康复训练,对照组采用毫针结合康复训练。治疗7天为一疗程,共治疗2个疗程。治疗后采用FMA评分,改良Ashworth评分进行疗效评价。结果:(1)、总体疗效:治疗组治愈8例、显效、有效以及无效分别为7例、13例、2例,有效率93.33%;对照组治愈5例、显效、有效以及无效分别为8例、12例、5例,有效率83.33%。两组比较有差异(P0.05)。(2)、两组治疗前后FMA评分比较,两组均有效果,但治疗组较对照组效果更加明显。(3)、两组治疗前后改良Ashworth评分比较,两组均有明显效果,但治疗组优于对照组。(4)、在治疗过程中两组患者均未出现不良反应。结论:毫火针结合康复训练可以显著改善脑卒中后上肢痉挛,并降低肌张力。毫火针结合康复训练和毫针结合康复训练都能缓解肌痉挛,降低肌张力,经两组对照,治疗后两组患者的上肢FMA评分和MAS评分相比有统计学意义(P0.05),说明毫火针结合康复训练比毫针结合康复训练的疗效更好。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture combined with rehabilitation training on spasm of upper limb after stroke, and to confirm the accuracy of the treatment of spasm of upper limb after stroke. Methods: 60 patients in acupuncture department, neurosurgery department, rehabilitation clinic and ward were randomly divided into two groups. The treatment group was treated with acupuncture combined with rehabilitation training, while the control group was treated with acupuncture combined with rehabilitation training. Treatment for 7 days as a course of treatment, a total of 2 courses of treatment. After treatment, FMA score and modified Ashworth score were used to evaluate the curative effect. Results: in the treatment group, 8 cases were cured, 13 cases were effective and 2 cases were effective, and the effective rate was 93.33%. In the control group, 5 cases were cured, 5 cases were effective, 12 cases were effective, and 5 cases were ineffective, the effective rate was 83.33%. There was significant difference between the two groups in FMA scores before and after treatment, but the effect in the treatment group was more obvious than that in the control group. The modified Ashworth score before and after treatment in the two groups had obvious effect. But the treatment group was superior to the control group. Conclusion: acupuncture combined with rehabilitation training can significantly improve upper limb spasm and reduce muscle tension after stroke. The combination of neuter needle and rehabilitation training and filiform needle combined with rehabilitation training can relieve muscle spasm and reduce muscle tension. After treatment, the FMA score of upper limb of the two groups was significantly higher than that of the MAS score (P 0.05), which indicated that the curative effect of acupuncture combined with rehabilitation training was better than that of acupuncture combined with rehabilitation training.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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