十宣穴点刺放血治疗脑梗塞后手指拘挛及对患肢正中神经肌电的影响

发布时间：2018-05-12 15:56

本文选题：脑梗塞 + 运动功能　；参考：《针灸临床杂志》2017年03期

【摘要】：目的:探讨十宣穴点刺放血治疗脑梗塞后手指拘挛疗效及该疗法对患肢正中神经肌电的影响。方法:选取符合诊断标准的脑梗塞后手指拘挛患者60例,随机分为治疗组和对照组,各30例。在脑梗塞的常规治疗的基础上,治疗组加用十宣穴点刺放血,对照组加用巴氯芬片。疗程均为4周。在治疗前、治疗后第2周和第4周,分别测定患手运动功能、患手神经功能缺损程度和患肢正中神经F波参数的变化。结果:经过2周的治疗,两组患者患手运动功能评分较治疗前提高(P0.05),而两组间比较则无明显差异(P0.05);治疗组患手肌力评分较前降低(P0.05),而对照组患手肌力评分较前未见降低(P0.05);两组患肢正中神经肌电F波参数较前均有提高(P0.05),两组间比较也有统计学差异(P0.05)。经过4周的治疗,两组患者患手运动功能评分较前明显提高(P0.05),且两组间比较也有统计学差异(P0.05);两组患手肌力评分较前均明显降低(P0.05),且两组间比较也有显著性差异(P0.05);两组患者患肢正中神经肌电F波参数较前均有明显提高(P0.05),两组间比较也有统计学差异(P0.05)。结论:十宣穴点刺放血对脑梗塞后患手的运动功能、肌力和患肢正中神经肌电均有良好的改善作用。
[Abstract]:Objective: to investigate the effect of the treatment of finger clonus after cerebral infarction and the effect of the treatment on the median nerve electromyography of the affected limb. Methods: 60 cases of finger clonus after cerebral infarction were randomly divided into treatment group and control group, 30 cases in each group. On the basis of routine treatment of cerebral infarction, the treatment group was treated with 10 Xuan points and punctured bloodletting, while the control group was treated with baclofen tablet. The course of treatment was 4 weeks. Before treatment, 2 weeks and 4 weeks after treatment, the motor function of the affected hand, the degree of defect of the nerve function of the affected hand and the F-wave parameters of the median nerve of the affected limb were measured respectively. Results: after 2 weeks of treatment, The score of the affected hand motor function in the two groups was higher than that before treatment, but there was no significant difference between the two groups; the score of the affected hand muscle strength in the treatment group was lower than that in the former, while the score of the affected hand muscle strength in the control group was not lower than that before the treatment. The parameters of F-wave of electromyography were higher than those of the former, and the difference between the two groups was also statistically significant (P 0.05). After four weeks of treatment, The score of motor function of affected hands in the two groups was significantly higher than that before, and there was statistical difference between the two groups. The score of muscle strength of the affected hands in the two groups was significantly lower than that before, and there was also a significant difference between the two groups (P0.05), and there was also a significant difference between the two groups. The F-wave parameters of middle nerve electromyography were significantly higher than those of the former, and there was also a statistical difference between the two groups (P 0.05). Conclusion: ten Xuanpoint pricking and bleeding can improve the motor function, muscle strength and median nerve electromyography of the affected hand after cerebral infarction.
【作者单位】：安徽中医药大学第二附属医院;
【基金】：安徽中医药大学临床科研基金项目,编号:2014lc01022
【分类号】：R246.6

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