针刺跷脉交会穴结合康复训练治疗卒中后足内翻的临床疗效观察

发布时间：2018-05-30 02:06

  本文选题：脑卒中 + 足内翻　； 参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：观察针刺跷脉交会穴结合康复训练与针刺常规下肢腧穴结合康复训练对脑卒中偏瘫后足内翻患者的临床疗效。研究方法：将符合纳入标准的60例病例按照随机数字表随机分为治疗组(针刺跷脉交会穴结合康复训练)30例和对照组(针刺常规下肢腧穴结合康复训练)30例进入临床干预研究,每日1次,每周6次,2周为一个疗程,共2个疗程。所有患者治疗前后均运用角器测量关节活动度、临床痉挛指数(CSI)、Fugl-Meyer下肢运动功能评分量表对踝关节功能进行康复评定。结果：1.两组患者治疗前后足内翻角度的比较：经治疗后足内翻角度明显下降,差异具有统计学意义(P0.05),表明两种方法均能改善脑卒中后足内翻的程度。治疗后两组间足内翻角度进行比较,经统计学分析,差异具有统计学意义(P0.05),表明针刺跷脉交会穴结合康复训练对改善患者足内翻程度疗效更为显著。2.两组患者治疗前后痉挛程度(临床痉挛指数CSI评分)的比较：经治疗后踝关节痉挛程度明显下降,差异具有统计学意义(P0.05),表明两种方法均能改善脑卒中后足内翻患者踝关节的痉挛程度。治疗后两组间痉挛程度进行比较,经统计学分析,差异具有统计学意义(P0.05),表明针刺跷脉交会穴结合康复训练对改善脑卒中后足内翻患者踝关节痉挛程度疗效更为显著。3.两组患者治疗前后下肢运动功能(FMA下肢运动功能评分量表评分)变化的比较：经治疗后下肢运动功能均明显改善,差异具有统计学意义(P0.05),表明两种方法均能改善脑卒中后足内翻患者的下肢运动功能。治疗后两组间下肢运动功能进行比较,经统计学分析,差异具有统计学意义(P0.05),表明针刺跷脉交会穴结合康复训练对改善脑卒中后足内翻患者的下肢运动功能疗效更为显著。结论：针刺跷脉交会穴结合康复训练与针刺常规下肢腧穴结合康复训练均能改善脑卒中偏瘫后足内翻患者足内翻的角度、踝关节的痉挛程度及下肢运动功能,且针刺跷脉交会穴结合康复训练疗效优于针刺常规腧穴结合康复训练。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with acupoints combined with rehabilitation training and routine acupuncture of acupoints of lower limbs combined with rehabilitation training for patients with stroke hemiplegic foot varus. Methods: sixty patients who met the inclusion criteria were randomly divided into treatment group (30 cases of acupuncture combined with rehabilitation training) and control group (30 cases of acupuncture routine acupoints of lower extremity combined with rehabilitation training) were divided into treatment group (30 cases) and control group (30 cases of acupuncture routine acupoints of lower extremity combined with rehabilitation training) were enrolled in the clinical intervention study. Once a day, 6 times a week for 2 weeks as a course of treatment, a total of 2 courses. All patients were evaluated with angle apparatus before and after treatment, and the clinical spasticity index (CSI) and Fugl-Meyer lower extremity motor function scale were used to evaluate the ankle function. The result is 1: 1. Comparison of two groups of patients before and after treatment: after treatment, the foot varus angle decreased significantly, the difference was statistically significant (P 0.05), indicating that the two methods can improve the degree of stroke foot varus. After treatment, the two groups of foot varus angle were compared, the statistical analysis showed that the difference was statistically significant (P0.05A), which indicated that acupuncture combined with rehabilitation training was more effective in improving the degree of foot varus. 2. Comparison of spasticity degree (CSI score of clinical spasticity index) before and after treatment: after treatment, the degree of spasticity of ankle joint decreased significantly. The difference was statistically significant (P 0.05), indicating that both methods could improve the spasticity of ankle joint in patients with stroke. After treatment, the degree of spasm was compared between the two groups, and the difference was statistically significant (P 0.05), which indicated that acupuncture combined with rehabilitation training was more effective in improving the spasticity of ankle joint in patients with stroke. Comparison of the changes of lower extremity motor function and FMA score before and after treatment: after treatment, the lower extremity motor function was significantly improved. The difference was statistically significant (P 0.05), which indicated that both methods could improve the motor function of lower extremity in patients with stroke. After treatment, the lower extremity motor function was compared between the two groups, and the difference was statistically significant (P 0.05), which indicated that acupuncture combined with rehabilitation training was more effective in improving the lower extremity motor function of the patients with foot varus after stroke. Conclusion: acupuncture combined with acupoints combined with rehabilitation training and routine acupuncture combined with acupoints can improve the angle of varus of foot, spasm degree of ankle and motor function of lower extremity in patients with hemiplegia after stroke. The effect of acupuncture combined with acupoints combined with rehabilitation training is better than that of routine acupoints combined with rehabilitation training.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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