肌腹针刺治疗中风后下肢运动功能障碍的临床观察

发布时间：2018-07-12 16:13

本文选题：肌腹 + 电针　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：观察电针刺激股四头肌、股内收肌及腓肠肌肌腹对中风后下肢运动功能障碍者的作用,探讨其对患侧下肢肌张力、运动能力以及日常生活能力的影响。方法：选择符合入选标准的中风后下肢运动功能障碍患者60例,随机分为治疗组和对照组,每组各有30例。两组患者皆给予常规针刺治疗；在此基础上,治疗组给予电针刺激股四头肌、股内收肌及腓肠肌肌腹。在治疗前后采用改良Ashworth量表评定患者下肢肌张力等级评分,并通过下肢简式Fugl-Meyer运动功能评分量表的得分情况评估患者下肢运动功能,以及改良Barthel量表评定患者日常生活活动能力。结果：1.两组患者治疗前MAS的等级评分之间没有统计学差异(P0.05),疗后治疗组等级评分较对照组下降明显,有统计学差异(P0.05)2.治疗后两组患者下肢简式Fugl-Meyer运动功能评分较疗前皆有所提高,并且进行组间分数比较时,有显著统计学差异(P0.01),治疗组分数更高；3.治疗后两组患者改良Barthel量表得分情况均较治疗前有所提高,同时进行组间比较得分情况时有统计学差异(P0.05),治疗组优之。结论：1.电针刺激股四头肌、股内收肌及腓肠肌肌腹对中风后下肢运动功能障碍患者的肌张力增高有一定抑制作用,并优于常规针刺组；2.电针刺激股四头肌、股内收肌及腓肠肌肌腹可以改善中风后下肢运动功能障碍患者的运动能力,并优于常规针刺组；3.电针刺激股四头肌、股内收肌及腓肠肌肌腹使中风后下肢运动功能障碍患者的日常生活能力有所提高,并优于常规针刺组。
[Abstract]:Aim: to observe the effects of electroacupuncture on quadriceps femoris, adductor femoris and gastrocnemius muscle on patients with lower extremity motor dysfunction after stroke, and to explore the effects of electroacupuncture on muscle tension, motor ability and daily living ability of affected lower extremities. Methods: sixty patients with motor dysfunction after stroke were randomly divided into treatment group and control group with 30 cases in each group. On this basis, the treatment group was treated with electroacupuncture to stimulate quadriceps femoris, adductor femoris and gastrocnemius muscle. Before and after treatment, the patients were assessed with modified Ashworth scale, and the patients' lower extremity motor function was evaluated by the simple Fugl-Meyer motor function scale. And the modified Barthel scale was used to evaluate the activity of daily living (ADL). The result is 1: 1. There was no significant difference in MAS scores between the two groups before treatment (P0.05). After treatment, the score of MAS in the treatment group was significantly lower than that in the control group (P0.05). After treatment, the lower extremity Fugl-Meyer motor function scores of the two groups were improved compared with those before treatment, and there was significant difference in scores between the two groups (P0.01), and the scores of the treatment group were higher than that of the control group (P0.01). After treatment, the scores of modified Barthel scale in the two groups were improved compared with those before treatment, and there was statistical difference between the two groups (P0.05), the treatment group was better than the treatment group. Conclusion 1. Electroacupuncture stimulation of quadriceps femoris, adductor femoris and gastrocnemius muscle could inhibit the increase of muscle tension in patients with lower extremity motor dysfunction after stroke, and was better than that of routine acupuncture group. Electroacupuncture stimulation of quadriceps femoris, adductor femoris and gastrocnemius muscle can improve the motor ability of patients with lower extremity motor dysfunction after apoplexy, and is superior to that of routine acupuncture group. Electroacupuncture stimulation of quadriceps femoris, adductor femoris and gastrocnemius improved the daily life ability of patients with motor dysfunction of lower extremities after stroke, and was superior to the routine acupuncture group.
【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】：2016
【分类号】：R246.6

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