基于交叉迁移现象探讨针刺对中风后偏瘫患者下肢功能重建影响的临床观察

发布时间：2018-09-14 08:30

【摘要】：目的基于交叉迁移现象观察对中风后偏瘫患者加刺健侧同源穴位对其下肢功能重建的影响。方法现选择合乎纳入标准的脑卒中后偏瘫患者,依次按照入院顺序,随机编入治疗组(30例)与对照组(30例)。治疗组在常规治疗基础上加刺健侧相同穴位,对照组给予我院康复科常规治疗,留针30分钟,每天治疗2次,每周连续治疗6天,令患者休息1天,持续治疗4周。分别于治疗前后计算患侧下肢股内侧肌、胫骨前肌、腓骨长肌均方根值(RMS),以衡量下肢各肌肉运动单元有效募集程度,借以日常生活能力评分、下肢运动功能评分来分析哪种治疗方法的临床疗效更为显著。结果1.分别比较两组股内侧肌、胫骨前肌以及腓骨长肌的RMS,治疗后较治疗前均明显提升,差异有统计学意义(P0.05),治疗组优于对照组(K0.05);2.比较两组FMA-L评分,治疗后较治疗前均显著升高,差异有统计学意义(P0.05),治疗组优于对照组(P0.05);3.比较两组ADL评分,治疗后较治疗前均明显增高,差异有统计学意义(P0.05),治疗组明显优于对照组(P0.05)。结论1.基于交叉迁移现象在患侧常规针灸治疗基础上加刺健侧相同穴位可以提高患侧股四头肌、胫骨前肌、腓骨长肌运动单元的有效募集。2.基于交叉迁移现象在患侧常规针灸治疗基础上加刺健侧相同穴位对患侧下肢运动功能及患者的日常生活能力有明显改善,其疗效优于常规治疗方法。
[Abstract]:Objective to observe the effect of cross-migration on functional reconstruction of lower extremity in patients with hemiplegia after stroke. Methods the patients with hemiplegia after stroke were randomly divided into treatment group (30 cases) and control group (30 cases) according to the order of admission. On the basis of routine treatment, the treatment group was treated with the same acupoints on the healthy side. The control group was given routine therapy in rehabilitation department of our hospital for 30 minutes, twice a day, 6 days a week, so that the patients could rest for 1 day and continue for 4 weeks. The root-mean-square (RMS) values of medial femoral muscle, anterior tibial muscle and peroneal longus muscle were calculated before and after treatment to measure the effective recruitment of motor units of the lower extremities to evaluate the ability of daily living (ADL) score. Lower limb motor function score to analyze which treatment is more effective. Result 1. The RMS, of medial femoral muscle, anterior tibial muscle and fibula longus muscle in the two groups were significantly improved after treatment (P0.05), and the treatment group was better than the control group (K0. 05) 2. Compared with the two groups, the FMA-L score after treatment were significantly higher than before treatment, the difference was statistically significant (P0.05), the treatment group was better than the control group (P0.05). Compared with the two groups, the ADL score after treatment were significantly higher than before treatment, the difference was statistically significant (P0.05), the treatment group was significantly better than the control group (P0.05). Conclusion 1. On the basis of conventional acupuncture and moxibustion on the affected side, acupuncture at the same acupoint can increase the effective recruitment of motor units of quadriceps femoris muscle, anterior tibia muscle and peroneal longus muscle on the affected side. On the basis of routine acupuncture and moxibustion on the affected side, the motor function of the affected lower extremity and the daily life ability of the affected side were obviously improved on the basis of cross-migration, and the curative effect was better than that of the routine treatment.
【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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