低频电刺激结合电针治疗中风后弛缓瘫患者上肢功能障碍的临床观察
发布时间：2019-03-11 11:58
【摘要】：目的:通过观察低频电刺激结合电针治疗法与单纯电针治疗法两种方式对中风后弛缓瘫患者上肢功能障碍对比,评价两种方法在治疗结果上的差异,进一步研究低频穴位电刺激对改善中风后上肢弛缓瘫的作用,以提高临床治疗效果,优化中风后上肢弛缓瘫治疗方案。方法:将符合纳入标准的60例上肢弛缓瘫患者随机分为低频结合电针组(治疗组)、电针组(对照组),每组30例。对所有纳入患着给予神经内科基础治疗,康复训练。电针组每日一次治疗,每次30分钟,低频电针组每日各一次治疗,时间分别为30分钟。疗程:每周治疗7天,一天一次,四周为一个疗程。治疗前及治疗一个疗程后(28次)分别记录上肢关节活动度(ROM)、日常生活活动能力量表(MBI)、徒手肌力测定(MMT)及简化Fugl-Meyer运动功能评分法(上肢部分)。本课题采用SPSS20.0统计软件进行统计分析。结果:1.低频电针组和电针组经治疗后Fugl-meyer(上肢)评分与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以提高上肢运动功能,两组患者组间比较,差异具有统计学意义(p0.01),低频电针组优于电针组。2.低频电针组和电针组经治疗后Barthel ADL评分与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以提高日常生活活动能力,两组患者组间比较,差异具有统计学意义(p0.01),低频电针组优于电针组。3.低频电针组和电针组经治疗后徒手肌力测定(MMT)评分与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以提高上肢肌力,两组患者组间比较,差异具有统计学意义(p0.01),低频电针组优于电针组。4.低频电针组和电针组经治疗后上肢关节活动度(ROM)与疗前相比均有明显提高,差异具有统计学意义(P0.01),说明两种治疗方法均可以提高上肢关节活动度,两组患者组间比较,差异具有统计学意义(p0.01),低频电针组优于电针组。结论:1.电针治疗和低频电刺激结合电针治疗均可以改善中风后上肢弛缓瘫的肌力、日常生活能力、上肢运动功能及肩关节活动度;2.低频电刺激结合电针疗法对于改善中风后弛缓瘫患者上肢功能重建作用明显显,优于单纯电针组。
[Abstract]:Objective: to compare the effects of low frequency electrical stimulation combined with electroacupuncture therapy and electroacupuncture therapy on upper limb dysfunction in patients with poststroke achalasia, and to evaluate the difference between the two methods in the treatment of upper limb dysfunction. To further study the effect of low-frequency acupoint electrical stimulation on the improvement of upper limb achalasia after apoplexy in order to improve the clinical treatment effect and optimize the treatment scheme of upper limb achalasia after apoplexy. Methods: sixty patients with upper limb achalasia were randomly divided into low frequency combined acupuncture group (treatment group) and electro acupuncture group (control group) with 30 cases in each group. All included patients were given basic treatment of neurology and rehabilitation training. The electric acupuncture group was treated once a day for 30 minutes, and the low frequency acupuncture group was treated once a day for 30 minutes. Course of treatment: 7 days a week, once a day, four weeks for a course. Before and after one course of treatment (28 times), the (ROM), activity of daily living scale (MBI),) was recorded to measure (MMT) and simplified Fugl-Meyer motor function scale (upper limb part) was used to measure the muscle strength of bare hands. This topic uses the SPSS20.0 statistical software to carry on the statistical analysis. Results: 1. The scores of Fugl-meyer (upper limb) in the low frequency acupuncture group and electroacupuncture group after treatment were significantly higher than those before treatment (P0.01), indicating that the two treatment methods could improve the motor function of the upper limbs, and there was a significant difference between the two groups (P0.01). The difference between the two groups was statistically significant (p0.01), and the low frequency electric acupuncture group was better than the electric acupuncture group. 2. After treatment, the Barthel ADL scores of the low frequency acupuncture group and the electroacupuncture group were significantly higher than those before the treatment (P0.01), indicating that the two treatment methods could improve the activity of daily living, and the two groups were compared between the two groups, and the difference between the two groups was statistically significant (P0.01). The difference was statistically significant (p0.01), and the low frequency electric acupuncture group was better than the electric acupuncture group. 3. After treatment, the (MMT) score of bare hand muscle strength in low frequency acupuncture group and electro acupuncture group was significantly higher than that before treatment (P0.01), indicating that both treatment methods can improve the muscle strength of upper limb. The difference between the two groups was statistically significant (p0.01). The low-frequency electroacupuncture group was superior to the electro-acupuncture group. The (ROM) of upper limb joint in low-frequency acupuncture group and electro-acupuncture group was significantly higher than that before treatment (P0.01), indicating that the two treatment methods can improve the movement of upper limb joint, and there is a significant difference between the two groups before and after treatment (P0.01), which indicates that the two methods can improve the activity of upper limb joint. The difference between the two groups was statistically significant (p0.01), and the low-frequency electroacupuncture group was superior to the electro-acupuncture group. Conclusions: 1. Electro-acupuncture therapy and low-frequency electrical stimulation combined with electro-acupuncture treatment can improve muscle strength, ability of daily living, upper limb motor function and shoulder joint activity in upper limb relaxation and paraplegia after apoplexy. Low-frequency electrical stimulation combined with electro-acupuncture therapy can improve the function reconstruction of upper limb in patients with post-stroke achalasia, which is better than that of simple electroacupuncture 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】：2017
【分类号】：R246.6
本文编号：2438262
[Abstract]:Objective: to compare the effects of low frequency electrical stimulation combined with electroacupuncture therapy and electroacupuncture therapy on upper limb dysfunction in patients with poststroke achalasia, and to evaluate the difference between the two methods in the treatment of upper limb dysfunction. To further study the effect of low-frequency acupoint electrical stimulation on the improvement of upper limb achalasia after apoplexy in order to improve the clinical treatment effect and optimize the treatment scheme of upper limb achalasia after apoplexy. Methods: sixty patients with upper limb achalasia were randomly divided into low frequency combined acupuncture group (treatment group) and electro acupuncture group (control group) with 30 cases in each group. All included patients were given basic treatment of neurology and rehabilitation training. The electric acupuncture group was treated once a day for 30 minutes, and the low frequency acupuncture group was treated once a day for 30 minutes. Course of treatment: 7 days a week, once a day, four weeks for a course. Before and after one course of treatment (28 times), the (ROM), activity of daily living scale (MBI),) was recorded to measure (MMT) and simplified Fugl-Meyer motor function scale (upper limb part) was used to measure the muscle strength of bare hands. This topic uses the SPSS20.0 statistical software to carry on the statistical analysis. Results: 1. The scores of Fugl-meyer (upper limb) in the low frequency acupuncture group and electroacupuncture group after treatment were significantly higher than those before treatment (P0.01), indicating that the two treatment methods could improve the motor function of the upper limbs, and there was a significant difference between the two groups (P0.01). The difference between the two groups was statistically significant (p0.01), and the low frequency electric acupuncture group was better than the electric acupuncture group. 2. After treatment, the Barthel ADL scores of the low frequency acupuncture group and the electroacupuncture group were significantly higher than those before the treatment (P0.01), indicating that the two treatment methods could improve the activity of daily living, and the two groups were compared between the two groups, and the difference between the two groups was statistically significant (P0.01). The difference was statistically significant (p0.01), and the low frequency electric acupuncture group was better than the electric acupuncture group. 3. After treatment, the (MMT) score of bare hand muscle strength in low frequency acupuncture group and electro acupuncture group was significantly higher than that before treatment (P0.01), indicating that both treatment methods can improve the muscle strength of upper limb. The difference between the two groups was statistically significant (p0.01). The low-frequency electroacupuncture group was superior to the electro-acupuncture group. The (ROM) of upper limb joint in low-frequency acupuncture group and electro-acupuncture group was significantly higher than that before treatment (P0.01), indicating that the two treatment methods can improve the movement of upper limb joint, and there is a significant difference between the two groups before and after treatment (P0.01), which indicates that the two methods can improve the activity of upper limb joint. The difference between the two groups was statistically significant (p0.01), and the low-frequency electroacupuncture group was superior to the electro-acupuncture group. Conclusions: 1. Electro-acupuncture therapy and low-frequency electrical stimulation combined with electro-acupuncture treatment can improve muscle strength, ability of daily living, upper limb motor function and shoulder joint activity in upper limb relaxation and paraplegia after apoplexy. Low-frequency electrical stimulation combined with electro-acupuncture therapy can improve the function reconstruction of upper limb in patients with post-stroke achalasia, which is better than that of simple electroacupuncture 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】：2017
【分类号】：R246.6
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