多针浅刺法治疗中风后肢体痉挛的临床研究

发布时间：2019-03-14 17:48

【摘要】：目的:中风后肢体痉挛具有发病率高、致残率高、治疗难度大等特点,本课题即基于此,欲通过多针浅刺法与传统针刺法对中风后肢体痉挛的患者进行治疗前后的肌张力比较,观察两种方法的疗效,旨在探求出治疗本病的更有效的疗法。方法:收集符合条件的中风后肢体痉挛患者60例,利用Excel软件将符标准的60个名额序号随机分配至多针浅刺治疗组与常规针刺治疗组,每组各30例。两组均为每天治疗一次,针刺得气后留针30分钟。治疗1疗程20天后,通过改良的Ashwortn痉挛评定肌张力,采用简化的Fugl-Meyer运动量表评估肢体的运动功能,对比两组治疗前后的治疗效果。结果:1.肌张力疗效方面:经过两个疗程的治疗后,两组患者的肢体肌张力的疗效分别为:治疗组上肢的有效率为83%,对照组为60%,两组有显著的差异性(P0.01)。治疗组下肢的有效率是86%,对照组是70%,两组具有统计学意义(P0.05),说明两种疗法都可降低肌张力,治疗组优于对照组。2.肢体运动功能方面:两组对痉挛的肢体FMA评分值均有提高,治疗后两组比较P0.01,说明差异具有显著性,且治疗组优于对照组。治疗组对患者上下肢的FMA改善作用较明显(P0.01),两组上下肢的FMA改善有显著性差异(P0.01)。结论:两种疗法均可降低患肢过高的肌张力,可以提高患肢FMA分数,改善痉挛患者上下肢运动功能,多针浅刺法治疗中风后肢体痉挛比常规针刺法疗效更好。
[Abstract]:Objective: limb spasm after apoplexy has the characteristics of high incidence, high rate of disability and difficulty in treatment. Based on this, this paper intends to compare the muscle tension before and after treatment with multi-needle shallow acupuncture method and traditional acupuncture method for patients with post-stroke limb spasm, and it is necessary to compare the muscle tension before and after treatment with multiple shallow acupuncture method and traditional acupuncture method. Observe the efficacy of the two methods in order to explore a more effective treatment for the disease. Methods: 60 patients with limb spasm after apoplexy were collected and randomly assigned to the light acupuncture treatment group and the routine acupuncture treatment group by using Excel software. Each group had 30 cases in each group. The patients were divided into two groups: one group (n = 30) and the other group (n = 30). Both groups were treated once a day. After acupuncture, the needle was retained for 30 minutes. After 20 days of treatment, the muscle tension was assessed by modified Ashwortn spasm, and the motor function of limbs was evaluated by simplified Fugl-Meyer exercise scale. The therapeutic effects were compared between the two groups before and after treatment. Results: 1. After two courses of treatment, the effective rate of upper limb tension was 83% in the treatment group and 60% in the control group. There was significant difference between the two groups (P0.01). The effective rate of the treatment group was 86%, that of the control group was 70%, the two groups had statistical significance (P0.05), indicating that the two kinds of therapy can reduce muscle tension, the treatment group is better than the control group. 2. In the aspect of limb motor function, the scores of limb FMA in the two groups were improved. After treatment, the two groups were compared with P0.01, indicating that the difference was significant, and the treatment group was superior to the control group. The FMA of upper and lower extremities in the treatment group was significantly improved (P0.01), and there was a significant difference between the two groups in improving the FMA of the upper and lower extremities (P0.01). Conclusion: both methods can reduce the hypertensity of the affected limbs, improve the FMA score of the affected limbs and improve the motor function of the upper and lower limbs of the patients with spasticity. The therapeutic effect of multi-acupuncture shallow acupuncture is better than that of the conventional acupuncture in the treatment of limb spasm after apoplexy.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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