[1]李 丹,罗朝斤,黄 程.火针与电针配合康复训练治疗脑卒中后偏瘫痉挛临床研究*[J].陕西中医,2020,(8):1155.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.038]
　LI Dan,LUO Chaojin,HUANG Cheng..Fire-needle acupuncture or electroacupuncture combined with rehabilitation training on hemiplegia spasm after stroke[J].,2020,(8):1155.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.038]
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火针与电针配合康复训练治疗脑卒中后偏瘫痉挛临床研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年8期
页码:
1155
栏目:
针灸经络
出版日期:
2020-08-05

文章信息/Info

Title:
Fire-needle acupuncture or electroacupuncture combined with rehabilitation training on hemiplegia spasm after stroke
作者:
李 丹; 罗朝斤; 黄 程
四川大学华西医院康复医学中心(成都 610081)
Author(s):
LI Dan; LUO Chaojin; HUANG Cheng.
Rehabilitation Medical Center,West China Hospital,Sichuan University(Chengdu 610081)
关键词:
偏瘫痉挛;  脑卒中;  康复训练;  火针;  电针;  改良Ashworth痉挛评定量表
Keywords:
Hemiplegia spasm;  Stroke;  Rehabilitation training;  Fire-needle acupuncture;  Electroacupuncture;  MAS
分类号:
R743
DOI:
DOI:10.3969/j.issn.1000-7369.2020.08.038
文献标志码:
A
摘要:
目的:比较康复训练分别联合火针与电针治疗脑卒中后偏瘫痉挛的效果。方法:选取82例脑卒中后偏瘫痉挛患者为研究对象,采用随机数字表法分成火针组与电针组各41例,火针组采用康复训练加火针疗法,电针组采用康复训练加电针疗法,连续治疗8周,评价患者治疗前后痉挛分级,并根据痉挛分级情况判定疗效,同时评价患者运动功能及综合功能。结果:治疗后,两组MAS分级均优于治疗前(P<0.05),火针组肌张力改善总有效率97.56%,电针组为92.68%,但两组MAS分级、疗效比较,差异无统计学意义(P>0.05); 两组FMA评分中上肢、下肢运动功能评分均较治疗前明显升高(P<0.05),且火针组上肢、下肢运动功能评分显著高于电针组(P<0.05); 两组躯体功能、认知功能评分均较治疗前明显升高(P<0.05),且火针组躯体功能评分显著高于电针组(P<0.05)。结论:火针疗法与电针疗法配合康复训练用于脑卒中后偏瘫痉挛治疗,对改善患者肌张力、运动功能及综合功能均有积极意义,但火针疗法在促进患者运动功能、躯体功能恢复上效果优于电针疗法。
Abstract:
Objective:To compare the effects of rehabilitation training combined with fire-needle acupuncture or electroacupuncture on hemiplegia spasm after stroke.Methods:Eighty-two patients with hemiplegia spasm after stroke were selected as the study subjects,and they were divided into fire-needle acupuncture group and electroacupuncture group by random number table method,with 41 cases in each group.Fire-needle acupuncture group was given rehabilitation training with fire-needle acupuncture,and electroacupuncture group was treated with rehabilitation training with electroacupuncture,and they were continuously treated for 8 weeks.Results: After treatment,the MAS grading in the two groups was better than that before treatment(P<0.05),and the total effective rate of improvement of muscle tension was 97.56% in fire-needle acupuncture group and 92.68% in electroacupuncture group,and there were no significant differences in the MAS grading and efficacy between the two groups(P>0.05).The scores of upper limb and lower limb motor function of FMA scale in the two groups were significantly increased compared with those before treatment(P<0.05),and the scores of upper limb and lower limb motor function in fire-needle acupuncture group were significantly higher than those in electroacupuncture group(P<0.05).The scores of physical function and cognitive function in the two groups were significantly increased compared with those before treatment(P<0.05),and the physical function score in fire-needle acupuncture group was significantly higher than that in electroacupuncture group(P<0.05).Conclusion:Fire-needle acupuncture and electroacupuncture combined with rehabilitation training for hemiplegia spasm after stroke have positive effects on improving muscle tension,motor function and comprehensive function,but fire-needle acupuncture is more effective than electroacupuncture in promoting the recovery of motor function and physical function.

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备注/Memo

备注/Memo:
*四川省卫生和计划生育委员会科研课题(17PJ180)
更新日期/Last Update: 2020-08-10