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《火针疗法治疗中风后痉挛性偏瘫的临床疗效观察_王宁.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·304·AcupunctureResearch,Aug.2015,Vol.40,No.4火针疗法治疗中风后痉挛性偏瘫的临床疗效观察王宁1,222李志峰吴海红(1广州中医药大学,广州511400;2深圳市罗湖区中医院康复科,深圳518000)【摘要】目的:观察火针治疗中风后痉挛性偏瘫的临床疗效。方法:将80名中风后痉挛性偏瘫患者随机分为火针组和常规针刺组,每组各40例。火针组以火针点刺患侧肩髃、臂臑、曲池、手三里、外关、阳池等穴,常规针刺组常规针刺患侧肩髃、极泉、曲池、手三里、外关等穴,每日治疗1次,每2d治疗
2、1次,共治疗30d。比较两组临床疗效及治疗前后痉挛侧上下肢肌张力、肢体运动功能。结果:治疗后,两组患者上下肢肌张力均减轻,肢体运动功能均改善,与治疗前比较,差异均有统计学意义(P<0.05,P<0.01);治疗后,火针组上肢肌张力低于常规针刺组,肢体运动功能优于常规针刺组(P<0.05,P<0.01),两组下肢肌张力及肢体运动功能之间的差异无统计学意义(P>0.05);临床疗效比较,火针组总有效率为87.5%(35/40),而常规针刺组为65.0%(26/40),火针组优于常规针刺组(P<0.05)。结论:火针
3、疗法在降低中风后患者偏瘫侧肢体肌张力和改善患侧肢体运动功能方面具有较好临床疗效,尤其是改善上肢肌张力和肢体运动方面疗效优于常规针刺。【关键词】火针疗法中风痉挛性偏瘫肌张力运动功能【中图分类号】R245.31+6【文献标志码】A【DOI】10.13702/j.1000-0607.2015.04.009ClinicalObservationonTherapeuticEffectofRed-hotNeedleTherapyforSpasticHemiplegiainStrokePatients1,2,LIZhi-Fe
4、ng2,WUHai-hong2(1WANGNingGuangzhouUniversityofChineseMedicine,Guangzhou511400,China;2DepartmentofRehabilitation,LuohuZoneHospitalofChineseMedicine,Shenzhen518000)【ABSTRACT】ObjectiveToobservethecurativeeffectoffireneedletreatmentonspastichemiplegiainpatientsw
5、ithstroke.MethodsAtotalof80strokepatientswithspastichemiplegiawhomettheinclusioncriteriawererandomlydividedintoroutineacupuncture(control)groupandred-hotneedlegroup(n=40casesineachgroup).Patientsofthered-hotneedlegroupweretreatedbyprickingunilateralJianyu(LI
6、15),Binao(LI14),Quchi(LI11),Shousanli(LI10),Yinlingquan(SP9),Xuehai(SP10),etc.withacauterizedneedle,onceeveryotherdayfor30days;whilethoseofthecontrolgroupweretreatedbyacu-puncturestimulationofunilateralJianyu(LI15),Quchi(LI11),Shousanli(LI10),Huantiao(GB30),
7、Fengshi(GB31),Yan-glingquan(GB34),etc.withfiliformneedles,oncedailyfor30days.ThemusculartensionwasevaluatedusingmodifiedAsh-worthScale(MAS)andthelimbmotorfunctionevaluatedusingFugl-MeyerAssessmentScale(FMA).ResultsAfterthetreat-ment,themusculartensionofbothu
8、pperandlowerlimbsinthered-hotneedleandroutineacupuncturegroupswassignificantlyre-duced(P<0.05),exhibitinganappearanceofthestrokepatientswithMASgrade0(upperandlowerlimbs:7and6cases,15and12casesin
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