本文關(guān)鍵詞：恢刺經(jīng)筋結(jié)點(diǎn)治療中風(fēng)后痙攣性偏癱的臨床療效觀察　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 中風(fēng) 痙攣 恢刺 經(jīng)筋結(jié)點(diǎn)

【摘要】：研究目的通過(guò)觀察恢刺經(jīng)筋結(jié)點(diǎn)對(duì)中風(fēng)后痙攣性偏癱患者的肢體痙攣程度、運(yùn)動(dòng)功能及日常生活能力的影響,與普通針刺方法相比較,綜合評(píng)價(jià)二者臨床療效,為臨床治療中風(fēng)后痙攣性偏癱提供一種新的治療方法。研究方法60例入組患者采用隨機(jī)對(duì)照的方法分為治療組和對(duì)照組,治療組采用恢刺經(jīng)筋結(jié)點(diǎn)方法治療,對(duì)照組采用普通針刺方法治療,每周針刺6天,治療3周。在治療前及治療后采用改良Ashworth痙攣量表、Fugl-Meyer運(yùn)動(dòng)功能評(píng)分法、Barthel指數(shù)分級(jí)法分別評(píng)定兩組患者的肢體痙攣程度、肢體活動(dòng)能力及日常生活活動(dòng)能力以對(duì)比兩組的治療效果。研究結(jié)果1.兩組治療前Fugl-Meyer評(píng)分、改良Ashworth量表、Barthel指數(shù)分別進(jìn)行統(tǒng)計(jì)比較,無(wú)顯著性差異(P0.05),具有可比性。2.兩組治療前后Fugl-Meyer評(píng)分、改良Ashworth量表、Barthel指數(shù)與治療前進(jìn)行比較,有統(tǒng)計(jì)學(xué)意義(P0.05)。3.治療組治療后Fugl-Meyer評(píng)分、改良Ashworth量表、Barthel指數(shù)與對(duì)照組治療后進(jìn)行比較,有統(tǒng)計(jì)學(xué)意義(P0.05)。研究結(jié)論恢刺經(jīng)筋結(jié)點(diǎn)能有效治療中風(fēng)后痙攣性偏癱,其改善肢體活動(dòng)能力、緩解肢體痙攣程度及改善患者日常生活活動(dòng)能力,均優(yōu)于普通針刺組。
[Abstract]:Objective to observe the effects of restoring acupuncture on spasticity, motor function and daily living ability of patients with spastic hemiplegia after apoplexy, and to evaluate the clinical efficacy of these two methods. To provide a new method for the treatment of spastic hemiplegia after apoplexy. Methods 60 patients in the study group were randomly divided into two groups: treatment group and control group. The control group was treated with common acupuncture, acupuncture 6 days a week for 3 weeks, and Fugl-Meyer motor function score before and after treatment with modified Ashworth spasticity scale. The degree of limb spasm was evaluated by Barthel index grading method. Limb activity and activity of daily living were compared between the two groups. Results 1. Fugl-Meyer score and modified Ashworth scale before treatment in two groups. 2. There was no significant difference in Barthel index between the two groups (P 0.05). The Fugl-Meyer score was comparable between the two groups before and after treatment. The modified Ashworth scale was significantly higher than that before treatment (P 0.05). The Fugl-Meyer score of the treatment group was higher than that of the control group (P < 0.05). The modified Ashworth scale was compared with the control group after treatment. Conclusion the treatment of spastic hemiplegia after stroke is effective, which can improve the ability of limb movement, alleviate the degree of limb spasm and improve the activity of daily life of patients. All of them were superior to the common acupuncture group.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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