本文關鍵詞： 腦卒中 低周波 針康法 肩關節(jié)半脫位　出處：《遼寧中醫(yī)藥大學》2014年碩士論文　論文類型：學位論文

【摘要】：目的：本研究通過比較低周波與針康法治療腦卒中后肩關節(jié)半脫位的臨床療效，為治療腦卒中后肩關節(jié)半脫位提供一個更有效的、易被患者接受的康復治療方法。 材料與方法：采用隨機表將符合診斷和納入標準的60例患者分為低周波組（30例）和針康組（30例），觀察各組治療前后采用視覺模擬評分法（VAS）評分、神經功能缺損程度評分標準中上肢肌力評分及肩關節(jié)半脫位療效判定標準評定各組的臨床療效。 結果： 1.在VAS評分方面，兩組治療前后比較有顯著性差異（P0.05），治療后兩組組間比較有顯著性差異（P0.05）.。 2.在患側上肢肌力評分方面，兩組治療前后比較有顯著性差異（P0.05），治療后兩組組間比較無顯著性差異（P0.05）。 3.治療后綜合療效比較，低周波組顯效17例，有效10例，無效3例，總有效率90.00%；針康組顯效19例，有效9例，，無效2例，總有效率83.33%；總有效率比較無顯著差異（P0.05）。 結論： 1.低周波治療組和針康治療組在治療中風后肩關節(jié)半脫位方面療效相似。 2.低周波治療和針康組治療組治療中風后肩關節(jié)半脫位，均能改善患側上肢肌力評分，促進肩關節(jié)半脫位的康復。 3.低周波治療組和針康治療組，治療中風后肩關節(jié)半脫位都能使肩峰和肱骨頭之間的間距縮短，達到關節(jié)復位消除癥狀的目的。 4.低周波治療組和針康治療組均能改善、消除肩痛，但低周波治療組的止痛效果優(yōu)于針康組。
[Abstract]:Objective: to compare the clinical effect of low Zhou Bo and acupuncture on shoulder subluxation after stroke, and to provide a more effective treatment for shoulder subluxation after stroke. A method of rehabilitation that is easily accepted by a patient. Materials and methods: 60 patients who met the criteria of diagnosis and inclusion were randomly divided into low Zhou Bo group (30 cases) and acupuncture group (30 cases). Before and after treatment, the visual analogue score (VAS), the upper limb muscle strength score and the evaluation standard of shoulder subluxation were used to evaluate the clinical efficacy of each group. Results: 1. In terms of VAS score, there was a significant difference between the two groups before and after treatment (P 0.05), and after treatment there was a significant difference between the two groups (P 0.05). 2. In the score of muscle strength of the affected upper limb, there was significant difference between the two groups before and after treatment (P 0.05), but there was no significant difference between the two groups after treatment (P 0.05). 3.Compared with the comprehensive curative effect after treatment, 17 cases in low Zhou Bo group were effective, 10 cases were effective, 3 cases were ineffective, the total effective rate was 90.005%. In the acupuncture group, 19 cases were effective, 9 cases were effective, 2 cases were ineffective, and the total effective rate was 83.33%. There was no significant difference in total effective rate (P 0.05). Conclusion: 1. The curative effect of low Zhou Bo treatment group and acupuncture Kang group in treating shoulder subluxation after stroke is similar. 2. The treatment of lower Zhou Bo and acupuncture group can improve the muscle strength score of upper limb and promote the recovery of shoulder subluxation after stroke. 3. Treatment of shoulder subluxation with low Zhou Bo and acupuncture therapy can shorten the distance between acromion and humerus head, and achieve the purpose of joint reduction and elimination of symptoms. 4. Both the low Zhou Bo group and the acupuncture group can improve and eliminate the shoulder pain, but the analgesic effect of the low Zhou Bo group is better than that of the acupuncture Kang group.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R743.3

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相關期刊論文 前10條

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本文編號：1448136