發(fā)布時(shí)間：2018-03-07 16:00

  本文選題：頭穴叢刺　切入點(diǎn)：神經(jīng)肌肉電刺激　出處：《黑龍江中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：評價(jià)頭穴叢刺結(jié)合神經(jīng)肌肉電刺激治療腦卒中后中樞性面癱的臨床療效。方法：按照隨機(jī)數(shù)字表法,將符合納入標(biāo)準(zhǔn)40例腦卒中后中樞性面癱患者隨機(jī)分為治療組和對照組,每組20例患者均給予相同的基礎(chǔ)治療,對照組給予神經(jīng)肌肉電刺激治療；治療組采用頭穴叢刺結(jié)合神經(jīng)肌肉電刺激治療,治療4周。治療前、后采用表面肌電分析及House-Brackmann(H-B)量表評價(jià)兩種治療方案的臨床療效。結(jié)果：1.sEMG分析：兩組治療前鼻肌、口輪匝肌、頰部肌群均方根(RMS)平均值比值,差異無統(tǒng)計(jì)學(xué)意義(P0.05)；兩組治療后鼻肌、口輪匝肌、頰部肌群RMS平均值比值較治療前提高,均有統(tǒng)計(jì)學(xué)意義(P0.01)；與對照組比較,治療組鼻肌、口輪匝肌、頰部肌群RMS平均值比值的差值較高,有統(tǒng)計(jì)學(xué)差異(P0.05)。治療組三組肌肉RMS平均值比值差值比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)；對照組鼻肌與口輪匝肌和頰部肌群RMS平均值比值差值比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),口輪匝肌和頰部肌群,差異無統(tǒng)計(jì)學(xué)意義(P0.05)；2.H-B量表評定：兩組患者H-B面神經(jīng)功能分級,差異無統(tǒng)計(jì)學(xué)意義(P0.05)；兩組治療后H-B面神經(jīng)功能分級較治療前提高,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。治療后治療組H-B面神經(jīng)功能分級較對照組提高,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者治療前H-B計(jì)分,差異無統(tǒng)計(jì)學(xué)意義(P0.05)：兩組治療后H-B計(jì)分較治療前降低,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。治療后治療組H-B計(jì)分較對照組更低,差異有統(tǒng)計(jì)學(xué)差異(P0.05),治療組總有效率95%。結(jié)論：1.頭穴叢刺結(jié)合神經(jīng)肌肉電刺激療法與神經(jīng)肌肉電刺激療法均可以調(diào)節(jié)鼻肌、口輪匝肌、頰部肌群的神經(jīng)肌肉電活動(dòng),且頭穴叢刺結(jié)合神經(jīng)肌肉電刺激療法優(yōu)于神經(jīng)肌肉電刺激療法。2.頭穴叢刺結(jié)合神經(jīng)肌肉電刺激療法與神經(jīng)肌肉電刺激療法均可以改善腦卒中后中樞性面癱的面神經(jīng)功能,且頭穴叢刺結(jié)合神經(jīng)肌肉電刺激療法的有效率優(yōu)于神經(jīng)肌肉電刺激療法。
[Abstract]:Objective: To evaluate the scalp acupuncture combined with neuromuscular electrical stimulation treatment clinical curative effect of facial paralysis after stroke. Methods: according to the random number table method, will meet the inclusion criteria of 40 cases of central post-stroke paralysis were randomly divided into treatment group and control group, 20 patients in each group were given the same basic treatment. The control group received neuromuscular electrical stimulation therapy; treatment group was treated by scalp acupuncture combined with neuromuscular electrical stimulation therapy, treatment for 4 weeks. Before treatment, after using surface electromyography (H-B) and House-Brackmann scale evaluation of clinical curative effect of two treatment regimens. Results: 1.sEMG analysis: the two groups before treatment of nasal muscle, muscle the orbicularis oris muscle, buccal root mean square (RMS) the average value of the ratio, the difference was not statistically significant (P0.05); the two groups after treatment of nasal muscle, orbicularis muscle, cheek muscle group average RMS ratio increased compared with before treatment, were statistically significant (P0.01) ; compared with the control group, the treatment group of nasal muscle, orbicularis muscle, buccal muscle RMS average difference between high ratio, there were significant differences (P0.05). The treatment group of three groups of muscle RMS ratio of the average difference comparison, the difference was not statistically significant (P0.05); group of nasal muscle and orbicularis oris muscle and cheek the average RMS value of muscle group was statistically significant difference between the control ratio (P0.05), orbicularis muscle and cheek muscles, there was no statistically significant difference (P0.05); 2.H-B scale: two groups of patients with H-B facial nerve function classification, the difference was not statistically significant (P0.05); to improve the H-B of two groups after treatment of facial nerve the function of classification than before treatment, the differences were statistically significant (P0.05). After treatment, the H-B classification of facial nerve function than the control group increased, the difference was statistically significant (P0.05). The H-B score of treatment group two patients, there was no statistically significant difference (P0.05): the two groups after treatment H-B score was 娌葷枟鍓嶉檷浣，

本文編號：1579967