PNF技術(shù)配合陰陽(yáng)平衡針?lè)ㄖ委熌X卒中后上肢痙攣的臨床研究
本文選題：PNF技術(shù) 切入點(diǎn)：陰陽(yáng)平衡針?lè)?/strong> 出處：《長(zhǎng)春中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】：目的:本研究旨在觀察PNF技術(shù)配合陰陽(yáng)平衡針?lè)ㄖ委熌X卒中后上肢痙攣狀態(tài)的臨床療效,對(duì)比常規(guī)康復(fù)療法配合陰陽(yáng)平衡針?lè)ㄖ委熌X卒中后上肢痙攣性癱瘓患者的痙攣程度、上肢運(yùn)動(dòng)功能和日常生活能力等方面的變化,對(duì)結(jié)果進(jìn)行綜合分析,來(lái)探討有效的治療方法,為其應(yīng)用于臨床提供實(shí)踐依據(jù)。方法:采用隨機(jī)對(duì)照的試驗(yàn)方法,將60例符合納入標(biāo)準(zhǔn)的腦卒中后上肢痙攣狀態(tài)患者隨機(jī)分為治療組和對(duì)照組,每組各30例。兩組均接受常規(guī)內(nèi)科藥物治療的基礎(chǔ)上,治療組接受PNF技術(shù)結(jié)合陰陽(yáng)平衡針?lè)ㄖ委?對(duì)照組接受常規(guī)康復(fù)結(jié)合陰陽(yáng)平衡針?lè)ㄖ委?各連續(xù)治療6天,休息1天,共治療24天后,以痙攣程度評(píng)定表、日常生活能力指數(shù)積分表、簡(jiǎn)試Fugl-Meyer上肢運(yùn)動(dòng)功能評(píng)分法為評(píng)定標(biāo)準(zhǔn)進(jìn)行療效觀察,然后采用統(tǒng)計(jì)學(xué)SPSS19.0軟件進(jìn)行結(jié)果分析。結(jié)果:治療組30例患者中顯效10例,有效17例,無(wú)效3例,總有效率為90%。對(duì)照組30例患者顯效5例,有效16例,無(wú)效9例,總有效率為70%。經(jīng)秩和檢驗(yàn)表明,其差異有統(tǒng)計(jì)學(xué)意義(P0.05),說(shuō)明PNF配合陰陽(yáng)平衡針?lè)ㄖ委熌X卒中后上肢痙攣總療效優(yōu)于常規(guī)康復(fù)配合陰陽(yáng)平衡針?lè)?且治療后兩組患者的上肢痙攣程度、上肢運(yùn)動(dòng)功能、日常生活能力等均有不同程度的改善,治療組均優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:與常規(guī)康復(fù)配合陰陽(yáng)平衡針?lè)ㄏ鄬?duì)比,PNF技術(shù)配合陰陽(yáng)平衡針?lè)軌蛎黠@改善腦卒中后上肢痙攣性癱瘓患者的上肢痙攣程度、降低上肢肌張力,擴(kuò)大上肢關(guān)節(jié)活動(dòng)度,該方法經(jīng)臨床證實(shí)安全有效,具有科學(xué)性、可行性。
[Abstract]:Objective: to observe the clinical effect of PNF combined with Yin-Yang balanced acupuncture in the treatment of spasticity of upper limb after stroke, and to compare the degree of spasm in patients with spastic paralysis of upper limb after stroke treated by routine rehabilitation therapy and Yin-yang balanced acupuncture. The changes of upper limb motor function and daily life ability were analyzed synthetically to discuss the effective treatment method and to provide practical basis for its clinical application. Methods: a randomized controlled trial method was used. Sixty patients with spasticity of upper limb after stroke were randomly divided into treatment group and control group with 30 cases in each group. On the basis of routine medical treatment, the treatment group was treated with PNF technique combined with yin and yang balance acupuncture. The control group was treated with routine rehabilitation combined with Yin-Yang balanced acupuncture therapy for 6 consecutive days, rest for 1 day. After 24 days of treatment, the patients were assessed with spasticity scale and the activity of daily living index (ADL) score table. The results were analyzed by statistical SPSS19.0 software. Results: in the treatment group, 10 cases were effective, 17 cases were effective, 3 cases were ineffective. The total effective rate was 90. In the control group, there were 5 cases of remarkable effect, 16 cases of effective and 9 cases of ineffectiveness. The total effective rate was 70%. The difference was statistically significant (P 0.05), which indicated that the total curative effect of PNF combined with Yin-Yang balanced acupuncture in treating spasm of upper limb after stroke was better than that of routine rehabilitation combined with Yin-Yang balanced acupuncture, and the degree of spasticity and motor function of upper limb in the two groups after treatment. The ability of daily living was improved to some extent, and the treatment group was superior to the control group. Conclusion: compared with conventional rehabilitation combined with Yin-Yang balanced acupuncture, PNF combined with Yin-Yang balanced acupuncture can obviously improve the degree of upper limb spasm and reduce the tension of upper limb muscle in patients with spastic paralysis of upper limb after stroke. The method is proved to be safe, effective, scientific and feasible.
【學(xué)位授予單位】：長(zhǎng)春中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.6
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