本文選題：腦梗塞 + 運(yùn)動(dòng)功能　； 參考：《針灸臨床雜志》2017年03期

【摘要】：目的:探討十宣穴點(diǎn)刺放血治療腦梗塞后手指拘攣療效及該療法對(duì)患肢正中神經(jīng)肌電的影響。方法:選取符合診斷標(biāo)準(zhǔn)的腦梗塞后手指拘攣患者60例,隨機(jī)分為治療組和對(duì)照組,各30例。在腦梗塞的常規(guī)治療的基礎(chǔ)上,治療組加用十宣穴點(diǎn)刺放血,對(duì)照組加用巴氯芬片。療程均為4周。在治療前、治療后第2周和第4周,分別測(cè)定患手運(yùn)動(dòng)功能、患手神經(jīng)功能缺損程度和患肢正中神經(jīng)F波參數(shù)的變化。結(jié)果:經(jīng)過2周的治療,兩組患者患手運(yùn)動(dòng)功能評(píng)分較治療前提高(P0.05),而兩組間比較則無明顯差異(P0.05);治療組患手肌力評(píng)分較前降低(P0.05),而對(duì)照組患手肌力評(píng)分較前未見降低(P0.05);兩組患肢正中神經(jīng)肌電F波參數(shù)較前均有提高(P0.05),兩組間比較也有統(tǒng)計(jì)學(xué)差異(P0.05)。經(jīng)過4周的治療,兩組患者患手運(yùn)動(dòng)功能評(píng)分較前明顯提高(P0.05),且兩組間比較也有統(tǒng)計(jì)學(xué)差異(P0.05);兩組患手肌力評(píng)分較前均明顯降低(P0.05),且兩組間比較也有顯著性差異(P0.05);兩組患者患肢正中神經(jīng)肌電F波參數(shù)較前均有明顯提高(P0.05),兩組間比較也有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:十宣穴點(diǎn)刺放血對(duì)腦梗塞后患手的運(yùn)動(dòng)功能、肌力和患肢正中神經(jīng)肌電均有良好的改善作用。
[Abstract]:Objective: to investigate the effect of the treatment of finger clonus after cerebral infarction and the effect of the treatment on the median nerve electromyography of the affected limb. Methods: 60 cases of finger clonus after cerebral infarction were randomly divided into treatment group and control group, 30 cases in each group. On the basis of routine treatment of cerebral infarction, the treatment group was treated with 10 Xuan points and punctured bloodletting, while the control group was treated with baclofen tablet. The course of treatment was 4 weeks. Before treatment, 2 weeks and 4 weeks after treatment, the motor function of the affected hand, the degree of defect of the nerve function of the affected hand and the F-wave parameters of the median nerve of the affected limb were measured respectively. Results: after 2 weeks of treatment, The score of the affected hand motor function in the two groups was higher than that before treatment, but there was no significant difference between the two groups; the score of the affected hand muscle strength in the treatment group was lower than that in the former, while the score of the affected hand muscle strength in the control group was not lower than that before the treatment. The parameters of F-wave of electromyography were higher than those of the former, and the difference between the two groups was also statistically significant (P 0.05). After four weeks of treatment, The score of motor function of affected hands in the two groups was significantly higher than that before, and there was statistical difference between the two groups. The score of muscle strength of the affected hands in the two groups was significantly lower than that before, and there was also a significant difference between the two groups (P0.05), and there was also a significant difference between the two groups. The F-wave parameters of middle nerve electromyography were significantly higher than those of the former, and there was also a statistical difference between the two groups (P 0.05). Conclusion: ten Xuanpoint pricking and bleeding can improve the motor function, muscle strength and median nerve electromyography of the affected hand after cerebral infarction.
【作者單位】： 安徽中醫(yī)藥大學(xué)第二附屬醫(yī)院;
【基金】：安徽中醫(yī)藥大學(xué)臨床科研基金項(xiàng)目,編號(hào):2014lc01022
【分類號(hào)】：R246.6

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