本文選題：腦卒中 + 足內(nèi)翻　； 參考：《福建中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：觀察針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練與針刺常規(guī)下肢腧穴結(jié)合康復(fù)訓(xùn)練對(duì)腦卒中偏癱后足內(nèi)翻患者的臨床療效。研究方法：將符合納入標(biāo)準(zhǔn)的60例病例按照隨機(jī)數(shù)字表隨機(jī)分為治療組(針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練)30例和對(duì)照組(針刺常規(guī)下肢腧穴結(jié)合康復(fù)訓(xùn)練)30例進(jìn)入臨床干預(yù)研究,每日1次,每周6次,2周為一個(gè)療程,共2個(gè)療程。所有患者治療前后均運(yùn)用角器測(cè)量關(guān)節(jié)活動(dòng)度、臨床痙攣指數(shù)(CSI)、Fugl-Meyer下肢運(yùn)動(dòng)功能評(píng)分量表對(duì)踝關(guān)節(jié)功能進(jìn)行康復(fù)評(píng)定。結(jié)果：1.兩組患者治療前后足內(nèi)翻角度的比較：經(jīng)治療后足內(nèi)翻角度明顯下降,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明兩種方法均能改善腦卒中后足內(nèi)翻的程度。治療后兩組間足內(nèi)翻角度進(jìn)行比較,經(jīng)統(tǒng)計(jì)學(xué)分析,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練對(duì)改善患者足內(nèi)翻程度療效更為顯著。2.兩組患者治療前后痙攣程度(臨床痙攣指數(shù)CSI評(píng)分)的比較：經(jīng)治療后踝關(guān)節(jié)痙攣程度明顯下降,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明兩種方法均能改善腦卒中后足內(nèi)翻患者踝關(guān)節(jié)的痙攣程度。治療后兩組間痙攣程度進(jìn)行比較,經(jīng)統(tǒng)計(jì)學(xué)分析,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練對(duì)改善腦卒中后足內(nèi)翻患者踝關(guān)節(jié)痙攣程度療效更為顯著。3.兩組患者治療前后下肢運(yùn)動(dòng)功能(FMA下肢運(yùn)動(dòng)功能評(píng)分量表評(píng)分)變化的比較：經(jīng)治療后下肢運(yùn)動(dòng)功能均明顯改善,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明兩種方法均能改善腦卒中后足內(nèi)翻患者的下肢運(yùn)動(dòng)功能。治療后兩組間下肢運(yùn)動(dòng)功能進(jìn)行比較,經(jīng)統(tǒng)計(jì)學(xué)分析,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),表明針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練對(duì)改善腦卒中后足內(nèi)翻患者的下肢運(yùn)動(dòng)功能療效更為顯著。結(jié)論：針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練與針刺常規(guī)下肢腧穴結(jié)合康復(fù)訓(xùn)練均能改善腦卒中偏癱后足內(nèi)翻患者足內(nèi)翻的角度、踝關(guān)節(jié)的痙攣程度及下肢運(yùn)動(dòng)功能,且針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練療效優(yōu)于針刺常規(guī)腧穴結(jié)合康復(fù)訓(xùn)練。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with acupoints combined with rehabilitation training and routine acupuncture of acupoints of lower limbs combined with rehabilitation training for patients with stroke hemiplegic foot varus. Methods: sixty patients who met the inclusion criteria were randomly divided into treatment group (30 cases of acupuncture combined with rehabilitation training) and control group (30 cases of acupuncture routine acupoints of lower extremity combined with rehabilitation training) were divided into treatment group (30 cases) and control group (30 cases of acupuncture routine acupoints of lower extremity combined with rehabilitation training) were enrolled in the clinical intervention study. Once a day, 6 times a week for 2 weeks as a course of treatment, a total of 2 courses. All patients were evaluated with angle apparatus before and after treatment, and the clinical spasticity index (CSI) and Fugl-Meyer lower extremity motor function scale were used to evaluate the ankle function. The result is 1: 1. Comparison of two groups of patients before and after treatment: after treatment, the foot varus angle decreased significantly, the difference was statistically significant (P 0.05), indicating that the two methods can improve the degree of stroke foot varus. After treatment, the two groups of foot varus angle were compared, the statistical analysis showed that the difference was statistically significant (P0.05A), which indicated that acupuncture combined with rehabilitation training was more effective in improving the degree of foot varus. 2. Comparison of spasticity degree (CSI score of clinical spasticity index) before and after treatment: after treatment, the degree of spasticity of ankle joint decreased significantly. The difference was statistically significant (P 0.05), indicating that both methods could improve the spasticity of ankle joint in patients with stroke. After treatment, the degree of spasm was compared between the two groups, and the difference was statistically significant (P 0.05), which indicated that acupuncture combined with rehabilitation training was more effective in improving the spasticity of ankle joint in patients with stroke. Comparison of the changes of lower extremity motor function and FMA score before and after treatment: after treatment, the lower extremity motor function was significantly improved. The difference was statistically significant (P 0.05), which indicated that both methods could improve the motor function of lower extremity in patients with stroke. After treatment, the lower extremity motor function was compared between the two groups, and the difference was statistically significant (P 0.05), which indicated that acupuncture combined with rehabilitation training was more effective in improving the lower extremity motor function of the patients with foot varus after stroke. Conclusion: acupuncture combined with acupoints combined with rehabilitation training and routine acupuncture combined with acupoints can improve the angle of varus of foot, spasm degree of ankle and motor function of lower extremity in patients with hemiplegia after stroke. The effect of acupuncture combined with acupoints combined with rehabilitation training is better than that of routine acupoints combined with rehabilitation training.
【學(xué)位授予單位】：福建中醫(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

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 潘俊曉;潘永清;;針刺治療中風(fēng)后足內(nèi)翻的研究進(jìn)展[J];河南中醫(yī);2013年01期

2 劉艷平;田培良;;電針治療中風(fēng)后足內(nèi)翻40例療效觀察[J];湖南中醫(yī)雜志;2014年06期

3 寧拴虎,孫廷選,黨友林;組合手術(shù)治療足內(nèi)翻96例報(bào)告[J];中國矯形外科雜志;2002年11期

4 吳敬;李琛;王占國;;電針治療中風(fēng)病足內(nèi)翻臨床觀察[J];天津中醫(yī)藥;2006年02期

5 郭現(xiàn)軍;;針刺內(nèi)翻穴治療中風(fēng)后足內(nèi)翻53例[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2012年27期

6 關(guān)闖;岳增輝;蔣文明;;腦卒中后足內(nèi)翻的康復(fù)研究進(jìn)展[J];湖南中醫(yī)雜志;2013年02期

7 鄭麗雅;林曉文;林燕;;胎兒足內(nèi)翻畸形的產(chǎn)前超聲診斷[J];海峽預(yù)防醫(yī)學(xué)雜志;2014年03期

8 李天偉;;中風(fēng)后足內(nèi)翻的原因分析和康復(fù)策略[J];內(nèi)蒙古中醫(yī)藥;2014年22期

9 王聲強(qiáng),王子臣;中風(fēng)后足內(nèi)翻的特點(diǎn)及針刺康復(fù)治療對(duì)策[J];上海針灸雜志;2002年05期

10 吳玉玲;李愛萍;程晉成;彭玲;;電針治療腦卒中足內(nèi)翻68例[J];中國康復(fù);2005年06期

相關(guān)會(huì)議論文 前3條

1 李宗濤;;氣電式足內(nèi)翻裝置的研制及其在神經(jīng)肌肉反應(yīng)速度測(cè)試中的應(yīng)用研究[A];第九屆全國體育科學(xué)大會(huì)論文摘要匯編(4)[C];2011年

2 裴凌;王小軍;;針刺結(jié)合推拿治療腦卒中后足內(nèi)翻的臨床觀察[A];2010湖南省針灸學(xué)術(shù)年會(huì)資料匯編[C];2010年

3 許濤;;超聲診斷胎兒足內(nèi)翻畸形6例臨床分析[A];中華醫(yī)學(xué)會(huì)第十三次全國超聲醫(yī)學(xué)學(xué)術(shù)會(huì)議論文匯編[C];2013年

相關(guān)重要報(bào)紙文章 前1條

1 健康時(shí)報(bào)特約記者 詹建;偏癱后走路的3個(gè)條件[N];健康時(shí)報(bào);2007年

相關(guān)碩士學(xué)位論文 前10條

1 金文燕;加刺下肢陽蹺脈交會(huì)穴治療中風(fēng)后足內(nèi)翻的臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2015年

2 徐倩;眼體針療法治療腦卒中后足內(nèi)翻的臨床療效觀察[D];遼寧中醫(yī)藥大學(xué);2015年

3 陳斌;應(yīng)用肌內(nèi)效貼貼扎技術(shù)治療腦卒中后足內(nèi)翻的療效觀察[D];吉林大學(xué);2015年

4 曹娟娟;腦卒中偏癱足內(nèi)翻患者的足底壓力分布研究[D];安徽醫(yī)科大學(xué);2015年

5 林文敏;針刺蹺脈交會(huì)穴結(jié)合康復(fù)訓(xùn)練治療卒中后足內(nèi)翻的臨床療效觀察[D];福建中醫(yī)藥大學(xué);2016年

6 陳天龍;足太陽經(jīng)透刺陰蹺脈治療腦卒中后足內(nèi)翻的臨床研究[D];廣州中醫(yī)藥大學(xué);2016年

7 王楠;電針治療中風(fēng)后足內(nèi)翻的臨床療效觀察[D];北京中醫(yī)藥大學(xué);2013年

8 崔凱;電針治療中風(fēng)后足內(nèi)翻療效觀察[D];湖北中醫(yī)藥大學(xué);2011年

9 盧德偉;不同針刺方法結(jié)合康復(fù)治療中風(fēng)后足內(nèi)翻的療效對(duì)比觀察[D];廣州中醫(yī)藥大學(xué);2008年

10 王華;電針結(jié)合康復(fù)訓(xùn)練治療腦卒中后足內(nèi)翻的臨床療效觀察[D];湖南中醫(yī)藥大學(xué);2014年

，

本文編號(hào)：1953425