本文選題：中風(fēng) + 痙攣性偏癱步態(tài)��； 參考：《時(shí)珍國(guó)醫(yī)國(guó)藥》2017年10期

【摘要】：目的觀察益陽(yáng)灸療法對(duì)中風(fēng)后痙攣性偏癱步態(tài)的臨床療效。方法對(duì)60例中風(fēng)后痙攣性偏癱步態(tài)的患者隨機(jī)分為對(duì)照組和治療組各30例,兩組均給予常規(guī)的內(nèi)科治療和常規(guī)康復(fù)訓(xùn)練,治療組在此基礎(chǔ)上加益陽(yáng)灸療法,1次/周,每次60min,兩組療程均為8周。分別于治療前、治療8周后應(yīng)用Gait Watch步態(tài)分析系統(tǒng)對(duì)患者進(jìn)行步態(tài)分析測(cè)試,采集時(shí)空參數(shù)和下肢關(guān)節(jié)運(yùn)動(dòng)學(xué)參數(shù)進(jìn)行比較,所有受試者由同一醫(yī)師進(jìn)行2次評(píng)估。結(jié)果兩組在步態(tài)周期、步長(zhǎng)、步頻、步速、支撐相、擺動(dòng)相等時(shí)空參數(shù)及髖膝關(guān)節(jié)最大屈曲度及伸展度和其平均角速度等方面的下肢運(yùn)動(dòng)學(xué)參數(shù)方面都有改善,治療8周后與治療前比較,差異均有顯著性意義(P0.05),治療后,兩組患者的步頻、步速顯著升高,步態(tài)周期和患側(cè)支撐相均縮短,患側(cè)擺動(dòng)相延長(zhǎng)�；紓�(cè)髖膝關(guān)節(jié)的最大伸展度及最大屈曲度受限改善(P0.001),髖膝關(guān)節(jié)屈伸運(yùn)動(dòng)的平均角速度提高(P0.001),患者步行能力明顯提高,且治療組明顯高于對(duì)照組(P0.01)。結(jié)論益陽(yáng)灸療法可改善中風(fēng)后患者的痙攣性偏癱步態(tài),而且步態(tài)分析系統(tǒng)對(duì)痙攣性偏癱步態(tài)有較高的敏感性。
[Abstract]:Objective To observe the clinical effect of Yiyang moxibustion therapy on the gait of spastic hemiplegia after apoplexy. Methods 60 patients with spastic hemiplegia after apoplexy were randomly divided into the control group and the treatment group (30 cases each). The two groups were given conventional medical treatment and routine rehabilitation training. On this basis, the treatment group was treated with Yiyang moxibustion therapy, 1 times per week, each 60min, two groups. The course of treatment was 8 weeks. After 8 weeks of treatment, the Gait Watch gait analysis system was used to test the patients' gait analysis. The time and space parameters and the kinematics parameters of the lower limb joints were compared. All the subjects were evaluated by the same physician for 2 times. Results the two groups were in the gait cycle, step length, step frequency, step speed, support phase, and swing equal. After 8 weeks of treatment, the difference was significant (P0.05). After treatment, the step frequency of the two groups was significantly higher, the gait cycle and the affected side of the affected side were shortened, and the swinging phase in the side of the patient was affected. The maximum extension and maximum flexion degree of the knee joint of the affected side were improved (P0.001), the average angular velocity of the flexion and extension movement of the hip and knee increased (P0.001), the walking ability of the patients was obviously improved, and the treatment group was significantly higher than the control group (P0.01). Conclusion Yiyang moxibustion can improve the spastic hemiplegic gait of the patients after apoplexy, and the gait analysis The system is highly sensitive to spastic hemiplegia gait.
【作者單位】： 河南中醫(yī)藥大學(xué)第一附屬醫(yī)院康復(fù)中心;河南中醫(yī)藥大學(xué);
【基金】：河南省中醫(yī)臨床學(xué)科領(lǐng)軍人才培育計(jì)劃資助項(xiàng)目(2100202) 國(guó)家中醫(yī)臨床研究基地業(yè)務(wù)建設(shè)第二批科研專項(xiàng)課題(JDZX2015314)
【分類號(hào)】：R246.6

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