【摘要】：目的基于交叉遷移現(xiàn)象觀察對中風(fēng)后偏癱患者加刺健側(cè)同源穴位對其下肢功能重建的影響。方法現(xiàn)選擇合乎納入標(biāo)準(zhǔn)的腦卒中后偏癱患者,依次按照入院順序,隨機(jī)編入治療組(30例)與對照組(30例)。治療組在常規(guī)治療基礎(chǔ)上加刺健側(cè)相同穴位,對照組給予我院康復(fù)科常規(guī)治療,留針30分鐘,每天治療2次,每周連續(xù)治療6天,令患者休息1天,持續(xù)治療4周。分別于治療前后計(jì)算患側(cè)下肢股內(nèi)側(cè)肌、脛骨前肌、腓骨長肌均方根值(RMS),以衡量下肢各肌肉運(yùn)動(dòng)單元有效募集程度,借以日常生活能力評分、下肢運(yùn)動(dòng)功能評分來分析哪種治療方法的臨床療效更為顯著。結(jié)果1.分別比較兩組股內(nèi)側(cè)肌、脛骨前肌以及腓骨長肌的RMS,治療后較治療前均明顯提升,差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療組優(yōu)于對照組(K0.05);2.比較兩組FMA-L評分,治療后較治療前均顯著升高,差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療組優(yōu)于對照組(P0.05);3.比較兩組ADL評分,治療后較治療前均明顯增高,差異有統(tǒng)計(jì)學(xué)意義(P0.05),治療組明顯優(yōu)于對照組(P0.05)。結(jié)論1.基于交叉遷移現(xiàn)象在患側(cè)常規(guī)針灸治療基礎(chǔ)上加刺健側(cè)相同穴位可以提高患側(cè)股四頭肌、脛骨前肌、腓骨長肌運(yùn)動(dòng)單元的有效募集。2.基于交叉遷移現(xiàn)象在患側(cè)常規(guī)針灸治療基礎(chǔ)上加刺健側(cè)相同穴位對患側(cè)下肢運(yùn)動(dòng)功能及患者的日常生活能力有明顯改善,其療效優(yōu)于常規(guī)治療方法。
[Abstract]:Objective to observe the effect of cross-migration on functional reconstruction of lower extremity in patients with hemiplegia after stroke. Methods the patients with hemiplegia after stroke were randomly divided into treatment group (30 cases) and control group (30 cases) according to the order of admission. On the basis of routine treatment, the treatment group was treated with the same acupoints on the healthy side. The control group was given routine therapy in rehabilitation department of our hospital for 30 minutes, twice a day, 6 days a week, so that the patients could rest for 1 day and continue for 4 weeks. The root-mean-square (RMS) values of medial femoral muscle, anterior tibial muscle and peroneal longus muscle were calculated before and after treatment to measure the effective recruitment of motor units of the lower extremities to evaluate the ability of daily living (ADL) score. Lower limb motor function score to analyze which treatment is more effective. Result 1. The RMS, of medial femoral muscle, anterior tibial muscle and fibula longus muscle in the two groups were significantly improved after treatment (P0.05), and the treatment group was better than the control group (K0. 05) 2. Compared with the two groups, the FMA-L score after treatment were significantly higher than before treatment, the difference was statistically significant (P0.05), the treatment group was better than the control group (P0.05). Compared with the two groups, the ADL score after treatment were significantly higher than before treatment, the difference was statistically significant (P0.05), the treatment group was significantly better than the control group (P0.05). Conclusion 1. On the basis of conventional acupuncture and moxibustion on the affected side, acupuncture at the same acupoint can increase the effective recruitment of motor units of quadriceps femoris muscle, anterior tibia muscle and peroneal longus muscle on the affected side. On the basis of routine acupuncture and moxibustion on the affected side, the motor function of the affected lower extremity and the daily life ability of the affected side were obviously improved on the basis of cross-migration, and the curative effect was better than that of the routine treatment.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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