头脊电针结合作业疗法治疗中风后手指拘挛60例
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摘要
目的:观察头脊电针结合作业疗法治疗中风后手指拘挛的疗效。方法:将符合纳入标准的60例中风后手指拘挛患者随机分成治疗组和对照组,各30例。治疗组采用头脊电针结合作业疗法,对照组口服盐酸乙哌立松片。疗程30天,治疗结束后,观察两组患者治疗前后上肢手指拘挛的改善情况及Ashworth分级的变化情况。结果:治疗组临床总有效率为90.00%(27/30);对照组总有效率为73.33%(22/30),差异有统计学意义(P<0.05)。Ashworth评级结果显示治疗组治疗后的改善情况明显优于治疗前(P<0.05),对照组治疗后较治疗前无明显差异,治疗组治疗后较对照组治疗后改善明显(P<0.05)。结论:头脊电针治疗方法能显著降低上肢肌张力,有效缓解手指拘挛。
Objective:To observe the curative effect and mechanism of electro-acupuncture of scalp and spine combined with occupational therapy on post-stroke finger contracture.Methods:60 cases of post-stroke finger contracture were randomly divided into the treatment group(n=30) and the control group(n=30).The treatment group was treated with electro-acupuncture of scalp and spine combined with occupational therapy;the control group was treated with Eperisone Hydrochloride Tablets.The improvements of finger contracture and Ashworth grade were observed after the treatment.Results:The total effective rate of the treatment group was 90.00%,which was significantly higher than 73.33% of the control group(P<0.05).The treatment group showed better improvement in Ashworth grade after the treatment compared to that before the treatment(P<0.05).The control group showed no statistical difference in Ashworth grade between before and after the treatment(P>0.05).The treatment group improved more significantly in Ashworth grade than the control group after the treatment(P<0.05).Conclusion:Electro-acupuncture of scalp and spine can effectively reduce the hypermyotonia of upper limbs,it can significantly relieve finger contracture.
Objective:To observe the curative effect and mechanism of electro-acupuncture of scalp and spine combined with occupational therapy on post-stroke finger contracture.Methods:60 cases of post-stroke finger contracture were randomly divided into the treatment group(n=30) and the control group(n=30).The treatment group was treated with electro-acupuncture of scalp and spine combined with occupational therapy;the control group was treated with Eperisone Hydrochloride Tablets.The improvements of finger contracture and Ashworth grade were observed after the treatment.Results:The total effective rate of the treatment group was 90.00%,which was significantly higher than 73.33% of the control group(P<0.05).The treatment group showed better improvement in Ashworth grade after the treatment compared to that before the treatment(P<0.05).The control group showed no statistical difference in Ashworth grade between before and after the treatment(P>0.05).The treatment group improved more significantly in Ashworth grade than the control group after the treatment(P<0.05).Conclusion:Electro-acupuncture of scalp and spine can effectively reduce the hypermyotonia of upper limbs,it can significantly relieve finger contracture.
引文
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[7]林飞燕,郑武熙,张文琪,等.早期针刺督脉穴、夹脊穴干预中风偏瘫痉挛状态临床观察[J].上海针灸杂志,2018,37(6):614-618.
[8]刘建,邹任玲,姜亚斌,等.表面肌电信号的下肢痉挛信号的特征分析与识别[J].生物信息学,2017,15(3):186-190.
[9]陈思岐,何立,高秀领,等.梅花针叩刺联合康复训练治疗中风后手拘挛临床观察[J].中国针灸,2018,38(8):799-802.
[2]张仲锦,张昆,张鑫,等.经颅磁刺激治疗脑卒中后患者肢体运动功能障碍的疗效[J].现代仪器与医疗,2018,24(4):73-75.
[3]聂容荣,莫碧文,文辉,等.针灸治疗对脑卒中后抑郁症患者生存质量的影响[J].临床误诊误治,2017,30(11):93-96.
[4]刘美荣,刘伍立.针刺夹脊穴治疗脑卒中痉挛状态的临床研宄[J].实用心脑肺血管病杂志,2006,14(6):450-452.
[5]宇文亚,韩雪杰,史楠楠,等.专家共识法在中医临床指南研究中的应用现状分析[J].上海中医药杂志,2011,3(1):15-19.
[6]苏诚欢.针灸结合Rood疗法治疗脑卒中后上肢功能障碍的疗效观察[J].广州中医药大学学报,2016,33(1):35-38.
[7]林飞燕,郑武熙,张文琪,等.早期针刺督脉穴、夹脊穴干预中风偏瘫痉挛状态临床观察[J].上海针灸杂志,2018,37(6):614-618.
[8]刘建,邹任玲,姜亚斌,等.表面肌电信号的下肢痉挛信号的特征分析与识别[J].生物信息学,2017,15(3):186-190.
[9]陈思岐,何立,高秀领,等.梅花针叩刺联合康复训练治疗中风后手拘挛临床观察[J].中国针灸,2018,38(8):799-802.