针刺跷脉治疗脑卒中痉挛性偏瘫疗效观察
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摘要
目的:探讨针刺跷脉改善肌张力的临床疗效。方法:收治脑卒中痉挛性偏瘫患者60例,分为对照组和试验组,每组各30例。对照组采用泻阴补阳手法联合常规针刺治疗,试验组采用泻阴补阳手法联合针刺跷脉穴位治疗,比较两组治疗效果。结果:治疗后两组肌张力较前降低(P<0.05),且试验组效果优于对照组(P<0.05)。结论:针刺跷脉可降低患者肌张力,改善痉挛程度。
Objective:To explore the therapeutic effect of acupuncture on Qiao Mai in the treatment of spastic hemiplegia after stroke.Methods:60 patients of spastic hemiplegia after stroke were selected,they were divided into the control group and the experimental group,the control group was treated with Xie Yin Bu Yang manipulation combined with conventional acupuncture,the experimental group was treated with Xie Yin Bu Yang manipulation combined with acupuncture on Qiao Mai,we compared the treatment effect of the two groups.Results:After treatment,the muscle tone of the two groups was lower than before(P<0.05),and the effect of the experimental group was better than that of the control group(P<0.05).Conclusion:Acupuncture on Qiao Mai can reduce the muscle tension of the patients and improve the degree of spasm.
Objective:To explore the therapeutic effect of acupuncture on Qiao Mai in the treatment of spastic hemiplegia after stroke.Methods:60 patients of spastic hemiplegia after stroke were selected,they were divided into the control group and the experimental group,the control group was treated with Xie Yin Bu Yang manipulation combined with conventional acupuncture,the experimental group was treated with Xie Yin Bu Yang manipulation combined with acupuncture on Qiao Mai,we compared the treatment effect of the two groups.Results:After treatment,the muscle tone of the two groups was lower than before(P<0.05),and the effect of the experimental group was better than that of the control group(P<0.05).Conclusion:Acupuncture on Qiao Mai can reduce the muscle tension of the patients and improve the degree of spasm.
引文
[1]孙佳艺,巢宝华,徐新娟.中国三甲医院高血压患者脑卒中十年发病风险的流行病学研究[J].中华高血压杂志,2014,4(10):964-968.
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[3]邹玮庚,徐远红,李海峰.巨刺阳经法治疗缺血性脑卒中后上肢痉挛临床观察[J].天津中医药,2010,27(4):294-296.
[4]中华神经科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379.
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[6]邱茂良.针灸学[M].上海:上海科技出版社,1979.
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[8]Bohannon RW,Smith MB.Interraterreliability famodi-fied Ashworth scaleof muscle pasticity[J].Phys Ther,1987,67(2):206-207.
[9]Naghdi S,Ansari NN,Azarnia S,et al.Interreliability of the modifiedified Ashworth scale(MMAS)forpa-tientswith wristflexor muscle pasticity[J].Physiother TheoryPract,2008,24(5):372-379.
[10]杨慎峭,毛雪莲,冯丽娟.电针申脉照海对脑梗死痉挛大鼠γ-氨基丁酸转运蛋白-1变化影响的研究[J].时珍国医国药,2014,8(10):2539-2542.
[11]Esquenazi A,Talaty M.Gait analysis,technology and clinical applica-tions[M].BraddomR.Physical Medicin e and Rehabilitation.2nded,Philadephia:WBS aunders,2000.
[12]佟帅,苏李,吕海波.关键点针刺法配合康复治疗脑梗死后痉挛期偏瘫疗效观察[J].中国针灸,2013,2(5):399-402.
[2]王陇德.中国脑卒中防治报告[M].北京:中国协和医科大学出版社,2015.
[3]邹玮庚,徐远红,李海峰.巨刺阳经法治疗缺血性脑卒中后上肢痉挛临床观察[J].天津中医药,2010,27(4):294-296.
[4]中华神经科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379.
[5]国家中医药管理局脑病急症科研组.中风病诊断与疗效评定标准[J].北京中医药大学学报,1996,19(1):55-56.
[6]邱茂良.针灸学[M].上海:上海科技出版社,1979.
[7]王新德.神经病学:神经康复学[M].北京:人民军医出版社,2001.
[8]Bohannon RW,Smith MB.Interraterreliability famodi-fied Ashworth scaleof muscle pasticity[J].Phys Ther,1987,67(2):206-207.
[9]Naghdi S,Ansari NN,Azarnia S,et al.Interreliability of the modifiedified Ashworth scale(MMAS)forpa-tientswith wristflexor muscle pasticity[J].Physiother TheoryPract,2008,24(5):372-379.
[10]杨慎峭,毛雪莲,冯丽娟.电针申脉照海对脑梗死痉挛大鼠γ-氨基丁酸转运蛋白-1变化影响的研究[J].时珍国医国药,2014,8(10):2539-2542.
[11]Esquenazi A,Talaty M.Gait analysis,technology and clinical applica-tions[M].BraddomR.Physical Medicin e and Rehabilitation.2nded,Philadephia:WBS aunders,2000.
[12]佟帅,苏李,吕海波.关键点针刺法配合康复治疗脑梗死后痉挛期偏瘫疗效观察[J].中国针灸,2013,2(5):399-402.