针刺结合起立床训练治疗中风后足内翻
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摘要
目的探讨针刺配合电动起立床训练治疗中风后足内翻的临床效果观察。方法将2017年5月—2018年12月在我院针灸康复科治疗的120例中风后足内翻患者随机分为针刺组、站床组及针床组三组,三组在健康教育和常规护理的基础上,针刺组行张力平衡针刺治疗,站床组行电动起立床训练,针床组行张力平衡针刺加电动起立床训练,对比三组治疗后Holden步行功能评分。结果针床组治疗有效率高于对针刺组和站床组(P <0.05);针床组治疗后Holden步行功能评分高于针刺组、站床组(P <0.05)。结论针刺配合电动起立床训练治疗中风后足内翻的临床效果显著,有利于改善肢体肌痉挛状态,纠正及缓解足内翻,具有积极的临床意义。
Objective To investigate the clinical effect of acupuncture combined with electric standing bed training in the treatment of stroke varus. Methods 120 patients with stroke and varus treated in the Acupuncture and Rehabilitation Department of our hospital from May 2017 to December 2018 were randomly divided into three groups: acupuncture group, station bed group and needle bed group. The three groups were in health education and routine. On the basis of nursing, acupuncture group was treated with tension balance acupuncture treatment, station bed group was equipped with electric erecting bed training, needle bed group was subjected to tension balance acupuncture plus electric erecting bed training, and the Holden walking power scores of the three groups were compared. Results The effective rate of treatment in the needle bed group was significantly higher than that in the acupuncture group and the station bed group(P < 0.05). The Holden walking power score after the needlebed group treatment were significantly higher than those in the acupuncture group and the station bed group.(P < 0.05); Conclusion The clinical effect of acupuncture combined with electric erecting bed training for the treatment of stroke varus after stroke is significant, which is beneficial to improve the condition of limb tendon, correct and relieve foot varus, and has positive clinical significance.
Objective To investigate the clinical effect of acupuncture combined with electric standing bed training in the treatment of stroke varus. Methods 120 patients with stroke and varus treated in the Acupuncture and Rehabilitation Department of our hospital from May 2017 to December 2018 were randomly divided into three groups: acupuncture group, station bed group and needle bed group. The three groups were in health education and routine. On the basis of nursing, acupuncture group was treated with tension balance acupuncture treatment, station bed group was equipped with electric erecting bed training, needle bed group was subjected to tension balance acupuncture plus electric erecting bed training, and the Holden walking power scores of the three groups were compared. Results The effective rate of treatment in the needle bed group was significantly higher than that in the acupuncture group and the station bed group(P < 0.05). The Holden walking power score after the needlebed group treatment were significantly higher than those in the acupuncture group and the station bed group.(P < 0.05); Conclusion The clinical effect of acupuncture combined with electric erecting bed training for the treatment of stroke varus after stroke is significant, which is beneficial to improve the condition of limb tendon, correct and relieve foot varus, and has positive clinical significance.
引文
[1]张海燕,严玲,满慧静,等.头针配合张力平衡针法治疗中风后痉挛性瘫痪的随机对照临床研究[J].中西医结合心血管病杂志,2016,4(20):5-6.
[2]刘艳平,田培良.电针治疗中风后足内翻40例疗效观察[J].湖南中医杂志,2014,30(6):90-91.
[3]王文熠,倪丽伟,李景轩.不同透刺法治疗中风后足内翻临床观察[J].上海针灸杂志,2015,34(6):521-523.
[4]尹洪娜,李佳诺,孙忠人,等.中风后足内翻的针灸治疗概述[J].中国中医急症,2016,25(8):1558-1560.
[5]张玲,张岚.针灸配合康复训练治疗中风后上肢痉挛性瘫痪疗效观察[J].现代中西医结合杂志,2015,24(13):1406-1408.
[6]李九席,焦红军,任明.中药熏蒸联合血府逐瘀汤对中风后痉挛性瘫痪患者肢体功能和生活能力的影响[J].中国实用神经疾病杂志,2017,20(11):35-38.
[7]国家中医药管理局脑病急症协作组.中风病中医诊断与疗效评定标准(试行)[S].北京中医药大学学报,1996,19(1):55-56.
[8]漆丽,冯铄,刘清华.针刺结合康复训练治疗缺血性脑卒中后足内翻的临床疗效观察[J].中国中医药科技,2018,25(1):127-128.
[9]焦思慧.康复训练结合经筋刺法治疗中风后足下垂的临床观察[D].南京:南京中医药大学,2018:125-127.
[10]Bohannon R W,Smith M B.Interrater Reliability Of A Modified Ashworth Scale Of Muscle Spasticity[J].Phys Ther,1987,67(2):206-207.
[11]Holden MK,Gill KM,Magliozzi MR,et al.Clinical gait assessment in the neurologically impaired.Reliability and meaningfulness[J].Phys Ther,1984,64(1):35-40.
[12]门会娟,潘永清.针刺足少阳结合阴跷脉穴治疗中风后足内翻疗效观察[J].上海针灸杂志,2016,35(12):1426-1428.
[13]眭兰,蔡艳.穴位注射配合针刺治疗中风后足内翻临床疗效研究[J].西部中医药,2018,31(10):114-116.
[14]冯翰超,曲红伟,耿博.穴位贴敷配合康复训练治疗脑中风后足内翻98例疗效观察[J].中国中医药科技,2015,22(2):209-210.
[15]阿迪莱·伊米提,赵华.近10年针刺治疗中风后足内翻的研究进展[J].新疆中医药,2018,36(5):110-113.
[2]刘艳平,田培良.电针治疗中风后足内翻40例疗效观察[J].湖南中医杂志,2014,30(6):90-91.
[3]王文熠,倪丽伟,李景轩.不同透刺法治疗中风后足内翻临床观察[J].上海针灸杂志,2015,34(6):521-523.
[4]尹洪娜,李佳诺,孙忠人,等.中风后足内翻的针灸治疗概述[J].中国中医急症,2016,25(8):1558-1560.
[5]张玲,张岚.针灸配合康复训练治疗中风后上肢痉挛性瘫痪疗效观察[J].现代中西医结合杂志,2015,24(13):1406-1408.
[6]李九席,焦红军,任明.中药熏蒸联合血府逐瘀汤对中风后痉挛性瘫痪患者肢体功能和生活能力的影响[J].中国实用神经疾病杂志,2017,20(11):35-38.
[7]国家中医药管理局脑病急症协作组.中风病中医诊断与疗效评定标准(试行)[S].北京中医药大学学报,1996,19(1):55-56.
[8]漆丽,冯铄,刘清华.针刺结合康复训练治疗缺血性脑卒中后足内翻的临床疗效观察[J].中国中医药科技,2018,25(1):127-128.
[9]焦思慧.康复训练结合经筋刺法治疗中风后足下垂的临床观察[D].南京:南京中医药大学,2018:125-127.
[10]Bohannon R W,Smith M B.Interrater Reliability Of A Modified Ashworth Scale Of Muscle Spasticity[J].Phys Ther,1987,67(2):206-207.
[11]Holden MK,Gill KM,Magliozzi MR,et al.Clinical gait assessment in the neurologically impaired.Reliability and meaningfulness[J].Phys Ther,1984,64(1):35-40.
[12]门会娟,潘永清.针刺足少阳结合阴跷脉穴治疗中风后足内翻疗效观察[J].上海针灸杂志,2016,35(12):1426-1428.
[13]眭兰,蔡艳.穴位注射配合针刺治疗中风后足内翻临床疗效研究[J].西部中医药,2018,31(10):114-116.
[14]冯翰超,曲红伟,耿博.穴位贴敷配合康复训练治疗脑中风后足内翻98例疗效观察[J].中国中医药科技,2015,22(2):209-210.
[15]阿迪莱·伊米提,赵华.近10年针刺治疗中风后足内翻的研究进展[J].新疆中医药,2018,36(5):110-113.