针刺联合康复干预中风痉挛性偏瘫临床观察
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摘要
目的:观察"解痉纠偏"针法联合新Bobath康复技术治疗中风痉挛性瘫痪患者的临床疗效。方法:中风痉挛性瘫痪患者90例随机分为3组各30例,在常规治疗基础上,对照组口服巴氯芬片,新Bobath组采用新Bobath康复技术,治疗组采用"解痉纠偏"针法联合新Bobath康复技术,治疗前及治疗2、4、6周后分别对其痉挛程度、运动功能、日常生活能力进行评价。结果:新Bobath组和治疗组对中风痉挛性偏瘫均有疗效(P﹤0.05);治疗组改善效果优于新Bobath组(P﹤0.01)。结论:"解痉纠偏"针法结合新Bobath技术对中风偏瘫肢体痉挛功能障碍疗效确切,且优于单纯康复训练。
Objective:To observe the clinical effect of spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy on apoplectic spastic hemiplegia.Methods:90 cases of patients with apoplectic spastic hemiplegia were randomly divided into three groups,30 cases in each group.On the basis of conventional treatment,the control group was treated with oral Baclofen tablets,the new Bobath group was treated with new Bobath rehabilitation therapy,while the treatment group was treated with spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy. Before treatment and after 2,4 and 6 weeks of treatment,spastic degree,movement function and activity of daily living were evaluated,and the curative effect was observed.Results:The new Bobath group and treatment group both had the curative effect on apoplectic spastic hemiplegia(P <0.05).The improved effect of treatment group was better than that of new Bobath group(P<0.01). Conclusion:The clinical effect of spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy on limb spasm dysfunction of apoplectic hemiplegia is definite,and better than simple rehabilitation training.
Objective:To observe the clinical effect of spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy on apoplectic spastic hemiplegia.Methods:90 cases of patients with apoplectic spastic hemiplegia were randomly divided into three groups,30 cases in each group.On the basis of conventional treatment,the control group was treated with oral Baclofen tablets,the new Bobath group was treated with new Bobath rehabilitation therapy,while the treatment group was treated with spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy. Before treatment and after 2,4 and 6 weeks of treatment,spastic degree,movement function and activity of daily living were evaluated,and the curative effect was observed.Results:The new Bobath group and treatment group both had the curative effect on apoplectic spastic hemiplegia(P <0.05).The improved effect of treatment group was better than that of new Bobath group(P<0.01). Conclusion:The clinical effect of spasmolysis/correcting hemiplegia acupuncture combined with new Bobath rehabilitation therapy on limb spasm dysfunction of apoplectic hemiplegia is definite,and better than simple rehabilitation training.
引文
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[2]公维军,张通,孙新亭.脑卒中后痉挛性偏瘫的研究现状[J].中国康复理论与实践,2008,14(3):212-213.
[3]肖磊,罗中梅,王宏丽.针灸与中药结合康复训练的方法对中风偏瘫痉挛状态的疗效及安全性评价[J].四川生理科学杂志,2017,39(2):85-86.
[4]黄日龙,夏青,朱宗俊,等.针刺结合康复训练治疗中风偏瘫痉挛状态临床观察[J].安徽中医药大学学报,2016,35(4):59-62.
[5]韩雪丽,屈玉明,郝重耀.磁圆针结合梅花针治疗中风后偏瘫痉挛状态的临床疗效观察[J].中医临床研究,2015,7(6):118-119.
[6]章晓峰,叶祥明.新Bobath技术对脑卒中后患者上肢康复的疗效研究[J].护理与康复,2015,14(9):860-862.
[7]王琳晶,王玉琳,王春英.针刺夹脊穴配合巨刺治疗中风偏瘫痉挛状态的临床疗效观察[J].中医药学报,2014,42(4):124-126.
[8]林秀华,王颖.针刺治疗中风偏瘫痉挛状态的近5年研究进展[J].中医药临床杂志,2013,25(5):461-463.
[9]董卫华.探讨巴氯芬治疗脑卒中后肌张力障碍的临床疗效[J].系统医学,2017,2(23):43-45.
[10]郭禄斌.盐酸替扎尼定联合针灸对脑卒中上肢痉挛患者上肢运动功能及生活质量的影响[J].中国药业,2018(12):77-79.
[11]郑炜,王平.盐酸替扎尼定的临床应用研究进展[J].中国现代医生,2013,51(4):20-22.
[12]尹帅领,王天玉,刘喜灿,等.乙哌立松治疗脑卒中后肌张力障碍疗效观察[J].中国实用神经疾病杂志,2014,17(3):91-92.
[13]毛剑男,梁维邦.痉挛性斜颈的治疗进展[J].江苏医药,2014,40(14):1 700-1 702.
[14]毛雪莲,秦思,金荣疆,等.电针对脑卒中肢体痉挛大鼠γ-氨基丁酸代谢酶的影响[J].中国康复医学杂志,2018,33(1):22-28.