首页|"浮针再灌注"治疗卒中后偏瘫上肢屈肌痉挛疗效评价

"浮针再灌注"治疗卒中后偏瘫上肢屈肌痉挛疗效评价

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目的 观察"浮针再灌注"治疗卒中后偏瘫上肢屈肌痉挛临床疗效.方法 将我院60例卒中后偏瘫上肢屈肌痉挛患者随机为治疗组与对照组各30例.对照组采用康复训练,治疗组在对照组治疗基础上联合"浮针再灌注".比较两组总有效率,改良Ashworth(MAS)量表、Fugl-Meyer评定(FMA)量表、肘关节屈曲90°时肱二头肌、肱肌、旋前圆肌杨氏模量平均值(Mean).结果 治疗后,治疗组总有效率高于对照组(P<0.05);两组MAS评分低于治疗前,FMA高于治疗前,治疗组MAS评分低于对照组,FMA高于对照组(P<0.05);两组肘关节屈曲90°时肱二头肌、肱肌、旋前圆肌杨氏模量Mean值低于治疗前,治疗组肘关节屈曲90°时肱二头肌、肱肌、旋前圆肌杨氏模量Mean值低于对照组(P<0.05).结论 "浮针再灌注"疗法可降低卒中后偏瘫上肢屈肌痉挛患者的肌张力,提高上肢运动功能,降低肌肉的硬度,治疗效果更优.
Evaluation of the therapeutic effect of"floating needle reperfusion"in treat-ment of upper limb flexor spasm after stroke in hemiplegia
Objective To observe the efficacy of"floating needle reperfusion"in treatment of upper limb flexor spasm.Methods Sixty patients with upper limb flexor spasm were randomly divided into treatment group and control group,with 30 cases in each group.Control group received rehabilitation training,while treatment group received floating needle reperfusion on the basis of control group.The total effective rate,including the scores of Modified Ashworth Scale(MAS),Fugl Meyer Assessment Scale(FMA),and the mean values of the Young's modulus of the biceps brachii,brachialis,and pronator teres muscles at 90° elbow flexion of the two groups were compared.Results After treatment,the total effective rate of treatment group was higher than control group(P<0.05);MAS scores of both groups were lower than before treatment,and was lower in treatment group than control group(P<0.05);while FMA scores were higher,and was higher in treatment group than control group(P<0.05);the mean values of the Young's modulus of the biceps brachii,brachialis,and pronator teres muscles at 90° elbow flexion in both groups were lower than before treatment,and were lower in treatment group than control group(P<0.05).Conclusion Floating needle reperfusion therapy can reduce muscle tension,improve upper limb motor function,reduce muscle stiffness,and has a better therapeutic effect on patients with upper limb flexor spasm.

Floating needle reperfusionUpper limb flexor spasmTCM therapy

曹瑞、王培培

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江苏省南京市浦口区中医院,江苏南京 211899

上肢屈肌痉挛 中医疗法 浮针再灌注

江苏高校优势学科建设工程项目江苏省南京市浦口区社会事业科技发展项目

YSHL0803-213S2022-14

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(1)
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