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温阳针灸联合电针神经促通治疗缺血性中风后上肢偏瘫

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目的 探究温阳针灸联合电针神经促通治疗缺血性中风后上肢偏瘫的效果。方法 回顾性分析2022年1月-2024年1月山西医科大学附属运城市中心医院收治的88例缺血性中风后上肢偏瘫患者的临床资料。根据患者接受的不同治疗方法分为联合组(47例)和温阳针组(41例),温阳针组患者接受温阳针治疗,联合组患者接受温阳针灸联合电针神经促通治疗,2组的治疗周期均为4周。对比2组患者的治疗效果、中医证候积分、上肢运动功能[上肢Fugl-Meyer 运动功能评定量表(FMA-UE)、Wolf运动功能测试(WMFT)]、痉挛程度[改良Ashworth评定量表(MAS)]及不良反应发生率。结果 联合组的治疗有效率为95。74%高于温阳针组的80。49%(P<0。05);联合组患者的中医证候积分均低于温阳针组(P<0。05);联合组患者的FMA-UE、WMFT评分均高于温阳针组(P<0。05);联合组患者的上肢MAS痉挛等级低于温阳针组(P<0。05);2组患者的不良反应发生率未见显著差异(P>0。05)。结论 温阳针灸联合电针神经促通治疗可有效改善缺血性中风后上肢偏瘫患者的临床症状,增强上肢活动功能,缓解肢体痉挛。
Curative effect of warming-yang acupuncture combined with electropuncture neuro-facilitation in the treatment of upper limb hemiplegia after ischemic stroke
Objective To explore the curative effect of warming-yang acupuncture combined with electropuncture neuro-facilitation in the treatment of upper limb hemiplegia after ischemic stroke.Methods A retrospective analysis was performed on the clinical data of 88 patients with upper limb hemiplegia after ischemic stroke in the hospital between January 2022 and January 2024.According to different treatment methods,patients were divided into a combination group(47 cases,warming-yang acupuncture combined with electropuncture neuro-facilitation)and a warming-yang acupuncture group(41 cases,warming-yang acupuncture).All the patients were treated for 4 weeks.The curative effect,scores of TCM syndromes,motor function of upper extremity[Fugl-Meyer assessment of upper extremity(FMA-UE),Wolf Motor Function Test(WMFT)],spasm degree[Modified Ashworth Scale(MAS)]and the incidence of adverse reactions were compared between the two groups.Results The response rate of treatment in the combination group was higher than that in the warming-yang acupuncture group(95.74%vs 80.49%,P<0.05),while the scores of TCM syndromes were lower than those in the warming-yang acupuncture group(P<0.05),and the scores of FMA-UE and WMFT were higher than those in the warming-yang acupuncture group(P<0.05),and the MAS grading was lower than that in the warming-yang acupuncture group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Warming-yang acupuncture combined with electropuncture neuro-facilitation can effectively improve clinical symptoms,enhance motor function of upper extremity and relieve limb spasm in patients with upper limb hemiplegia after ischemic stroke.

ischemic strokeupper limb hemiplegiaelectropuncture neuro-facilitationwarming-yang acupuncture

郭孟琦、丁晓丹、张香香

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山西医科大学附属运城市中心医院中医科针灸推拿室,山西 运城 044000

缺血性中风 上肢偏瘫 电针神经促通治疗 温阳针灸

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(12)