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针灸推拿治疗脑卒中后肌张力增高的疗效分析

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目的 探究针灸推拿治疗脑卒中后肌张力增高的疗效。方法 将2020年9月~2022年8月本院收治的60例脑卒中后肌张力增高患者分成为A、B两组,A组实施常规康复,B组加用针灸推拿治疗,比较两组肌张力水平、日常生活活动能力、神经功能缺损度、肢体运动功能、生活质量与临床疗效。结果 B组MAS评分较A组更低,差异有统计学意义(P < 0。05);B组ADL评分较A组更高,差异有统计学意义(P < 0。05);B组NIHSS评分较A组更低,差异有统计学意义(P < 0。05);B组上肢FMA评分、下肢FMA评分均较A组更高,差异有统计学意义(P < 0。05);B组躯体、心理、社会、物质等维度生活质量评分均较A组更高,差异有统计学意义(P < 0。05);B组治疗有效率为96。67%,较A组更高,差异有统计学意义(P < 0。05)。结论 针灸推拿可以显著改善患者肌张力水平、日常生活活动能力与肢体运动功能,并显著降低患者神经功能缺损度,从而帮助患者获得更高的临床治疗有效率,促使其生活质量全面提升。
Analysis of therapeutic effect of acupuncture and massage on hypertonia after stroke
Objective To explore the therapeutic effect of acupuncture and massage on hypertonia after stroke. Methods 60 patients with hypertonia after stroke treated in our hospital from September 2020 to August 2022 were divided into group A and group B. Group A received routine rehabilitation and group B received acupuncture and massage treatment. The level of muscle tone, ability of daily living activities, neurological defect, limb motor function, quality of life and clinical efficacy of the two groups were compared. Results MAS score of group B was lower than that of group A, and the difference was statistically significant (P<0.05). The ADL score of group B was higher than that of group A, and the difference was statistically significant (P<0.05). NIHSS score of group B was lower than that of group A, and the difference was statistically significant (P<0.05). FMA scores of upper limbs and lower limbs in group B were higher than those in group A, and the difference was statistically significant (P<0.05). The scores of physical, psychological, social, material and other dimensions of life quality in group B were higher than those in group A, and the difference was statistically significant (P<0.05). The effective rate of group B was 96.67%, higher than that of group A, and the difference was statistically significant (P<0.05). Conclusion Acupuncture and massage can significantly improve the level of muscle tension, activities of daily living and limb motor function of patients, and significantly reduce the degree of neurological dysfunction of patients, so as to help patients obtain higher clinical treatment efficiency, promote the overall improvement of their quality of life.

acupuncture and moxibustionmassagecerebral apoplexyincreased muscle tonequality of life

Xie Lan-lan、曲龙

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Heilongjiang Academy of Traditional Chinese Medicine, Haerbin 150000, China

黑龙江省中医药科学院,黑龙江 哈尔滨 150000

针灸 推拿 脑卒中 肌张力增高 生活质量

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(3)
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