首页|基于洛书数理理论探讨低频穴位电刺激治疗脑卒中后上肢痉挛的研究

基于洛书数理理论探讨低频穴位电刺激治疗脑卒中后上肢痉挛的研究

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目的 探讨基于洛书数理指导下低频穴位电刺激治疗脑卒中后上肢痉挛的临床疗效.方法 选取2021 年3 月—2023 年3 月在吉林省吉林中西医结合医院进行治疗的脑卒中后上肢痉挛患者120 例,随机分为治疗组和对照组各60 例,治疗组58 例、对照组56 例完成研究.2 组均给予常规药物、针刺及相关康复训练治疗,在此基础上对照组予以常规屈伸肌低频穴位电刺激,治疗组予以洛书数理模型配比结合屈伸肌低频穴位电刺激治疗,2 组均以连续治疗6d休息1d为1 个疗程,治疗4 个疗程.观察2 组患者治疗前后改良Ashworth痉挛量表(MAS)分级、Fug1-Mey-er上肢运动功能评定量表(FMA-UE)评分、关节活动度(ROM)、上肢改良Barthel指数(MBI)及中国临床神经功能缺损评分量表(CSS)评分变化情况,评估2 组临床疗效.结果 治疗后2 组MAS分级、CSS评分均较治疗前明显下降(P均<0.05),FMA-UE评分、关节ROM、MBI评分均较治疗前明显升高(P均<0.05),且治疗组各指标改善情况均明显优于对照组(P均<0.05);治疗组治疗后临床总有效率为89.66%(52/58),明显高于对照组的73.21%(41/56)(P<0.05).结论 基于洛书数理理论运用低频穴位电刺激治疗脑卒中后上肢痉挛可明显改善患者上肢痉挛程度,能提高其日常生活能力及上肢运动功能,临床疗效显著.
Efficacy of low-frequency acupoint electrical stimulation on upper limb spasticity after stroke based on Luoshu numerology theory
Objective It is to explore the clinical efficacy of low-frequency acupoint electrical stimulation in the treat-ment of post-stroke upper limb spasticity under the guidance of Luoshu numerology.Methods A total of 120 patients with post-stroke upper limb spasticity treated in Jilin Hospital of Integrated Traditional Chinese and Western Medicine from March 2021 to March 2023 were selected and randomly divided into treatment group and control group,with 60 cases in each group,58 cases in the treatment group and 56 cases in the control group finally completed the study.Both groups were treated with conventional medicine,acupuncture and related rehabilitation training,additionally,the control group was giv-en conventional low-frequency acupoint electrical stimulation on flexor and extensor muscles,while the treatment group was given low-frequency acupoint electrical stimulation on flexor and extensor muscles according to Luoshu numerical modeling ratio,continuously treated for 6 days and rest for 1 d as a course of treatment,both groups were treated for 4 courses of treatment.The changes of classification of Modified Ashworth Scale(MAS),scores of Fugl-Meyer Assessment Upper Ex-tremity(FMA-UE),rang of motion(ROM),Modified Barthel Index(MBI)of the upper extremity,and scores of China Stroke Scale(CSS)of the patients before and after the treatment were observed,and the clinical efficacy was assessed in the two groups.Results After treatment,the MAS classification and CSS scores of the two groups were all decreased signifi-cantly compared with before treatment(all P<0.05),and the FMA-UE scores,joint ROM,and MBI scores were in-creased significantly compared with before treatment(all P<0.05),and the improvements of all indexes of the treatment group were significantly better than those of the control group(all P<0.05);the total clinical efficiency of the treatment group was 89.66%(52/58),which was significantly higher than that 73.21%(41/56)of the control group(P<0.05).Conclusion Low-frequency acupoint electrical stimulation based on Luoshu numerology theory can significantly improve the degree of spasticity of upper limbs,and improve daily life ability and upper limb motor function of patients with post-stroke upper limb spasticity,the clinical efficacy is remarkable.

Luoshu numerology theorylow-frequency acupoint electrical stimulationpost-stroke upper limb spastici-tyupper limb motor functiondaily life ability

王俊涛、吕文亮、戚宪国

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吉林省吉林中西医结合医院,吉林 吉林 132000

洛书数理 低频穴位电刺激 卒中后上肢痉挛 上肢运动功能 日常生活活动

吉林省卫生健康科技能力提升项目吉林省中医药科技项目

2022LC1462023214

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(4)
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