摘要
目的分析恢刺肌起止点对脑卒中后患者肌肉痉挛及肢体功能的改善作用。方法选取2019年3月—2019年12月黑龙江中医药大学附属二院针灸科就诊的90例脑卒中后痉挛期患者,均给予解语丹、补阳还五汤、左归丸合地黄进行中药治疗,采用随机数字分组法分为两组,每组45例,常规用药基础上采用恢刺手法的患者为研究组,常规基础上进行针灸法的患者为参照组。对比治疗前、治疗2周及治疗4周两组患者关节活动度、肌肉痉挛(MAS)、下肢功能(FAM)及治疗效果。结果研究组治疗后2周、4周与本组治疗前相比患者膝关节、踝关节屈曲活动度及伸展度得到明显改善(P<0.05),研究组患者治疗后4周膝关节、踝关节活动度及伸展度指数显著优于参照组(P<0.05);两组患者治疗2周、4周膝关节、踝关节MAS指数显著优于本组治疗前(P<0.05),研究组患者治疗4周后显著MAS指数显著优于参照组(P<0.05);干预后2周、4周两组患者FAM指数显著高于本组治疗前(P<0.05),研究组患者治疗后2周、4周FAM指数与参照组比较差异有统计学意义(P<0.05);研究组患者治疗总有效率显著高于参照组(P<0.05)。结论恢刺肌起止点有利于下肢关节活屈曲活动度,提升肢体功能,缓解肌肉痉挛,对脑卒中后下肢痉挛患者具有显著效果,可进一步推广应用。
Objective To analyze the effect of the start and end points of the restoration thorn muscle on muscle spasm and limb function in patients after stroke.Methods From March 2019 to December 2019,90 patients with post-stroke spasticity who were treated in the Department of Acupuncture and Moxibustion at the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine were given Jieyu Dan,Buyang Huanwu Decoction,Zuogui Wan and Dihuang for Chinese medicine The treatment was divided into two groups by random number grouping method,45 cases in each group.Patients who used restoring acupuncture on the basis of routine medication were the study group,and patients who received acupuncture on the routine basis were the reference group.The joint range of motion,muscle spasm(MAS),lower limb function(FAM)and treatment effects were compared between the two groups before treatment,2 weeks of treatment and 4 weeks of treatment.Results The knee and ankle flexion and extension of the patients in the study group were significantly improved 2 weeks and 4 weeks after treatment compared with before the treatment(P<0.05),and the knee and ankle joints of the patients in the study group moved 4 weeks after treatment.Degree and extension index were significantly better than the reference group(P<0.05);the knee and ankle MAS index of the two groups of patients were significantly better than before treatment for 2 weeks and 4 weeks(P<0.05),and after 4 weeks of treatment in the study groupSignificant MAS index was significantly better than the reference group(P<0.05);the FAM index of the two groups of patients 2 weeks and 4 weeks after intervention was significantly higher than that before treatment(P<0.05),and the FAM index of patients in the study group 2 weeks and 4 weeks after treatment The comparison of the reference group was statistically significant(P<0.05).The total effective rate of treatment in the study group was significantly higher than that of the reference group(P<0.05).Conclusion The starting and ending points of the spur muscles are beneficial to the active flexion of lower limb joints,improve limb function,relieve muscle spasm,and have a significant effect on patients with lower limb spasm after stroke,which is worth of further promoted and applied.
作者
陶然
吕晓琳
曾祥新
朱路文
孙忠人
TAO Ran;LU Xiao-lin;ZENG Xiang-xin;ZHU Lu-wen;SUN Zhong-ren(The fourth ward of the Department of Acupuncture and Moxibustion,Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang 150000;The fourth ward of the Department of Acupuncture and Moxibustion,the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang 150001;The Rehabilitation Department,The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang 150001;Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang 150000)
出处
《世界中西医结合杂志》
2021年第2期321-324,共4页
World Journal of Integrated Traditional and Western Medicine
基金
黑龙江中医药大学科研基金项目(201814)
黑龙江省应用技术研究与开发计划项目(GA19C110)
孙忠人全国名老中医专家传承工作室。
关键词
脑卒中
恢刺法
肌肉痉挛
肢体功能
Stroke
Recovery Needling Method
Muscle Spasm
Limb Function