目的:观察针刺结合康复训练治疗脑卒中后痉挛性足内翻的临床疗效。方法:选取2019年1月至2020年12月上海市长宁区天山中医医院收治的脑卒中后痉挛性足内翻患者120例,按照随机数字表法分为观察组与对照组,每组60例。对照组给予常规康复训...目的:观察针刺结合康复训练治疗脑卒中后痉挛性足内翻的临床疗效。方法:选取2019年1月至2020年12月上海市长宁区天山中医医院收治的脑卒中后痉挛性足内翻患者120例,按照随机数字表法分为观察组与对照组,每组60例。对照组给予常规康复训练,观察组在对照组治疗的基础上给予针刺治疗。观察两组患者痉挛程度、临床疗效及治疗前后步行能力、生活能力变化情况。结果:观察组优良率为91.67%,对照组优良率为81.67%,观察组优良率高于对照组,差异有统计学意义(P<0.05);观察组痉挛程度优于对照组,差异有统计学意义(P<0.05);两组治疗后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分低于治疗前,且观察组NIHSS评分低于对照组,差异有统计学意义(P<0.05);两组治疗后Holden步行功能分级、日常生活活动能力量表评分均高于治疗前,且观察组Holden步行功能分级、日常生活活动能力量表评分高于对照组,差异有统计学意义(P<0.05)。结论:脑卒中痉挛性足内翻患者给予针刺结合康复训练治疗能够降低痉挛程度,提升患者步行能力、生活能力。展开更多
Objective:To observe the clinical effect of combining acupuncture and functional training on post-stroke functional impairment of hand.Methods:A total of 165 cases who met the inclusion criteria were randomized into a...Objective:To observe the clinical effect of combining acupuncture and functional training on post-stroke functional impairment of hand.Methods:A total of 165 cases who met the inclusion criteria were randomized into a treatment group(85 cases)and a control group(80cases).Cases in the treatment group were treated with routine acupuncture points plus Shixuan(EX-UE 11)and Xiaohai(SI 8),whereas cases in the control group were treated with routine acupuncture points alone.After acupuncture,cases in both groups conducted functional training in upper limbs.The finger grip strength and hand function were assessed before and after 3-course treatment.Results:Cases in the treatment group obtained better finger grip strength and hand function than those in the control group(both P<0.05).Conclusion:In addition to functional training,adding Shixuan(EX-UE 11)and Xiaohai(SI 8)to traditional acupuncture formulae works better for post-stroke functional impairment of hand.展开更多
Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observati...Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. In addition to routine medical and rehabilitation treatment in both groups, balance training was used in the control group, versus combining tuina with balance training in the observation group. The therapeutic efficacies in two groups were evaluated using the Balance Subscale of the Fugl-Meyer Test (FM-B) before and after treatment. Results: After 3 courses of treatment, the FM-B scores were significantly improved in both groups (P<0.01); and there was statistical difference in FM-B scores between the two groups (P<0.05). Conclusion: Tuina manipulation of regulating the Governor Vessel can improve the balance function of stroke patients and benefit the patients' self-care abilities.展开更多
文摘目的:观察针刺结合康复训练治疗脑卒中后痉挛性足内翻的临床疗效。方法:选取2019年1月至2020年12月上海市长宁区天山中医医院收治的脑卒中后痉挛性足内翻患者120例,按照随机数字表法分为观察组与对照组,每组60例。对照组给予常规康复训练,观察组在对照组治疗的基础上给予针刺治疗。观察两组患者痉挛程度、临床疗效及治疗前后步行能力、生活能力变化情况。结果:观察组优良率为91.67%,对照组优良率为81.67%,观察组优良率高于对照组,差异有统计学意义(P<0.05);观察组痉挛程度优于对照组,差异有统计学意义(P<0.05);两组治疗后美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分低于治疗前,且观察组NIHSS评分低于对照组,差异有统计学意义(P<0.05);两组治疗后Holden步行功能分级、日常生活活动能力量表评分均高于治疗前,且观察组Holden步行功能分级、日常生活活动能力量表评分高于对照组,差异有统计学意义(P<0.05)。结论:脑卒中痉挛性足内翻患者给予针刺结合康复训练治疗能够降低痉挛程度,提升患者步行能力、生活能力。
基金supported by the Scientific Research Project of the Changning District Health Bureau(2006D4Y04002)
文摘Objective:To observe the clinical effect of combining acupuncture and functional training on post-stroke functional impairment of hand.Methods:A total of 165 cases who met the inclusion criteria were randomized into a treatment group(85 cases)and a control group(80cases).Cases in the treatment group were treated with routine acupuncture points plus Shixuan(EX-UE 11)and Xiaohai(SI 8),whereas cases in the control group were treated with routine acupuncture points alone.After acupuncture,cases in both groups conducted functional training in upper limbs.The finger grip strength and hand function were assessed before and after 3-course treatment.Results:Cases in the treatment group obtained better finger grip strength and hand function than those in the control group(both P<0.05).Conclusion:In addition to functional training,adding Shixuan(EX-UE 11)and Xiaohai(SI 8)to traditional acupuncture formulae works better for post-stroke functional impairment of hand.
基金supported by the Key Specialty Construction Project in the 12th Five-Year Plan of State Administration of Traditional Chinese Medicine of the People’s Republic of China
文摘Objective: To observe the effect of combining tuina with balance training on balance functions of stroke patients. Methods: A total of 120 cases who met the inclusion criteria were randomly allocated into an observation group and a control group. In addition to routine medical and rehabilitation treatment in both groups, balance training was used in the control group, versus combining tuina with balance training in the observation group. The therapeutic efficacies in two groups were evaluated using the Balance Subscale of the Fugl-Meyer Test (FM-B) before and after treatment. Results: After 3 courses of treatment, the FM-B scores were significantly improved in both groups (P<0.01); and there was statistical difference in FM-B scores between the two groups (P<0.05). Conclusion: Tuina manipulation of regulating the Governor Vessel can improve the balance function of stroke patients and benefit the patients' self-care abilities.
