补缓泻急法治疗中风偏瘫肌痉挛30例临床观察

目的运用补缓泻急法治疗与电针配合头针组治疗对中风偏瘫肌痉挛的疗效对比。方法将60例患者随机分为治疗组与对照组各30例。治疗组采用补缓泻急法针刺治疗,每日1次,治疗2周;对照组采用电针配合头针治疗,每日1次,治疗2周。结果 Ashworth量表显示治疗后治疗组评分为(2.19±0.7),疗效优于对照组为(2.75±0.81)(P<0.01);CSI痉挛指数显示治疗组为(8.31±1.57),明显优于对照组(9.86±0.81)(P<0.01)。2组较治疗前均有效。结论补缓泻急法治疗中风偏瘫肌痉挛疗效肯定,值得临床推广。

分析中药熏蒸治疗脑卒中偏瘫肌痉挛疗效观察

目的:观察与研究中药熏蒸治疗脑卒中偏瘫肌痉挛的临床治疗效果。方法:选取本院神经内科2016年3月至2017年3月接受治疗的56例脑卒中偏瘫肌痉挛患者,采用双盲法将56例患者平均分为观察组与对照组,每组各有患者28例,对照组患者施行常规康复治疗,观察组患者施行中药熏蒸治疗,采用Ashworth痉挛量表评定观察两组患者的临床治疗效果及整体运动功能评分。结果:对照组患者在接受治疗前MAS(整体运动功能评分)平均为(21.09±5.97)分,接受治疗后MAS平均为(29.67±6.11)分,观察组患者在接受治疗前MAS平均为(21.11±6.10)分,接受治疗后MAS平均为(36.10±9.21)分,观察组患者在接受中药熏蒸治疗后MAS评分明显优于对照组患者,差异明显P<0.05,观察组患者的治疗总有效率为89.29%,对照组患者的治疗总有效率为67.86%,观察组的治疗总有效率明显高于对照组患者P<0.05。结论:中药熏蒸治疗脑卒中偏瘫肌痉挛治疗效果显著,能有效提升患者的整体运动功能评分。

康复运动疗法治疗脑卒中后偏瘫肌痉挛的效果探析

目的探讨康复运动疗法治疗脑卒中后偏瘫肌痉挛的应用效果.方法选取该院2016年3月至2018年3月期间治疗的70例脑卒中后偏瘫肌痉挛患者为研究对象,均分为两组,对照组为常规中医推拿,观察组在对照组的基础上应用康复运动疗法,对比两组治疗情况.结果治疗后,两组的肢体运功功能、日常生活能力高于治疗前,神经功能缺损评分低于治疗前,观察组的肢体运功功能、日常生活能力高于对照组,神经功能缺损评分低于对照组,观察组的总有效率94.29%高于对照组的80.00%,统计学有意义（P〈0.05）.结论康复运动疗法治疗脑卒中后偏瘫肌痉挛的应用效果显著,症状得到改善,提高了治疗效果,值得应用.

低频神经肌肉电刺激辅助治疗老年脑卒中后偏瘫肌痉挛对肌张力恢复的影响

目的分析低频神经肌肉电刺激辅助治疗老年脑卒中后偏瘫肌痉挛患者对肌张力恢复的影响。方法收集180例老年脑卒中后偏瘫肌痉挛患者,根据治疗方法不同进行分组,对照组90例予以常规治疗,观察组90例予以低频神经肌肉电刺激辅助治疗,4 w后比较两组肌张力恢复效果、偏瘫侧下肢表面肌电图、周围神经电生理学及运动功能。结果治疗后,观察组改良Ashworth分级(MAS)水平明显优于对照组(P<0.05);观察组偏瘫侧下肢M波最大波幅(Mmax)、H波最大波幅(Hmax)及H波/M波最大波幅(H/Mmax)均明显低于对照组(P<0.001);观察组双侧腓总神经、胫神经的运动神经传导速度(MCV)与感觉神经传导速度(SCV)均明显快于对照组(P<0.001);观察组Fugl-Meyer系统运动功能评分明显高于对照组(P<0.001)。结论低频神经肌肉电刺激辅助治疗老年脑卒中后偏瘫肌痉挛患者的效果显著,不仅可促进肌张力恢复,改善偏瘫侧下肢表面肌电图、周围神经电生理学,而且还能促进患者运动功能提高。

电指针与补阳还五汤治疗偏瘫肌痉挛64例

脑血管意外是临床常见多发病,具有死亡率高、致残率高的特点,急性期后多导致一侧肢体的瘫痪。在中风偏瘫恢复的各个时期几乎都存在不同程度的肢体痉挛,痉挛状态严重影响了患者上下肢体的功能活动、日常生活活动的恢复和康复训练的进程。近年来,我们电指针穴位点压配合中药补阳还五汤加减内服,治疗64例脑血管意外偏瘫肢体肌痉挛患者,取得较好疗效,现报道如下。

筋膜手法治疗脑卒偏瘫肌痉挛的效果观察

目的探讨筋膜手法治疗脑卒中后偏瘫肌痉挛的效果。方法按照简单随机化法将我院2019年9月~2022年8月收治的86例脑卒中后偏瘫肌痉挛患者分组,对照组43例给予常规训练,观察组43例在常规训练基础上加入筋膜手法。对比两组患者的临床疗效、疼痛程度、运动功能、生活能力、痉挛指数以及生存质量。结果观察组总有效率高于对照组(P<0.05);与治疗前相比,治疗后两组疼痛程度评分均降低,观察组低于对照组,而运动功能评分均升高,且观察组高于对照组(P<0.05);与治疗前相比,治疗后两组痉挛指数评分均降低,观察组低于对照组,而生活能力评分均升高,且观察组高于对照组(P<0.05);与治疗前相比,治疗后两组生理、社会及心理功能评分均升高,观察组高于对照组(P<0.05)。结论与常规训练相比,筋膜手法治疗脑卒中后偏瘫肌痉挛可有效促进患者康复,提高患者生存质量、运动功能和生活能力,降低疼痛程度和痉挛程度,改善患者的预后。

整体康复护理对脑卒中导致偏瘫肢体肌痉挛恢复程度的效果观察

目的:分析整体康复护理对脑卒中导致偏瘫肢体痉挛恢复程度的应用价值。方法:选取2019年10月-2022年10月我院收治的58例脑卒中导致偏瘫肢体痉挛的患者为研究对象,根据随机数字表法将其分为试验组与对比组,各29例。试验组接受整体康复护理,对比组接受常规护理,比较2组患者的肢体功能、运动功能、日常生活能力、神经功能及睡眠质量。结果:试验组患者治疗总有效率高于对比组,差异有统计学意义(P<0.05);试验组患者vett6级分级、Fugl-Meyer评分、Barthel指数均高于对比组,组间差异有统计学意义(P<0.05);试验组患者美国国立卫生研究院卒中量表评分、匹兹堡睡眠质量指数评分均低于对比组,组间差异有统计学意义(P<0.05);试验组患者并发症发生率低于对比组,差异有统计学意义(P<0.05)。结论:整体康复护理应用于脑卒中导致偏瘫肢体痉挛患者,有助于其恢复程度的改善,获得了较为理想的护理效果。

电针配合补缓泻急法治疗中风肌痉挛性偏瘫的临床观察

目的:观察电针配合补缓泻急法治疗中风痉挛性偏瘫的临床疗效。方法:将100例中风痉挛性偏瘫的患者随机分为治疗组和对照组,每组各50例。对照组运用电针常规治疗。治疗组运用电针加补缓泻急法治疗,观察两组治疗前、治疗后4周Ashworth痉挛量表(ASS)和CS1评分的变化,并统计临床疗效。结果:与治疗前相比,治疗后两组ASS及CS1均降低(P <0.01),且治疗组明显优于对照组(P <0.01)。结论:电针配合补缓泻急法治疗中风痉挛性偏瘫,疗效显著,值得推广应用。

加服三阴柔筋汤治疗偏瘫肢体肌痉挛的疗效观察

目的:观察常规治疗配合三阴柔筋汤治疗中风后偏瘫肌痉挛疗效。方法:选取脑血管病导致偏瘫并伴有肌痉挛患者60例,随机分为治疗组30例,对照组30例。对照组予常规药物及运动疗法,治疗组在对照组基础上予口服三阴柔筋汤。观察周期为30天,比较两组治疗前后肱二头肌和股四头肌肌张力的变化。结果:治疗组肱二头肌组显效6例,有效20例,无效4例,总有效率86.67%;股四头肌组显效5例,有效21例,无效4例,总有效率86.67%。对照组肱二头肌组显效2例,有效18例,无效10例,总有效率66.67%;股四头肌组显效2例,有效17例,无效11例,总有效率63.33%。治疗组两组肌肉疗效均明显高于对照组(P<0.05)。结论:三阴柔筋汤口服配合运动疗法对缓解中风后偏瘫肌痉挛具有良好疗效。

自拟三阴柔筋汤治疗中风恢复期伴偏瘫肢体肌痉挛的临床研究

目的:对中风恢复期伴偏瘫肢体肌痉挛应用常规治疗以及常规治疗配合自拟三阴柔筋汤治疗后肢体肌力恢复情况进行分析。方法:选取2018年9月—2020年2月我院收治的45例中风恢复期并伴有偏瘫肢体肌痉挛的患者作为研究对象,通过随机数表法分为对照组(22例)及实验组(23例)。对照组采用常规药物以及运动康复疗法进行康复治疗。实验组在此基础上口服自拟三阴柔筋汤进行偏瘫肢体肌痉挛的中医针对性治疗。经过30 d的治疗观察周期,对比两组偏瘫侧肢体肌力恢复情况。结果:实验组治疗总有效率明显优于对照组,差异具有统计学意义(P<0.05);实验组治疗后上下肢肌力评分改善情况明显优于对照组,差异具有统计学意义(P<0.05)。结论:中风恢复期出现偏瘫肢体肌痉挛通过常规的药物治疗以及运动康复锻炼,同时配合自拟三阴柔筋汤进行治疗,肢体肌力恢复情况较好,值得临床推广。

解痉振瘫汤联合穴位刺络治疗脑卒中偏瘫肢体肌痉挛的疗效

目的 研究解痉振瘫汤联合穴位刺络治疗脑卒中偏瘫肢体肌痉挛疗效。方法 本次选择对象为2017年1月至2018年5月本院收治的脑卒中偏瘫肢体肌痉挛患者,根据电脑随机分配的原则分为对照组和观察组,分别行常规治疗和解痉振瘫汤联合穴位刺络治疗,比较两组治疗效果、日常生活能力和Barthel指数评分。结果 观察组脑卒中偏瘫肢体肌痉挛患者治疗总有效率为97.78%,对照组治疗总有效率为71.11%(P<0.05);观察组脑卒中偏瘫肢体肌痉挛患者日常生活能力为(76.65±1.20)分、Barthel指数(80.64±1.85)分,对照组分别为(43.68±1.06)分、(55.69±1.84)分,两组间相比较,均P<0.05。结论 解痉振瘫汤联合穴位刺络治疗脑卒中偏瘫肢体肌痉挛疗效十分显著,且能够提升患者日常生活能力,值得推广。

冲击波治疗结合康复训练对偏瘫上肢肌痉挛的疗效观察

目的:分析探讨偏瘫上肢肌痉挛治疗过程中给予冲击波治疗结合康复训练的临床治疗效果。方法:选取2017年1月~2019年12月我院收治的80例偏瘫上肢肌痉挛患者,随机分为观察组(40例)和对照组(40例)。观察组给予冲击波治疗结合康复训练治疗,对照组给予冲击波治疗(常规康复训练),对比两组患者的手临床治疗效果、治疗前后的患侧上肢屈肌痉挛MAS评级、Barthel上肢功能评分、Fugl-Meyer上肢运动功能评分和神经功能缺损程度。结果:观察组患者的临床治疗总有效率明显高于对照组(P<0.05);观察组患者治疗后的患侧上肢屈肌痉挛MAS评级Ⅰ级所占比例明显高于对照组,Ⅱ级和Ⅲ级所占比例明显低于对照组(P<0.05);观察组患者治疗后的Barthel上肢功能评分和Fugl-Meyer上肢运动功能评分均高于对照组(P<0.05);,观察组患者治疗后的神经功能缺损程度低于对照组(P<0.05)。结论:在偏瘫上肢肌痉挛治疗中应用冲击波治疗结合康复训练的治疗效果更好,能有效改善患者的治疗效果和痉挛情况,有利于患者上肢功能的恢复,减少神经功能缺损,提升患者的生活质量,值得推广应用。

针灸治疗痉挛性偏瘫临床选穴规律探析

目的运用数据挖掘技术探索针灸治疗痉挛性偏瘫的临床应用规律。方法运用《中医针灸信息库》、中国期刊全文数据库、重庆维普数据库、万方学术期刊全文数据库对1954年至2018年针灸治疗痉挛性偏瘫的临床文献进行检索,应用《中医针灸信息库》内相关分析软件进行计量分析,SPSS23.0进行聚类分析,Clementine12.0进行关联规则分析。结果应用频次最高的穴位依次为合谷、曲池、肩髃、外关、足三里、阳陵泉;应用频次最高的经络为手阳明大肠经和足阳明胃经;应用频次最高的治疗方法是针刺和针康结合;关联规则分析发现支持度最高的关联群为阳陵泉、足三里、外关、肩髃、曲池和合谷,此6穴均为拮抗肌附着部穴位;聚类分析结果显示穴组可分为3类,合谷、曲池、外关、手三里、肩髃、足三里、阳陵泉、太冲、解溪归为第一类,此9穴均为拮抗肌附着部穴位;极泉、尺泽、内关、三阴交、委中归为第二类,太溪单独归为第三类。结论针灸治疗痉挛性偏瘫以阳经选穴为主,以拮抗肌选穴为多,治疗方法上以针刺、针康结合治疗为主。

Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke

Objective： To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life （QOL） of patients with spastic hemiplegia after ischemic cerebral stroke. Methods： Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale （MAS） was used to measure the anti-spasm ability of the lower limb, the Berg balance scale （BBS） was adopted to evaluate the balance function, and the stroke-specific quality of life scale （SS-QOL） was employed to estimate the QOL. Results： After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 1-month, B-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group （all P〈0.05）. Conclusion： Warm joint needling plus rehabilitation can effectively improve the lower-limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral stroke.

Applying tuina to exterior-interiorly connected meridians for post-stroke upper limb spasticity

Objective： To observe the effect of applying tuina to exterior-interiorly connected meridians for post-stroke upper limb spasticity. Methods： A total of 150 patients with post-stroke upper limb spasticity were randomly allocated into a treatment group （n=75） and a control group （n=75） by the random number table. Patients in the treatment group received tuina on exterior-interiorly connected meridians, whereas patients in the control group received standard rehabilitation therapy. The therapeutic efficacies in both groups were observed after 3 weeks of treatment. Results： The total effective rate in the treatment group was 89.3%, versus 61.3% in the control group, showing a statistically significant difference （P〈0.05）. After the treatment, the muscle tones by the modified Ashworth scale （MAS） were significantly improved in both groups （both P〈0.05）; and the improvement of muscle tone was more significant in the treatment group than that in the control group （P〈0.05）. Conclusion： Applying tuina to exterior-interiorly connected meridians can obtain an exact efficacy for post-stroke upper limb spasticity.

Clinical observation on acupuncture plus motor therapy for postapoplectic spastic hemiplegia

Objective： To observe the clinical efficacy of acupuncture plus motor therapy for postapoplectic spastic hemiplegia and provide reference for rehabilitation care of patients with spastic hemiplegia after stroke. Methods： A total of 87 cases with postapoplectic spastic hemiplegia were randomly allocated into a treatment group and a control group. Patients in both groups received basic treatments to control blood pressure, blood sugar, blood fat and improve circulation. The 43 cases in the treatment group received acupuncture combined with motor therapy, whereas the 44 cases in the control group received motor therapy alone（same as the treatment group）. The treatment was conducted once a day, for a total of 3 sessions. One session consisted of 10 times and there was a 1-day interval between two sessions. Then the changes in modified Ashworth scale（MAS） score and Fugl-Meyer assessment scale（FMA） score and clinical efficacy were observed. Results： After treatment, the MAS scores were significantly decreased in both groups, showing intra-group statistical differences（P〈0.01）. The MAS score in the treatment group was significantly lower than that in the control group, showing a between-group statistical difference（P〈0.01）. The total effective rate was 69.8% in the treatment group, versus 45.5% in the control group, showing a between-group statistical difference（P〈0.05）. After treatment, the FMA scores were significantly increased in both groups, showing intra-group statistical differences（P〈0.01）; and the FMA score in the treatment group was significantly higher than that in the control group, showing a between-group statistical difference（P〈0.05）. Conclusion： Acupuncture combined with motor therapy is better than motor therapy alone in alleviating postapoplectic limb spasticity, improving the limb motor function and increasing the activities of daily living（ADL）.

Clinical observation of tuina plus rehabilitation therapy for lower limb extensor spasticity in recovery stage of stroke

Objective: To observe the clinical efficacy of traditional tuina plus modern rehabilitation in the treatment of lower limb extensor spasticity during stroke recovery. Methods: A total of 93 stroke patients who met the inclusion criteria were randomly divided into an observation group and a control group. Forty-four patients in the observation group were treated with traditional tuina plus modern rehabilitation, and 49 patients in the control group were treated with modern rehabilitation. The modified Ashworth scale (MAS), the Fugl-Meyer assessment scale (FMA) and the modified Barthel index (MBI) were used to evaluate the knee extensors state, lower limb motor function and activities of daily living (ADL) of the two groups. Results: After treatment, the overall efficacy of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the MAS scores of both groups were significantly lower, FMA and MBI scores were significantly higher, and the differences were statistically significant in each group (P<0.01). After treatment, the MAS score of the observation group was lower than that of the control group, and the differenee between the groups was statistically significant (P<0.01). The MBI score of the observation group was higher than that of the control group, and the differenee between the two groups was statistically significant (P<0.05). There were significant differences in the post-treatment changes in MAS, FMA and MBI scores between the two groups (all P<0.05). Conclusion: Traditional tuina plus modern rehabilitation therapy can effectively alleviate or prevent lower limb extensor spasticity after stroke, and improve limb mobility and ADL. Hence, it is worthy of clinical promotion.

Clinical observation on muscle regions of meridians needling method in improving upper limb function for children with cerebral palsy of spastic hemiplegia type

Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.

Clinical observation on acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction

Objective To observe the clinical efficacy of acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction.Methods A total of 100 patients were randomized into a control group and an observation group,with 50 cases in each group.Both groups were treated with the same conventional internal medicine and rehabilitation training.The control group was treated with additional acupoint pressure therapy,and the observation group was treated with long-snake moxibustion on the basis of the treatment given to the control group.The Ashworth grade,Fugl-Meyer assessment upper limb scale(FMA-UL)and Barthel index(BI)were evaluated,and the root mean square(RMS)values of biceps brachii and flexor carpi radialis on the affected side were measured before and after treatment.The efficacy was evaluated after treatment.Results After treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the Ashworth grade of the observation group was superior to that of the control group(P<0.05).The scores of FMA-UL and BI in both groups increased compared with those before treatment(all P<0.05),and the scores of FMA-UL and BI in the observation group were higher than those in the control group(both P<0.05).The RMS values of biceps brachii and flexor carpi radialis in both groups decreased compared with those before treatment(all P<0.05),and the RMS values of biceps brachii and flexor carpi radialis in the observation group were lower than those in the control group(both P<0.05).Conclusion Based on conventional internal medicine and rehabilitation training,acupoint pressure plus long-snake moxibustion has great therapeutic efficacy for upper-limb spastic hemiplegia after cerebral infarction.It can improve the degree of spasticity of the affected upper limb,reduce the muscle tone of biceps brachii and flexor carpi radialis on the affected side,and enhance the mobility of the affected limb and the activities of daily living.