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针刺结合现代康复运动疗法在上肢痉挛模式脑血管疾病患者中的应用效果

Application effect of acupuncture and modern rehabilitation exercise therapy in the cerebral vascular disease of upper limb with spasmodic pattern
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摘要 目的评价针刺结合现代康复运动疗法在上肢痉挛模式脑血管疾病患者中的应用效果。方法选择2018年1月~2019年6月就诊于黑龙江中医药大学附属第二医院针灸二科门诊及住院患者中存在痉挛模式的脑血管病患者50例,采用随机数字表法将其分为治疗组及对照组,每组各25例。对照组采用盐酸乙哌立松片结合现代康复运动疗法,治疗组采用针刺结合现代康复运动疗法。比较治疗前后两组患者改良Ashworth量表及肌力评估量表的评价结果。结果与治疗前比较,治疗后两组改良Ashworth量表评分、肌力量表评估结果差异均有统计学意义(均P<0.05);治疗后两组改良Ashworth量表评分、肌力量表评估差异均有统计学意义(均P<0.05);治疗后治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。结论针刺结合现代康复运动疗法及盐酸乙哌立松片结合现代康复运动疗法对脑血管病患者患侧上肢痉挛模式均有改善,但针刺治疗结合现代康复运动疗法对脑血管病患者患侧上肢痉挛模式的效果显著。 Objective To evaluate the effect of acupuncture combined with modern rehabilitation exercise therapy in patients with cerebral vascular disease of upper limb spasmodic cerebrovascular disease.Mothods From January 2018 to June 2019,a total of 50 cases of cerebrovascular patients with spasm pattern admitted to Department of the Second Acupuncture and Moxibustion,the Second Affiliated Hospital,Heilongjiang University of Chinese Medicine were selected and they were divided into treatment group and control group by random number table method,with 25 cases in each group.The control group was treated with Eperisone Hydrochloride Tablets combined with modern rehabilitation exercise therapy,while the treatment group was treated with acupuncture combined with modern rehabilitation exercise therapy.The results of modified Ashworth scale and muscle strength scale were compared between the two groups before and after treatment.Results Compared with before treatment,there were statistically significant differences in the scores of modified Ashworth scale and muscle strength scale between the two groups after treatment(all P<0.05).After treatment,there were statistically significant differences in the scores of the modified Ashworth scale and the muscle strength scale between the two groups(all P<0.05).After treatment,the total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with modern rehabilitation exercise therapy and Eperisone Hydrochloride Tablets combined with modern rehabilitation exercise therapy can improve the spasm mode of upper limb on the affected side of cerebrovascular patients,but the effect of acupuncture combined with modern rehabilitation exercise therapy on the affected side of upper limb spasm mode of cerebrovascular patients is significant.
作者 张倩 秦海 宋英楠 高丽娟 ZHANG Qian;QIN Hai;SONG Yingnan;GAO Lijuan(Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150040,China;the Second Ward of Acupuncture and Moxibustion,the Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China;Department of Rheumatism,the First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150000,China)
出处 《中国医药导报》 CAS 2020年第8期152-155,159共5页 China Medical Herald
基金 黑龙江中医药管理局基金项目(ZHY18-084) 国家中医药管理局全国名老中医药专家传承工作室建设项目。
关键词 针刺 现代康复康复运动疗法 改良Ashworth量表 痉挛模式 Acupuncture Modern rehabilitation exercise therapy Modified Ashworth scale Spasmodic pattern.
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