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张力平衡针法对脑卒中痉挛状态肢体运动功能及表面肌电的影响 预览

Effects of Tension Balance Acupuncture on Limb Motion Function and Surface EMG in Stroke Spastic State
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摘要 目的:评价张力平衡针法对脑卒中痉挛状态患者肢体运动功能及表面肌电的影响。方法:选取2016年1月至2018年12月湖南中医药大学第一附属医院收治的脑卒中痉挛状态患者60例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组30例,观察组采用张力平衡针刺疗法,对照组采用常规针刺疗法,2组针刺治疗10次为1个疗程,并观察2个疗程。比较2组治疗前后的改良Ashworth痉挛量表(MAS)、Fugl-Meyer运动功能(F-M)评分、NDS整体评分、总体临床疗效及表面肌电测试RMS值。结果:1)观察组总有效率为86. 67%,对照组总有效率为73. 33%,2组疗效比较,差异无统计学意义(P> 0. 05)。2)治疗后,2组MAS的评分均有明显降低,差异有统计学意义(P <0. 05);治疗后组间比较,观察组MAS的评分较对照组有明显降低,差异有统计学意义(P <0. 05)。3) 2组均能有效改善脑卒中痉挛状态患者的简化F-M评分;与治疗前比较,2组治疗后简化F-M评分均有不同程度的升高,差异有统计学意义(P <0. 01);观察组治疗后改善F-M评分优于对照组,观察组的简化F-M评分在治疗后高于对照组,差异有统计学意义(P <0. 01)。4)观察组治疗后NDS整体评分低于对照组,差异有统计学意义(P <0. 05);与治疗前较,2组治疗后NDS整体评分均有不同程度的降低,差异有统计学意义(P <0. 05),2种治疗方法均能改善NDS整体评分,且观察组于整体临床神经功能缺损程度方面优于对照组。5)与治疗前比较,2组治疗后肱二头肌、股四头肌RMS值均有不同程度的降低,差异有统计学意义(P <0. 05),且观察组治疗后肱二头肌、股四头肌RMS值低于对照组,差异有统计学意义(P <0. 05),2种治疗方法均能改善肱二头肌、股四头肌RMS值,且观察组优于对照组。结论:1)张力平衡针法和常规针刺法治疗脑卒中痉挛状态疗效良好。2)张力平衡针法和常规针刺法均能降低神经功能缺损的影响 Objective: To evaluate the effects of tension balance needling on limb motor function and surface electromyography in patients with spastic state of stroke. Methods: A total of 60 patients with spastic state of stroke were included from the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from January 2016 to December 2018,and randomly divided into observation group( 30 cases) and control group( 30 cases). In the 2 groups,a course of treatment consisted of 10 times of acupuncture treatment,and 2 courses of treatment were observed. Before and after treatment,the Modified Ashworth Spasm Scale( MAS),Fugl-Meyer Motor Function( F-M) score,NDS overall score,overall clinical efficacy and RMS value of surface electromyography were compared between the 2 groups. Results: 1) The total effective rate of the observation group was 86. 67%,and that of the control group was 73. 33%. The curative effects of the 2 groups were compared( P > 0. 05). 2) After treatment,the scores of MAS in both groups were significantly decreased( P < 0. 05);after treatment,the score of MAS in the observation group was significantly lower than that in the control group( P < 0. 05). 3) The simplified F-M score of patients with spastic state of stroke in both groups can be effectively improved. Compared with the simplified F-M score before treatment,the score of the 2 groups increased in different degrees after treatment( P < 0. 01). The improved F-M score of the observation group was better than that of the control group after treatment,and the simplified F-M score of the observation group was higher than that of the control group after treatment( P <0. 05). 4) After treatment,the overall score of NDS in the observation group was lower than that in the contrl group( P < 0. 05);compared with before treatment,the overall score of NDS in the 2 groups decreased in varying degrees after treatment( P < 0. 05).Both treatments could improve the overall score of NDS,and the observation was superior to the control group in terms of
作者 余兆安 刘民权 潘江 叶晓红 常小荣 章薇 Yu Zhaoan;Liu Minquan;Pan Jiang;Ye Xiaohong;Chang Xiaorong;Zhang Wei(Department of Acupuncture and Massage,the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,China;Department of Acupuncture and Moxibustion,Changsha Hospital of Traditional Chinese Medicine,Changsha 410007,China)
出处 《世界中医药》 CAS 2019年第3期531-535,共5页
基金 湖南省中医药科研计划项目(201959) 湖南省科技创新平台与人才计划项目(2017RS3052)——石学敏院士专家工作站 国家中医药管理局“湖湘五经配伍针推学术流派”传承工作室建设项目(LP0118041).
关键词 脑卒中痉挛状态 张力平衡针法 表面肌电 脑卒中 运动功能 Spastic state of stroke Tension balance acupuncture Surface electromyography Stroke Motion function
作者简介 余兆安(1982.12—),男,硕士,主治医师,研究方向:针灸治病机理与临床,E-mail:125184382@qq.com;通信作者:章薇(1963.07—),女,医学博士,教授,主任医师,博士研究生导师,研究方向:针灸治疗疾病的临床及机理研究,E-mail:507395550@qq.com;通信作者:常小荣(1956.06—),女,学士,教授,博士研究生导师,研究方向:针灸治病机理的研究,E-mail:xrchang1956@163.com
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