神经药理学报

神经药理学报 ›› 2023, Vol. 13 ›› Issue (3): 45-.DOI: 10.3969/j.issn.2095-1396.2023.03.007

• 研究论文 • 上一篇    下一篇

醒脑开窍针刺法联合康复训练治疗脑卒中患者上肢痉挛性偏瘫的临床疗效观察

刘红杰，皮天龙，荣铁成   

  1. 张家口市第二医院，张家口，075000，中国
  • 出版日期:2023-06-26 发布日期:2024-05-09
  • 通讯作者: 荣铁成，主治医师；研究方向：脑血管病的早期康复治疗
  • 作者简介:刘红杰，硕士研究生，主治医师；研究方向：中西医结合防治风湿骨病研究；E-mail：505173170@qq.com
  • 基金资助:
    河北省中医药管理局项目（No.2022530）；张家口市卫生局项目（No.1521036D）

Clinical Observation on Upper Limb Spastic Hemiplegia After Stroke by Using Xingnao Kaiqiao Needling and Rehabilitation

LIU Hong-jie, PI Tian-long, RONG Tie-cheng   

  1. NO.2 Hospital of Zhangjiakou, Zhangjiakou, 075000, China
  • Online:2023-06-26 Published:2024-05-09
  • Contact: 荣铁成，主治医师；研究方向：脑血管病的早期康复治疗
  • About author:刘红杰，硕士研究生，主治医师；研究方向：中西医结合防治风湿骨病研究；E-mail：505173170@qq.com

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摘要：

目的：观察醒脑开窍针刺法联合康复训练治疗脑卒中后上肢痉挛性偏瘫的临床疗效。方法：将入选的90例脑卒中后上肢痉挛性偏瘫患者按照随机数字表法随机分为A组、B组和C组，分别采用康复训练治疗、康复训练联合抗痉挛药物和康复训练联合醒脑开窍针刺法。治疗前、治疗后，采用改良Ashworth量表(MAS)、Fugl-Meyer上肢功能评定(FMA)及改良Barthel指数(MBI)进行评定。结果：治疗4周后，B、C组患者上肢肌张力较治疗前显著降低，日常生活活动能力、上肢运动功能较治疗前均有提高(P<0.05)，其中C组疗效显著 ，但B组、C组在降低肌张力方面疗效相当(P >0.05)。结论：醒脑开窍针刺法联合康复训练可进一步改善脑卒中后患者上肢痉挛、运动功能和日常生活活动能力。

关键词: 脑卒中, 上肢痉挛性偏瘫, 醒脑开窍针刺法, 康复训练

Abstract:

Objective：To observe the effects of xingnao kaiqiao needling and rehabilitation on upper limb spastic hemiplegia after stroke. Methods: 1. 90 patients with upper limb spastic hemiplegia after stroke were randomly divided into group A, B and C, according to the random number table method. They were treated with rehabilitation training, rehabilitation training combined with anti-convulsion drugs and rehabilitation training xingnao kaiqiao needling. The modified Ashworth scale (MAS), Fugl-Meyer upper limb function assessment (FMA) and modified Barthel index (MBI) were used before and after treatment. Results: After 4 weeks of treatment, the muscle tone of upper limbs in group B and C was significantly lower than that before treatment, and the activities of daily living and motor function of upper limbs were improved (P<0.05), the effect of group C was significant. But group B and group C have similar effect in reducing muscle tension. (P>0.05). Conclusion: xingnao kaiqiao needling combined with rehabilitation training can improve the spasticity, motor function and activities of daily living of patients with upper limb spastic hemiplegia after Stroke.

Key words: cerebral stroke, upper limb spastic hemiplegia, xingnao kaiqiao needling, rehabilitation