 |
巨刺法结合持续静力牵张治疗中风后肌张力增高的临床观察 |
|
| 巨刺法结合持续静力牵张治疗中风后肌张力增高的临床观察 |
|
|
|
|
作者：倪克锋，骆燕宁，王延武，葛芳，陈顺喜，楚佳梅，朱国祥
【摘要】 ：［目的］观察巨刺法结合持续静力牵张对中风患者肢体肌张力增高的临床疗效。［方法］将80例脑卒中后肌张力增高患者随机分为4组，巨刺法结合持续静力牵张组，巨刺法组，持续静力牵张组，传统针刺法。Ashworth和FMA评价4组方法对中风后高肌张力状态和肢体运动功能的影响。［结果］4种方法均能改善中风后患者的高肌张力状态，其中巨刺法结合持续静力牵张效果最好；巨刺法和持续静力牵张的效果相仿；传统针刺法效果最差。［结论］巨刺法和持续静力牵张均能显著改善脑卒中后的高肌张力状态，其疗效优于传统针刺法；巨刺法结合持续静力牵张有更好的降肌张力疗效。
【关键词】 巨刺法；持续静力牵张；脑血管意外；高肌张力；Ashworth评分
Abstract: ［Objective］To observe the effect of opposing needling accompanying continual static stretch(CSS) on highspasticity poststroke.［Methods］80 patients with high spasticity poststroke were randomly divided into four groups.A group: treated with opposing needling accompanying CSS；B group: treated with opposing needling；C group: treated with CSS；D group: acupoints selected from antispasm muscle.The therapeutic effect of the four methods was evaluated on proving spasm degree and motor function.［Results］Four methods had effect on high muscle tension in patients poststroke.The marks of Ashworth scale and FuglMeyer scale of the four groups had remarkable difference (P＜0.01).The therapy of A group has the best recuperative effect；B group’s and C group’s have better effect than D group’s.［Conclusion］Opposing needling accompanying CSS has effect on high spasticity and motor function in apoplectic hemiplegia.The recuperative effect of opposing needling accompanying CSS is superior to either only opposing needling or only CSS treatment；the recuperative effect of either opposing needling or CSS is superior to routine oneside acupuncture treatment on improving high muscle tension.
Key words：opposing needling；continual static stretch；cerebral vascular accident；spasm；Ashworth mark
脑卒中的发病率、致残率、病死率、复发率都很高，严重危害人类生命和健康。国内资料统计表明：脑卒中后80%～90%的患者都有肌张力障碍［1］。肌张力异常升高制约肢体运动功能的恢复，日常生活能力明显下降，严重影响患者的生活质量。而药物和手术的疗效并不理想，且不良反应多。本研究对脑卒中后肢体高肌张力状态患者采用巨刺法结合持续静力牵张治疗进行临床疗效观察，报告如下。 [1] [2] [3] 下一页 |
|
|
| |
|
上一个论文： 颈源性眩晕推拿治验
下一个论文： 推拿治疗小儿肌性斜颈32例临床体会 |
|
用户登录 
新用户注册