运动疗法结合“丘墟透照海”刺法治疗偏瘫后足内翻的临床观察  

Clinical observation on treating hemiplegia strephenopodia by kinesiotherapy combined with the acupuncture therapy of “Qiuxu Tou Zhaohai”

作　　者：陈伟[1] 王井妹[1] 肖燕平[1] 朱聪[1] 

机构地区：[1]江西赣南医学院第一附属医院,江西赣州341000

出　　处：《中医临床研究》2013年第7期39-40,42,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察运动疗法结合"丘墟透照海"刺法治疗偏瘫后足内翻的临床疗效。方法:57例脑外伤、卒中等中枢神经系统损伤患者随机分为治疗组(28例)和对照组(29例);治疗组采用运动疗法结合"丘墟透照海"刺法,对照组仅采用与治疗组相同的运动疗法。比较在治疗前后的改良Ashworth量表评定肌张力,按粗大运动功能量表(GMFM)中的D和E两项及步行速度评价步行能力。结果:MAS评分治疗后5周组间差异有统计学意义(P<0.05)。GMFM评分治疗后5周组间差异有统计学意义(P<0.05)。步行速度治疗后5周组间差异有统计学意义(P<0.05)。结论:运动疗法结合"申脉透照海"刺法治疗偏瘫后足内翻疗效优于单纯运动疗法,可以更好改善偏瘫后足内翻患者的肌张力、足内翻步行能力。Objective： To observe the clinical effects ofkinesiotherapy combined with ＂Qiuxu Tou Zhaohai＂ acupuncture therapy in treating hemiplegia strephenopodia. Methods： 57 patients were randomly divided into 2 groups： treatment group （28 cases） and control group （29 cases）, Treatment group were treated with kinesiotherapy in combination with acupuncture therapy, control group were treated with the same kinesiotherapy only. The muscle tone of all patients was assessed by the modified ashworth scale. The ability of walking was assessed by D and E dimensions of the gross motor function measure（GMFM）and paients＇ walking velocity （WV）. Results： After 5 weeks＇ treatment, there was a significant difference （P〈0.05） on MAS, GMFM and WV in the two groups. Conclusion： The efficacy of kinesiotherapy combined with acupuncture therapy in treating hemiplegia strephenopodia was better than that in pure kinesiotherapy which could greatly improve the patients＇ ability of muscle tension and walking ability.

关 键 词：运动疗法 “丘墟透照海”刺法 足内翻 中枢神经系统损伤 

分 类 号：R442.6[医药卫生—诊断学]