防痉挛针刺法联合运动再学习疗法对脑卒中患者肌张力及运动功能的影响  

Effect of Antispasmodic Acupuncture Combined with Exercise Relearning Therapy on Muscle Tone and Motor Function in Patients with Cerebral Stroke

作　　者：冯赵慧子 刘培培[2] 幸小玲[1] FENG Zhaohuizi;LIU Peipei;XING Xiaoling(Ganzhou People’s Hospital,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市人民医院,江西赣州341000 [2]赣南医学院第一附属医院

出　　处：《中国医学创新》2020年第32期79-82,共4页Medical Innovation of China

摘　　要：目的:探究防痉挛针刺法联合运动再学习疗法对脑卒中患者肌张力及运动功能的影响。方法:选取2017年9月-2019年11月本院收治的脑卒中患者80例,按照随机数字表法分为对照组和观察组,各40例。对照组给予运动再学习疗法,观察组在对照组基础上联合防痉挛针刺法。对比两组干预前后肌张力、运动功能及日常生活活动能力评分。结果:干预后,观察组下肢CSS评分为(4.28±0.69)分,低于对照组的(7.84±0.76)分,且两组评分与干预前比较均降低,差异均有统计学意义(P<0.05)。干预后,观察组上肢MAS评分为(13.72±2.06)分、下肢MAS评分为(25.83±3.19)分,均高于对照组的(11.08±2.11)、(22.09±3.45)分,且两组评分与干预前比较均升高,差异均有统计学意义(P<0.05)。干预后,观察组ADL评分为(78.93±5.72)分,高于对照组的(69.72±5.34)分,且两组评分与干预前比较均升高,差异均有统计学意义(P<0.05)。结论:防痉挛针刺法联合运动再学习疗法可有效恢复患者肌张力及运动功能,有助于提高患者日常生活能力,值得临床推广应用。Objective:To explore the effect of antispasmodic acupuncture combined with exercise relearning therapy on muscle tone and motor function in patients with cerebral stroke.Method:A total of 80 stroke patients admitted to our hospital from September 2017 to November 2019 were selected,they divided into control group and observation group according to the random number table method,with 40 patients in each group.The control group was given exercise relearning therapy,the observation group was combined with antispasmodic acupuncture on the basis of the control group.The scores of muscle tone,motor function and activities of daily living before and after intervention were compared between the two groups.Result:After intervention,the lower limb CSS score of the observation group was(4.28±0.69)scores,which was lower than(7.84±0.76)scores of the control group,the scores of both groups were lower than those before intervention,the differences were statistically significant(P<0.05).After intervention,the MAS scores of upper limb and lower limb in the observation group were(13.72±2.06),(25.83±3.19)scores,both of which were higher than(11.08±2.11),(22.09±3.45)scores of the control group,the scores of both groups were increased compared with those before intervention,with statistically significant differences(P<0.05).After intervention,the ADL score of the observation group was(78.93±5.72)scores,higher than(69.72±5.34)scores of the control group,the scores of both groups were increased compared with those before intervention,the differences were statistically significant(P<0.05).Conclusion:Antispasmodic acupuncture combined with exercise relearning therapy can effectively restore patients’muscle tone and motor function,it’s helpful to improve patients’daily life ability,which is worthy of clinical promotion and application.

关 键 词：脑卒中 防痉挛针刺法 运动再学习疗法 肌张力 运动功能 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]