小针刀疗法联合超声引导下冲击波治疗中风后肢体痉挛的效果及对患者肌张力、运动功能的影响  

Effect of small needle scalpel therapy combined with ultrasound-guided shockwave therapy on limb spasm after stroke and influence on muscle tension and motor function of patients

作　　者：廖越 刘继生 兰彩虹 刘明辉 吴宝贤 LIAO Yue;LIU Jisheng;LAN Caihong;LIU Minghui;WU Baoxian(Department of Acupuncture and Rehabilitation,the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang,550003,China)

机构地区：[1]贵州中医药大学第二附属医院针灸康复科,贵州贵阳550003

出　　处：《中国当代医药》2023年第4期149-152,共4页China Modern Medicine

摘　　要：目的探讨小针刀疗法联合超声引导下冲击波治疗中风后肢体痉挛的效果及对患者肌张力、运动功能的影响。方法选取2021年10月至2022年5月贵州中医药大学第二附属医院针灸康复科的60例中风后肢体痉挛患者作为研究对象,采用随机数字表法将其分成对照组(n=30)和观察组(n=30)。对照组患者采用小针刀疗法,观察组患者采用小针刀疗法联合超声引导下冲击波治疗。比较两组患者的疗效、肌张力及运动功能。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组治疗前的改良Ashworth评分(MAS)比较,差异无统计学意义(P>0.05);两组治疗后的MAS分值均低于治疗前,差异有统计学意义(P<0.05);观察组治疗21 d后的MAS分值低于对照组,差异有统计学意义(P<0.05)。两组治疗前的简式肢体运动功能(FMA)评分比较,差异无统计学意义(P>0.05);两组治疗后的FMA评分均高于治疗前,差异有统计学意义(P<0.05);观察组治疗21 d后的FMA分值高于对照组,差异有统计学意义(P<0.05)。结论联合小针刀以及超声引导下冲击波对中风后肢体痉挛进行治疗,能够有效改善患者的肌张力、运动功能,疗效显著。Objective To investigate the effect of small needle scalpel therapy combined with ultrasound-guided shock wave on limb spasm after stroke and its influence on muscle tension and motor function of patients.Methods A total of 60 patients with limb spasm after stroke in the Department of Acupuncture and Rehabilitation,the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from October 2021 to May 2022 were selected as the research objects.They were divided into control group(n=30)and observation group(n=30)by random number table method.The control group was treated with small meedle scalpel therapy.The observation group was treated with small needle scalpel therapy combined with ultrasound-guided shock wave therapy.The efficacy,muscle tension and motor function of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in modified Ashworth score(MAS)between the two groups before treatment(P>0.05).MAS scores after treatment were lower than before treatment,and the differences were statistically significant(P<0.05).MAS score of the observation group was lower than that of the control group after 21 days of treatment,and the difference was statistically significant(P<0.05).There was no significant difference in Fugl-Meyer assessment(FMA)scores between the two groups before treatment(P>0.05).The FMA scores of the two groups were higher after treatment than before treatment,the differences were statistically significant(P<0.05).The FMA score of the observation group was higher than that of the control group after 21 days of treatment,and the difference was statistically significant(P<0.05).Conclusion Combined with small needle scalpel and ultrasound-guided shock wave for the treatment of limb spasm after stroke can effectively improve the muscle tension and motor function of patients,with significant efficacy.

关 键 词：小针刀 超声 冲击波 中风后肢体痉挛 疗效 肌张力 运动功能 

分 类 号：R255.2[医药卫生—中医内科学]