针刺联合运动疗法治疗脑卒中下肢痉挛临床分析  

Clinical analysis of acupuncture combined with exercise therapy in the treatment of stroke and lower extremity spasm

作　　者：邱志茹[1] 王军杰[1] 张晓艳 王昆[1] 王梦杰 QIU Zhiru;WANG Junjie;ZHANG Xiaoyan;WANG Kun;WANG Mengjie(Zhengzhou First People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第一人民医院,河南郑州450000

出　　处：《中国实用神经疾病杂志》2022年第11期1401-1405,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析针刺联合运动疗法治疗脑卒中下肢痉挛临床效果。方法选取郑州市第一人民医院70例脑卒中下肢痉挛患者,随机分为对照组和研究组各35例,对照组给予运动疗法,研究组给予针刺联合运动疗法。采用改良Ashworth痉挛评定量表(MAS)、Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)评估下肢痉挛、下肢运动功能、生活自理能力,比较2组治疗前、治疗4周、治疗8周、治疗12周的MAS、FMA、MBI评分,以及临床治疗疗效。结果治疗4周、8周、12周2组MAS评分与本组治疗前比较均降低(P<0.05),FMA、MBI评分与本组治疗前比较均升高(P<0.05);治疗8周、12周2组MAS评分与本组治疗4周比较均降低(P<0.05),FMA、MBI评分与本组治疗4周比较均升高(P<0.05);治疗12周2组MAS评分与本组治疗8周比较均降低(P<0.05),FMA、MBI评分与本组治疗8周比较均升高(P<0.05);治疗4周、8周、12周研究组MAS评分与对照组比较明显较低(P<0.05),FMA、MBI评分与对照组比较明显较高(P<0.05)。研究组临床治疗总有效率为91.43%,与对照组的71.43%比较明显较高(P<0.05)。结论针刺联合运动疗法治疗脑卒中下肢痉挛,可有效提高下肢功能和生活自理能力,提高治疗疗效。Objective To analyze the clinical effect of acupuncture combined with exercise therapy on stroke and lower extremity spasm.Methods A total of 70 stroke patients with lower extremity spasm were selected and divided into 35 cases in the control group and 35 cases in the research group.The control group was given exercise therapy,and the research group was given acupuncture combined with exercise therapy.Modified Ashworth Spasticity Scale(MAS),Fugl-Meyer Assessment Scale(FMA),and Modified Barthel Index(MBI)were used to evaluate lower extremity spasticity,lower extremity motor function,and self-care ability.The two groups were compared before treatment,after 4 weeks of treatment,and after treatment.MAS,FMA,MBI scores of 8weeks and 12 weeks of treatment,and clinical treatment efficacy.Results After 4 weeks,8 weeks,and 12weeks of treatment,the MAS scores of the two groups were decreased compared with those before treatment in this group(P<0.05),and the FMA and MBI scores were increased compared with those before treatment in this group(P<0.05).At 12 weeks,the MAS scores of the two groups were lower than those of the same group at the4th week of treatment(P<0.05),and the FMA and MBI scores were increased compared with those of the same group at the 4th week of treatment(P<0.05).Compared with the 8-week treatment group,the scores of FMA and MBI were all decreased(P<0.05),and the scores of FMA and MBI were increased compared with the 8-week treatment group in the same group(P<0.05).The group was significantly lower(P<0.05),and the FMA and MBI scores were significantly higher than those of the control group at the same time point(P<0.05).The total effective rate of clinical treatment in the study group was 91.43%,which was significantly higher than that in the control group(71.43%)(P<0.05).Conclusion Acupuncture combined with exercise therapy in the treatment of stroke lower extremity spasm can effectively improve lower extremity function and self-care ability,and improve the therapeutic effect.

关 键 词：针刺 运动疗法 脑卒中 下肢痉挛 

分 类 号：R743.3[医药卫生—神经病学与精神病学]