热补针法联合补阳还五汤在脑卒中恢复期肌张力增高患者中的应用效果  

Application Effect of Hot Tonifying Acupuncture Method Combined with Buyang Huanwu Decoction in Patients with Hypermyotonia during the Recovery Period of Stroke

作　　者：杨刚 孙国举 张吉玲 王明行 陈文家 陈昕 YANG Gang;SUN Guoju;ZHANG Jiling;WANG Mingxing;CHEN Wenjia;CHEN Xin(Jiuquan Hospital of Traditional Chinese Medicine,Jiuquan 735000,China;不详)

机构地区：[1]酒泉市中医医院,甘肃酒泉735000

出　　处：《中外医学研究》2024年第14期1-5,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：酒泉市科技计划项目(2022MB1037)。

摘　　要：目的:探究热补针法联合补阳还五汤在脑卒中恢复期肌张力增高患者中的应用效果。方法:选取2021年3月—2023年3月酒泉市中医医院收治的80例脑卒中恢复期肌张力增高患者。根据随机数表法将其分为常规针刺组和热补针法组,各40例。常规针刺组给予补阳还五汤联合常规针刺治疗,热补针法组给予补阳还五汤联合热补针法治疗。比较两组肌张力情况及生活能力,治疗前后肢体运动功能、肱二头肌肌电图参数、胫骨前肌肌电图参数。结果:热补针法组肌张力及生活能力总有效率显著高于常规针刺组,差异有统计学意义(P<0.05)。治疗后,两组上下肢Fugl-Meyer肢体功能量表(FMA)评分显著高于治疗前,热补针法组上下肢FMA评分显著高于常规针刺组,差异有统计学意义(P<0.05)。治疗后,两组胫骨前肌和肱二头肌积分肌电(IEMG)、均方根振幅(RMS)及协同收缩率(CO)均显著低于治疗前,热补针法组胫骨前肌IEMG、CO,肱二头肌IEMG、RMS及CO均显著低于常规针刺组,差异有统计学意义(P<0.05)。结论:热补针法联合补阳还五汤在脑卒中恢复期肌张力增高患者中的应用效果较好,且可显著改善患者的肌电图参数。Objective:To investigate the application effect of hot tonifying acupuncture method combined with Buyang Huanwu Decoction in patients with hypermyotonia during the recovery period of stroke.Method:A total of 80 patients with hypertonia during the recovery period of stroke treated in Jiuquan Hospital of Traditional Chinese Medicine from March 2021 to March 2023 were selected.They were divided into routine acupuncture group and hot tonifying acupuncture group according to random number table method,with 40 cases in each group.The routine acupuncture group was given Buyang Huanwu Decoction combined with conventional acupuncture treatment,and the hot tonifying acupuncture group was given Buyang Huanwu Decoction combined with hot tonifying acupuncture method treatment.Muscle tension and living ability,limb movement function,biceps brachii electromyography parameters and tibial anterior electromyography parameters before and after treatment were compared between the two groups.Result:The total effective rate of muscle tension and living ability in hot tonifying acupuncture group were significantly higher than those in routine acupuncture group,the differences were statistically significant(P<0.05).After treatment,the upper and lower limb Fugl-Meyer limb function scale(FMA)scores of the two groups were significantly higher than those before treatment,and the FMA score of the upper and lower limbs of the hot tonifying acupuncture group were significantly higher than those of the routine acupuncture group,the differences were statistically significant(P<0.05).After treatment,integrated electromyography(IEMG),root mean square amplitude(RMS)and co-systole(CO)of tibialis anterior and biceps brachii were significantly lower than those before treatment,and IEMG,CO of tibialis anterior and IEMG,RMS and CO of biceps brachii in hot tonifying acupuncture group were significantly lower than those in routine acupuncture group,the differences were statistically significant(P<0.05).Conclusion:The application of hot toning acupuncture

关 键 词：热补针法 补阳还五汤 脑卒中 恢复期 肌张力增高 肌电图参数 

分 类 号：R277.7[医药卫生—中医学]