体外冲击波联合浮针治疗脑卒中后小腿三头肌痉挛患者的效果  

Effect of extracorporeal shock wave therapy combined with floating needle therapy on patients with triceps spasm of the calf after stroke

作　　者：黄水二 杨青宇 白沐平 陈树港 陈华杰 骆连宋 李佳亮 冯铭昌 HUANG Shuier;YANG Qingyu;BAI Muping;CHEN Shugang;CHEN Huajie;LUO Liansong;LI Jialiang;FENG Mingchang(Department of Acupuncture and Moxibustion and Massage,Yunfu Traditional Chinese Medicine Hospital,Guangdong Province,Yunfu527300,China)

机构地区：[1]广东省云浮市中医院针灸推拿科,广东云浮527300

出　　处：《中国当代医药》2025年第6期78-81,共4页China Modern Medicine

基　　金：广东省云浮市医学科学技术研究项目(44011120222330K)。

摘　　要：目的探讨体外冲击波联合浮针治疗脑卒中后小腿三头肌痉挛的效果。方法选取2022年6月至2023年6月云浮市中医院收治的80例脑卒中后恢复期小腿三头肌痉挛患者作为研究对象,按照随机数字表法分为治疗组(40例)与对照组(40例),两组在常规康复基础上,对照组采用痉挛肌低频治疗联合浮针治疗,治疗组采用体外冲击波联合浮针治疗。比较两组的改良Ashworth分级(MAS)、Fugl-Meyer评定量表(FMA)评分,以及踝关节背屈被动活动范围(PROM)。结果治疗后,两组患者的MAS评分均低于本组治疗前,且治疗组的MAS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的FMA评分均高于本组治疗前,且治疗组的FMA评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的PROM均大于本组治疗前,且治疗组的PROM大于对照组,差异有统计学意义(P<0.05)。结论体外冲击波联合浮针治疗脑卒中后小腿三头肌痉挛,可有效改善小腿三头肌痉挛,增加踝关节活动度,提高下肢运动功能,值得临床推广。Objective To explore the effect of extracorporeal shock wave therapy combined with floating needle therapy on patients with triceps spasm of the calf after stroke.Methods From June 2022 to June 2023,a total of 80 patients with triceps spasm of the calf in the recovery stage after stroke in Yunfu Traditional Chinese Medicine Hospital were selected as the research objects.According to the random number table method,they were divided into treatment group(40 cases)and control group(40 cases).On the basis of routine rehabilitation,the control group was treated with low frequency treatment of spastic muscle combined with floating needle therapy,while the treatment group was treated with extracorporeal shock wave therapy combined with floating needle therapy.The modified Ashworth scale(MAS),Fugl-Meyer assessment(FMA),and passive range of motion(PROM)of ankle dorsiflexion were compared between the two groups.Results After treatment,the MAS scores of the two groups were lower than those before treatment,and the MAS score of the treatment group was lower than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the FMA scores of the two groups were higher than those before treatment,and the FMA score of the treatment group was higher than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the PROM of the two groups were higher than those before treatment,and the PROM of the treatment group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Extracorporeal shock wave therapy combined with floating needle therapy in the treatment of triceps spasm of the calf after stroke can effectively improve the triceps spasm of the calf,increase the range of motion of ankle joint,and improve the motor function of lower limbs,which is worthy of clinical promotion.

关 键 词：体外冲击波治疗 浮针 脑卒中 小腿三头肌痉挛 痉挛性偏瘫 

分 类 号：R743.3[医药卫生—神经病学与精神病学]