摘要
【目的】观察岐黄针疗法治疗中风后下肢痉挛的临床疗效。【方法】将70例中风后下肢痉挛患者随机分为观察组和对照组,每组各35例,2组患者均给予内科常规治疗与康复训练,观察组给予岐黄针疗法治疗,对照组给予常规针刺治疗。治疗6次为1个疗程,共治疗2个疗程。治疗2周后,评价2组临床疗效,观察2组患者治疗前后改良Ashworth痉挛分级量表(MAS)评分的变化情况,以及下肢简化Fugl-Meyer(FMA)评分的变化情况。比较2组患者治疗前后改良Barthel指数评定量表(MBI)评分的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)研究过程中,观察组失访2例,对照组失访2例。最终观察组33例、对照组33例纳入疗效统计。(2)治疗后,2组患者的MAS评分、FMA评分与MBI评分明显改善(P<0.05),且观察组在改善MAS评分、FMA评分与MBI评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者MAS评分、FMA评分与MBI评分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)观察组总有效率为93.94%(31/33),对照组为72.73%(24/33)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(4)观察组与对照组的不良反应发生率比较,差异有统计学意义(P<0.05)。【结论】岐黄针疗法治疗中风后下肢痉挛,能明显改善患者下肢痉挛的程度,提高患者下肢运动的功能,从而提高患者日常生活活动的能力,疗效显著。
Objective To observe the clinical efficacy of Qihuang needling therapy in the treatment of post-stroke lower limb spasticity.Methods Seventy patients with post-stroke lower limb spasticity were randomly divided into the observation group and the control group,with 35 patients in each group.Both groups were given conventional medical treatment and rehabilitation training,and additionally,the observation group was given Qihuang needling therapy and the control group was given conventional acupuncture therapy.Six times of treatment constituted one treatment coure,and the treatment lasted for 2 treatment courses.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Modified Ashworth Spasticity(MAS)score and the changes in the simplified Fugl-Meyer(FMA)score of the lower limbs were observed in the two groups before and after the treatment.The changes in the Modified Barthel Index scale(MBI)scores were compared between the two groups before and after treatment,and the safety and the occurrence of adverse effects in the two groups were evaluated.Results(1)During the study,2 cases were lost in each group.Finally,33 cases in each group were included in the efficacy statistics.(2)After treatment,the MAS scores,FMA scores and MBI scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the MAS scores,FMA scores and MBI scores,the difference being statistically significant(P<0.05).There were statistically significant differences in difference values of MAS scores,FMA scores and MBI scores before and after treatment between the two groups(P<0.05).(3)The overall effective rate was 93.94%(31/33)in the observation group and 72.73%(24/33)in the control group.The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(4)The incidence of adverse reactions between the observation group and the control group was statisti
作者
吴云云
梁铭悦
唐纯志
WU Yun-Yun;LIANG Ming-Yue;TANG Chun-Zhi(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第12期2829-2834,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
