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温针灸配合运动疗法治疗肩关节周围炎 被引量:22
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作者 罗卫平 袁小敏 +1 位作者 陈新兰 《中国康复理论与实践》 CSCD 2006年第2期154-155,共2页
目的探讨温针灸配合运动疗法治疗肩周炎的疗效。方法90例肩周炎患者随机分为综合治疗组(温针灸配合运动疗法)和运动疗法组各45例。温针灸取穴以肩髃、肩髎、肩贞局部腧穴为主;运动疗法包括关节松动术及主动功能训练,每天1次,15次为1个... 目的探讨温针灸配合运动疗法治疗肩周炎的疗效。方法90例肩周炎患者随机分为综合治疗组(温针灸配合运动疗法)和运动疗法组各45例。温针灸取穴以肩髃、肩髎、肩贞局部腧穴为主;运动疗法包括关节松动术及主动功能训练,每天1次,15次为1个疗程。两个疗程后评定疗效。结果综合治疗组显效率71%,运动疗法组显效率42%,两组间有非常显著性差异(χ2=22.815,P<0.01);综合治疗组患者肩关节活动度的改善程度以及肩周疼痛的减轻程度亦优于运动疗法组(P<0.05)。结论温针灸配合运动疗法并与主动锻炼结合可提高肩周炎的治愈率,减少复发。 展开更多
关键词 肩周炎 温针灸 运动疗法 关节活动度 肩关节周围炎
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舌针配合语言训练治疗脑梗塞致运动性失语的临床研究 被引量:19
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作者 罗卫平 黄红缨 《中华中医药学刊》 CAS 2010年第11期2451-2454,共4页
目的:观察针刺配合语言训练治疗缺血性中风失语症的临床疗效,探讨针刺治疗本病的机理。方法:两组共60例病人纳入研究,以随机数字表法将合格的研究对象分为试验组与对照组,试验组为针刺配合语言训练治疗,对照组为单纯语言训练。针刺治疗... 目的:观察针刺配合语言训练治疗缺血性中风失语症的临床疗效,探讨针刺治疗本病的机理。方法:两组共60例病人纳入研究,以随机数字表法将合格的研究对象分为试验组与对照组,试验组为针刺配合语言训练治疗,对照组为单纯语言训练。针刺治疗以舌针取穴为主;语言训练分口腔发音器官的训练,口形及声音训练,口语表达训练以及实用交流能力的训练。在疗程前后以《汉语标准失语症检查表》(ABC法)各作一次语言检测评价;以及疗程前后进行事件相关电位(P300)检测。结果:两组疗效有差异,其中治疗组疗效比对照组疗效好(P<0.05),治疗组(ABC)汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值明显高于对照组,两组比较有显著性差异(P<0.05),治疗1个疗程后,治疗组P300电位成分中N2,P3波潜伏期缩短,和P3波幅升高明显,与对照组比较有显著性差异(P<0.05)。结论:针刺配合语言训练治疗脑梗塞致运动性失语疗效显著,其效果优于单纯的语言训练组。汉语失语检查法各亚项(信息量,流利性,复述,词命名,颜色命名,反应命名,是否,听辨认,执行指令)分值提高,P300电位成分中N2,P3波潜伏期缩短,和P3波幅升高,可作为临床评价和预测针刺治疗缺血性中风运动性失语症的疗效指标,也是临床治疗机理之一。 展开更多
关键词 针灸 语言训练 脑梗塞 运动性失语 ABC汉语失语检查法 P300电位
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ACUPUNCTURE COMBINED WITH LANGUAGE TRAINING FOR TREATMENT OF MOTOR APHASIA CAUSED BY ISCHEMIC APOPLEXY 被引量:2
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作者 罗卫平 黄红缨 《World Journal of Acupuncture-Moxibustion》 2008年第4期9-16,22,共9页
Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatmen... Objective To observe therapeutic effects of acupuncture combined with language training on aphasia induced by ischemic apoplexy and investigate the mechanisms. Methods 60 patients were randomly divided into a treatment group treated by acupuncture associated with language training and a control group treated by simple language training. Tongue-acupuncture was applied as the main therapy, and language training included speech organ training, mouth-shape and voice training, spoken language expression training and practical communication ability training. According to Aphosio Bottery of Chinese (ABC), language ex- amination evaluation was made, and event related potential (P300) was detected before and after treatment. Results The therapeutic effect in the treatment group was significantly better than that in the control group (P〈O. 05), and the scores of ABC items including information content, speech fluency, repetition, vocabula- ry denomination, color naming, response denomination, confirmation or negation, acoustic recognition and carrying out instruction in the treatment group were obviously higher than those in the control group (P〈0.05). After one course of treatment, the latencies of N2 and P3 waves in P300 were significantly short- ened and the amplitude of P3 was significantly elevated in the treatment group, compared with those in the control group (P〈0.05). Conclusion Acupuncture combined with language training provided remarkable therapeutic effects in treating cerebral infarction-induced motor aphasia, and it was better than simple lan- guage training. The results of enhancing of the ABC scores including information content, speech fluency, repetition, vocabulary denomination, color naming, response denomination, confirmation or negation, acous- tic recognition and carrying out instruction, and shortening of the latencies of N2 and P3 waves in P300 and ele- vation of P3 amplitude may be taken as the indices for evaluating and anticipating clinical therapeutic effects of the t 展开更多
关键词 Acupuncture Language Training Cerebral Infarction Motor Aphasia Aphasia Battery of Chinese (ABC) Event Related Potential (P300)
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巴曲酶合醒脑开窍针刺法治疗进展性脑梗死30例 被引量:1
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作者 罗卫平 袁小敏 《中西医结合心脑血管病杂志》 2008年第8期909-911,共3页
目的观察巴曲酶联合醒脑开窍针刺法治疗进展性卒中的临床疗效。方法选择60例发病时间在72h以内,病情呈进行性加重的进展性卒中患者,随机分为两组,对照组采用常规治疗;治疗组在对照组治疗基础上采用醒脑开窍针刺法和巴曲酶联合治疗。并... 目的观察巴曲酶联合醒脑开窍针刺法治疗进展性卒中的临床疗效。方法选择60例发病时间在72h以内,病情呈进行性加重的进展性卒中患者,随机分为两组,对照组采用常规治疗;治疗组在对照组治疗基础上采用醒脑开窍针刺法和巴曲酶联合治疗。并用改良的爱丁堡-斯堪的那维亚量表观察治疗前与治疗后7d、14d的神经功能缺损(SSS),以及日常生活能力(ADL),并监测治疗前后血浆纤维蛋白原及血小板计数、出凝血时间、血液流变学等指标的变化。结果治疗后两组SSS评分较治疗前下降,ADL评分较治疗前升高,且治疗组改善较对照组明显(P<0.05)。治疗组治疗后纤维蛋白原、血浆黏度、血小板聚集降低更明显(P<0.05),无出血倾向。结论巴曲酶与醒脑开窍针刺治疗进展性卒中,具有协同作用,临床疗效确切。 展开更多
关键词 巴曲酶 醒脑开窍针刺法 进展性脑梗死
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