摘要
目的观察温针结合康复易化技术治疗脑卒中后肢体痉挛患者的临床疗效。方法将患者随机分为针刺组(对照组)及温针复合康复技术组(试验组),连续治疗4周后,比较两组治疗前后痉挛程度改良Ashworth评分、运动功能Fugl-Meyer评分及日常生活能力Barthel氏ADL指数的变化情况。结果治疗后试验组在缓解痉挛、改善运动功能及提高日常生活能力方面与对照组相比差异具有统计学意义。结论温针复合现代康复技术治疗脑卒中后肢体痉挛,能够缓解肢体痉挛状态、提高患者运动功能,改善日常生活能力;改善局部动脉血液循环,激活上行脑干网状结构系统,刺激中枢神经迅速改善脑细胞的功能作用,达到中枢神经系统结构和功能的重组可能是其取效的作用机制之一。
Objective： To observe the effect of warm needling therapy combined with facilitation techniques on the patients with spasticity after stroke. Methods：Patients were randomly divided into acupuncture group （control group） and warm needling combined with facilitation techniques group （experiment group）. The assessment of modified Ashworth spastic rating,Fugl-Meyer motor function and Bathelps ADL indexs after 4 weeks treatment were compared. Results： Comparing with the control group,there was significant difference in relieving spasm, improving motor function and daily life ability in experiment group after treatment. Conclusion：Warm needling therapy combined with facilitation techniques can relieve spasm ,increase motor function,improve daily life ability, has more advantage than the treatment of only acupuncture. Improving blood circulation of local artery, activating reticular formation of the hrainstem system, stimulating central neverous system to improve brain cell function rapidly to reform the structure and function of central neverous system may be one of the mechanism to get the effect.
出处
《中国中医急症》
2013年第1期42-44,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
广东省深圳市科技计划项目(2011-049)
关键词
温针
易化技术
肢体痉挛
运动功能
日常生活能力
Warm needling therapy
Facilitation techniques
Spasticity
Motor function
Daily life ability
