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腹针联合运动疗法治疗中风后痉挛性偏瘫的临床疗效观察 被引量:19

Clinical observation of abdominal acupuncture combined with exercise therapy in treating spastic hemiplegia after stroke
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摘要 目的观察腹针联合运动疗法治疗中风后痉挛性偏瘫的疗效。方法将120例中风后痉挛性偏瘫患者随机分为观察组、对照组,每组各60例。治疗组以腹针加运动疗法治疗,腹针穴取中脘、下脘、气海、关元、商曲、气旁、滑肉门、外陵。针刺完毕配合运动疗法。治疗隔日1次,每周3次,共24次。对照组以单纯运动疗法治疗,运动疗法的手法及疗程同观察组。结果通过两组治疗前后临床疗效及四肢FMA评分比较,发现两组治疗后总有效率差异有统计学意义(P<0.01),治疗后两组FMA评分比较有显著差异(P<0.05),观察组与对照组治疗后FMA评分治疗前比较,有非常显著差异(P<0.01)。结论腹针联合运动疗法治疗中风后痉挛性偏瘫的疗效优于单纯运动疗法。 Objective To observe the effect of abdominal acupuncture combined with exercise therapy on post-stroke spastic hemiplegia. Methods 120 patients with post-stroke spastic hemiplegia were randomly divided into observation group and control group, 60 cases in each group. The observation group was treated with abdominal acupuncture plus exercise therapy. The abdomen acupoints were taken at Chungwan, Hsiawan, Qihai, Guanyuan, Shangqu, Qipang,Huaroumen and Wailing. Exercise therapy was taken after acupuncture treatment. The treatment was taken every other day,3 times a week for a total of 24 times. Control group only took simple exercise therapy which was consistent with the treatment group. Results The clinical efficacy and FMA scores of limbs before and after the treatment showed that the total effective rate of the two groups was significantly different(P〈0.01), and there was significant difference(P〈0.05)in FMA scores between the two groups after treatment. The FMA scores of the observation group after treatment were significantly different from those of the control group before treatment( P〈0.01). Conclusion The effect of abdominal acupuncture combined with exercise therapy on post-stroke spastic hemiplegia is better than that of simple exercise therapy.
作者 金灵青 郎伯旭 李星辰 JIN Lingqing;LANG Boxu;LI Xingchen(Department of Acupuncture and Moxibustion,Taizhou Municipal Hospital in Zhejiang Province,Taizhou 318000,China)
出处 《中国现代医生》 2018年第13期94-96,100,共4页 China Modern Doctor
基金 浙江省中医药科技计划A类立项课题(2015ZA218)
关键词 腹针 运动疗法 中风后痉挛性偏瘫 FMA Abdominal acupuncture Exercise therapy Post-stroke spastic hemiplegia FMA
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