对针联合眼针治疗脑卒中后偏瘫患者肌肉痉挛的临床研究

IF 0.2 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Acupuncture & Electro-Therapeutics Research Pub Date : 2023-08-17 DOI:10.3727/036012923x168907527894626
Guanghui Liu, Tingting Li, Hongyuan Zhang, Huiting Yang, Jian Wang, Zhe Zhang, Juan Liu, Wenjun Zhang, Shi Zhang, Yang Wang
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The combination treatment group was treated with opposing needling combined with eye acupuncture therapy. Both groups were treated once a day, and two days were rested after five days of continuous treatment. Five days were a course of treatment, and a total of three courses were treated. The efficacy of opposing needling combined with eye acupuncture therapy for treatment of muscle spasm in post-stroke hemiplegia patients was evaluated. The clinical neurological deficit score scale (CSS), modified Ashworth spasticity scale (MAS), simplified Fugl-Meyer scale (FMA), Barthel index scale (BI) and total score were compared between the two groups before and after treatment. Results: There was no significant difference in CSS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the CSS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in MAS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the MAS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in FMA scores between the two groups before treatment (P>0.05). After 19 days of treatment, the FMA scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in BI scores between the two groups before treatment (P>0.05). After 19 days of treatment, the BI scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). 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引用次数: 0

摘要

目的:观察对针配合眼针治疗脑卒中后偏瘫患者肌肉痉挛的临床疗效。方法:选取辽宁中医药大学附属医院脑病康复科住院的脑卒中后偏瘫合并肌肉痉挛患者69例作为研究对象。采用随机对照临床试验设计方法,将患者随机分为基础治疗组和联合治疗组。基础治疗组不采用针刺治疗,仅采用基础康复治疗。联合治疗组采用对针联合眼针治疗。两组均每日治疗1次,连续治疗5天后休息2天。5天为一个疗程,共治疗3个疗程。观察反针联合眼针治疗脑卒中后偏瘫患者肌肉痉挛的疗效。比较两组患者治疗前后的临床神经功能缺损评分(CSS)、改良Ashworth痉挛量表(MAS)、简化Fugl-Meyer量表(FMA)、Barthel指数量表(BI)及总分。结果:两组患者治疗前CSS评分比较,差异无统计学意义(P>0.05)。治疗19 d后,两组患者的CSS评分均较治疗前显著降低,差异有统计学意义(P<0.05)。治疗前两组患者MAS评分比较,差异无统计学意义(P>0.05)。治疗19 d后,两组患者的MAS评分均较治疗前显著降低,差异有统计学意义(P<0.05)。治疗前两组患者FMA评分比较,差异无统计学意义(P>0.05)。治疗19 d后,两组患者FMA评分均较治疗前显著改善,差异有统计学意义(P<0.05)。两组治疗前BI评分比较,差异无统计学意义(P>0.05)。治疗19 d后,两组患者BI评分均较治疗前显著改善,差异有统计学意义(P<0.05)。结论:与单一治疗方法相比,对针联合眼针治疗脑卒中后偏瘫患者肌肉痉挛在临床神经功能、痉挛改善、运动功能、日常生活能力等方面均有显著优势,对患者远期预后有明显的临床意义。
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Clinical Study of Opposing Needling Combined With Eye Acupuncture Therapy for Treatment of Muscle Spasm in Post-stroke Hemiplegia Patients Therapy for Treatment of Muscle Spasm in Post-Stroke Hemiplegia Patients
Objective: To observe the clinical efficacy of opposing needling combined with eye acupuncture therapy on muscle spasm in post-stroke hemiplegia patients. Methods: A total of 69 post-stroke hemiplegia patients with muscle spasm who were hospitalized in the Department of Encephalopathy Rehabilitation, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected as the research participants. The randomized controlled clinical trial design method was used, and they were randomly divided into the basic treatment group and the combination treatment group. The basic treatment group did not use acupuncture treatment, but only basic rehabilitation treatment. The combination treatment group was treated with opposing needling combined with eye acupuncture therapy. Both groups were treated once a day, and two days were rested after five days of continuous treatment. Five days were a course of treatment, and a total of three courses were treated. The efficacy of opposing needling combined with eye acupuncture therapy for treatment of muscle spasm in post-stroke hemiplegia patients was evaluated. The clinical neurological deficit score scale (CSS), modified Ashworth spasticity scale (MAS), simplified Fugl-Meyer scale (FMA), Barthel index scale (BI) and total score were compared between the two groups before and after treatment. Results: There was no significant difference in CSS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the CSS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in MAS scores between the two groups before treatment (P>0.05). After 19 days of treatment, the MAS scores of the two groups were significantly decreased compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in FMA scores between the two groups before treatment (P>0.05). After 19 days of treatment, the FMA scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in BI scores between the two groups before treatment (P>0.05). After 19 days of treatment, the BI scores of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant (P<0.05). Conclusion: Compared with the single treatment method, opposing needling combined with eye acupuncture in the treatment of muscle spasm in post-stroke hemiplegia patients has significant advantages in clinical neurological function, spastic improvement, motor function and daily living ability, and has obvious clinical significance in the long-term prognosis of patients.
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来源期刊
Acupuncture & Electro-Therapeutics Research
Acupuncture & Electro-Therapeutics Research 医学-全科医学与补充医学
CiteScore
0.50
自引率
66.70%
发文量
9
审稿时长
>12 weeks
期刊介绍: The aim of the journal is to provide an international forum for the exchange of ideas and promotion of basic and clinical research in acupuncture, electro-therapeutics, and related fields. The journal was established in order to make acupuncture and electro-therapeutics a universally acceptable branch of medicine through multidisciplinary research based on scientific disciplines. The final goal is to provide a better understanding of both the beneficial and adverse effects of these treatments in order to supplement or improve existing methods of diagnosis, prognosis, treatment, and prevention of diseases in both Western and Oriental medicine.
期刊最新文献
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