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Effect of acupuncture in the treatment of patients with post-stroke upper limb hemiplegia and its influence on limb motor function#br# |
GUO Lili LIU Jun▲ |
Department of Brain Disease Rehabilitation, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110032, China |
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Abstract Objective To explore the effect of acupuncture in the treatment of patients with post-stroke upper limb hemiplegia and its influence on limb motor function. Methods A total of 120 patients with post-stroke upper limb hemiplegia admitted to Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from May 2018 to May 2020 were selected as the research subjects. They were divided into control group and observation group by random number table method, with 60 cases in each group. The control group was given conventional intervention, the observation group was treated with acupuncture on the basis of the control group. The results of electromyography measurement, upper limb Brunnstrom grading, modified Ashworth grading, Fugl-Meyer assessment (FMA) scale score, activities of daily living scale (ADL) score, and the satisfaction of patients were compared between the two groups before and after intervention. Results The Hmax, Mmax, and H/Max values of the two groups after intervention were lower than those before intervention, and the observation group were lower than the control group (P < 0.05). Upper limb Brunnstrom grading, modified Ashworth grading of the two groups after intervention were greater than those before intervention, and the observation group was greater than the control group (P < 0.05). The FMA scale scores and ADL scale scores of the two groups after intervention were higher than those before intervention, and the observation group were higher than the control group (P < 0.05). The satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion Acupuncture in the treatment of patients with post-stroke upper extremity hemiplegia can effectively improve limb function, regulate muscle tension, relieve spasm state, effectively improve limb function, and patients have high satisfaction.
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[1] W?覿stfelt M,Yang C,Str?觟m JO. Predictors of post-stroke fever and infections: a systematic review and meta-analysis [J]. BMC Neurology,2018,18(1):49-50.
[2] 吴罡,廖敏兵,易苗苗.浮针疗法治疗肩周炎的临床效果及对患者VAS评分、肩关节活动度影响分析[J].中医临床研究,2019,11(4):27-29.
[3] 中华中医药学会脑病分会,广东省中医药学会脑病专业委员会,广东省中西医结合学会卒中专业委员会.中西医结合脑卒中循证实践指南(2019)[J].中国循证医学杂志,2020,20(8):901-912.
[4] 黄东锋,陈少贞,欧海宁.上肢功能测量方法的研究[J].中国康复,1994,9(4):172-173.
[5] 魏鹏绪.关于改良Ashworth量表的探讨[J].中国康复医学杂志,2014,29(1):67-68.
[6] 张宁,张瑞丽,李慧娟.中文版老年人运动功能量表的信效度检验[J].中华护理杂志,2016,51(6):747-751.
[7] 王瑞华.日常生活活动能力(ADL)的测定[J].中级医刊,1994,44(4):7.
[8] 曹爽,刘波.针灸推拿治疗脑梗死后肩手综合征患者的疗效观察[J].中国临床医生,2019,47(2):242-244.
[9] 刘伟,李博,刘景峰.加味黄芪桂枝五物汤联合康复训练治疗脑卒中后肩-手综合征的效果[J].中国医药导报,2020,17(32):131-134.
[10] 周向红.透穴刺结合电针治疗脑卒中后肩手综合征30例[J].中医临床研究,2018,10(34):52-53.
[11] 艾怡然,李梅,朱乐英,等.腹针联合中药熏蒸治疗脑卒中后肩手综合征的效果观察[J].实用心脑肺血管病杂志,2019,27(1):66-70.
[12] 夏阳,张雯翠.康复治疗干预在脑卒中合并肩手综合征患者治疗中的临床效果[J].中国当代医药,2018,25(13):42-44.
[13] 郑德松,董静.针灸通督法联合康复训练对缺血性脑卒中患者平衡功能的影响[J].中国中医急症,2017,26(8):1465-1467.
[14] 陈磊,焦鹏,李方辉.针刺百会、神庭穴联合康复训练治疗卒中后认知功能障碍[J].中国老年保健医学,2020, 18(2):11-13.
[15] 葛芳,王月英,黄雯.中药涂擦配合穴位按摩治疗脑卒中肩手综合征Ⅰ期的疗效观察[J].中国现代医生,2020, 58(15):178-181.
[16] 王伟伟,李雪飞.针刺联合康复训练治疗缺血性中风肩手综合征临床观察[J].实用中医药杂志,2019,35(11):1397-1398.
[17] 李婵,吴永科.苓桂术甘汤加减联合醒脑开窍法针灸对中风偏瘫肢体神经肌肉康复的作用[J].临床医学研究与实践,2019,4(5):34-35.
[18] 李昕阳,刘素萍,王佳良,等.血府逐瘀汤联合针灸治疗缺血性脑卒中偏瘫患者的临床研究[J].中国医药导报,2020,17(5):137-140.
[19] 刘洋,宗涛.针灸、穴位按摩联合康复训练治疗气虚阻络型脑卒中后偏瘫43例[J].环球中医药,2017,10(2):231-234.
[20] 林赫冰.针灸结合康复技术治疗中风后偏瘫的疗效观察[J].中西医结合心血管病电子杂志,2017,5(22):139-140.
[21] 凌惠菊,颜雨虹,汪俐娜,等.艾盐包热熨联合经络拍打在中风中经络半身不遂中的应用[J].护理与康复,2017, 16(12):12-13.
[22] Peng L,Zhang C,Zhou L,et al. Traditional manual acupuncture combined with rehabilitation therapy for shoulder hand syndrome after stroke within the Chinese healthcare system:a systematic review and metaanalysis [J]. Clin Rehabil,2018,32(4):429-439.
[23] 张小健,周媛,郭泽春,等.针刺颈夹脊穴和督脉穴联合阿托伐他汀对脑卒中后轻度认知障碍患者血流动学的影响[J].湖南师范大学学报:医学版,2017,14(2):131-134.
[24] 班友长,林小祥,耿兴法,等.针刺联合康复技术治疗脑卒中早期上肢运动功能障碍的疗效及磁共振弥散张量成像研究[J].现代医学,2019,47(4):439-442.
[25] 米晓峰,吕玉娥.针刺夹脊穴为主联合补阳还五汤治疗缺血性中风后偏瘫痉挛状态的临床观察[J].山西中医药大学学报,2020,21(4):279-281,309.
[26] 刘兆平,谢辉,曾满萍,等.冲击疗法联合牵伸训练治疗卒中后痉挛性偏瘫的疗效观察[J].湖南师范大学学报:医学版,2020,17(3):24-26.
[27] 黄馨云,夏秋芳,朱慧雯,等.运动针法联合康复训练治疗脑卒中后上肢痉挛性瘫痪疗效观察[J].中国针灸,2020,40(5):473-478.
[28] 袁孟哲,郭小平,张长龙,等.低频重复经颅磁刺激联合肌肉能量技术治疗脑卒中后上肢痉挛的效果观察[J].山东医药,2020,60(9):63-66.
[29] 张丽,巩小英,贺蕾,等.脑卒中上肢痉挛性瘫痪患者经颅磁刺激联合物理治疗后皮质和脊髓兴奋性的变化观察[J].贵州医药,2020,44(1):91-92.
[30] 丁若兰,陈思宇.脑卒中并发迟缓型肩手综合征早期系统康复研究[J].成都医学院学报,2019,14(6):764-768. |
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