靳三针配合康复训练治疗脑卒中后上肢肌张力增高的临床效果

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Abstract Objective To explore the clinical effect of Jin’s Three Needles combined with rehabilitation training in the treatment of patients with increased muscle tone of the hind upper limbs after stroke. Methods A study of 102 patients with increased muscle tone of the upper limbs after stroke admitted to Jianhu Hospital affiliated to Nantong University from March 2020 to March 2021 were selected as the research subjects. They were divided into two groups by random number table method. The control group (51 cases) was given rehabilitation training intervention, and the study group (51 cases) was combined with Jin’s Three Needles therapy on the basis of control group. Four weeks after treatment, Fngl-Meyer score and Barthel index score were used to evaluate the upper limb motor function and daily living activities of patients in the two groups, and the nerve reflex function of the affected side was detected, and adverse reactions were recorded. Results The total effective rate of study group was higher than that of control group (P ＜ 0.05). The overall analysis showed that there were statistically significant differences between two groups, time points, and interaction of upper limb motor function score (P ＜ 0.05). Further pairwise comparison, intra-group comparison: the upper limb motor function scores of two and four weeks after treatment were higher than those before treatment (P ＜ 0.05); comparison between groups: the upper limb motor function score of the study group was higher than that of the control group at two and four weeks after treatment (P ＜ 0.05). Four weeks after treatment, H/M of reflected wave of radial nerve, ulnar nerve, and median nerve in two groups were lower than those before treatment, and those in the study group were lower than those in the control group (P ＜ 0.05). The overall analysis showed that there were statistically significant differences between two groups, time points, and interaction of activities of daily living (P ＜ 0.05). Further pairwise comparison, intra-group comparison: activities of daily living scores of two and four weeks after treatment were higher than those before treatment (P ＜ 0.05); comparison between groups: the activities of daily living scores of the study group was higher than that of the control group at two and four weeks after treatment (P ＜ 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P ＞ 0.05). Conclusion Rehabilitation training combined with Jin’s Three Needles therapy for patients with increased muscle tone after stroke can help improve the patient’s upper limb motor function and activities of daily living, improve the clinical rehabilitation effect, and has good safety.

Key words： Jin’s Three Needles Rehabilitation training Stroke Increased muscle tone of the hind upper limbs Rehabilitation effect Safety

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	LYU Lili1 WANG Chong1 ZHANG Henghui2 XU Xiaowen1 WANG Yuanwei3▲

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LYU Lili1 WANG Chong1 ZHANG Henghui2 XU Xiaowen1 WANG Yuanwei3▲. Clinical effect of Jin’s Three Needles combined with rehabilitation training in the treatment of increased muscle tone of the hind upper limbs after stroke[J]. 中国医药导报, 2022, 19(17): 163-166,179.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I17/163

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