贵州医科大学学报

2018, v.43;No.212(05) 595-598+603

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针刺结合抗痉挛支具对痉挛性偏瘫的治疗效果
The Clinical Efficacy of Acupuncture Combined with Antispasmodic Orthosis in the Treatment of Spastic Hemiplegia

闫志强;李国君;李利红;
YAN Zhiqiang;LI Guojun;LI Lihong;ndDepartment of Rehabilitation,the First Hospital of Shijiazhuang City;

摘要(Abstract):

目的:观察针刺联合抗痉挛支具对脑卒中后痉挛性偏瘫的疗效。方法:135例脑卒中后痉挛性偏瘫患者,随机均分为A、B、C组,3组患者均给与常规对症治疗,同时给与A组患者针灸治疗、B组患者抗痉挛支具治疗、C组患者抗痉挛支具治疗的基础上联合针灸疗法;治疗4个疗程,评价3组患者的治疗效果、Barthel指数(BI)评估患者日常生活能力、Berg平衡量表评估患者平衡能力,同时测定患者的最大步行速度及步行距离;最大步行速度(WMs)和Holden步行能力分级。结果:A、B、C组患者的治疗有效率分别为74.36%、54.29%、92.86%,C组的有效率均高于A、B组(P<0.05);与治疗前比较,3组患者治疗后的BI指数、Berg平衡分数、最大步行速度均得到明显改善(P<0.05),C组患者各指标改善情况较其他两组患者更明显(P<0.01);C组患者Holden步行能力分级较A、B组明显升高,差异有统计学意义(P<0.05)。结论:针刺联合抗痉挛支具治疗脑卒中后痉挛性偏瘫可有效提高患者日常生活能力、平衡能力和步行能力。
Objective: To observe the effect of acupuncture combined with antispasmodic orthosis in the treatment of spastic hemiplegia after stroke. Methods: 135 patients with spastic hemiplegia after stroke were selected and divided into acupuncture group( A group,n = 39),antispasmodic orthosis group( B group,n = 35) and acupuncture combined with antispasmodic orthosis group( C group,n =42). The patients in A group were treated with acupuncture; the patients in B group were treated with antispasmodic orthosis; and the patients in C group were treated with acupuncture combined with antispasmodic orthosis. Evaluating the degree of clinical efficacy,Barthel index( BI) on patients daily life ability,Berg balance scale( BBS) on patients balance ability,the maximum walking speed( MWs)and distance; MWs and Holeden grade were recorded and evaluated after treatment. Results: The total effective rate in three groups were 74. 36%,54. 29% and 92. 86% respectively. Total effective rate in C group was higher than that of A and B group,differences were statistically significant( P < 0. 05).Comparing with before treatment,the BI index,Berg balance scores and MWs were obviously improved,differences were statistically significant( P < 0. 05). However,the degree of improvement in C group were significantly better than the other 2 groups( P < 0. 01). Besides,the improvement of Holden grade in C group was also better than the other 2 group( P < 0. 05). Conclusion: The acupuncture combined with antispasmodic orthosis can significantly improve patients with limb spasm sympotoms and the ability of daily life and walking function.

关键词(KeyWords): 偏瘫;针刺疗法;抗痉挛支具;Barthel指数;Berg平衡量表;Holeden步行能力分级
spastic hemiplegia;acupuncture method;antispasmodic orthosis;Barthel index;Berg balance scale;Holeden grade

Abstract:

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基金项目(Foundation): 石家庄市科学技术项目(161460603)

作者(Author): 闫志强;李国君;李利红;
YAN Zhiqiang;LI Guojun;LI Lihong;ndDepartment of Rehabilitation,the First Hospital of Shijiazhuang City;

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DOI: 10.19367/j.cnki.1000-2707.2018.05.021

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