文章摘要
内热针与传统针刺治疗脑卒中后上肢运动障碍的疗效对比分析
Comparative analysis of the curative effect of internal heat-type acupuncture and traditional acupuncture on upper limb dyskinesia after cerebral apoplexyLiu Qiang1, Jia Jingjing2, Liu Xiaoli3
投稿时间:2022-03-14  录用日期:2022-05-05
DOI:
中文关键词: 内热针  针刺  脑卒中  上肢运动障碍  疗效
英文关键词: Internal heat-type acupuncture  Acupuncture  Stroke  Upper limb movement disorder  Curative effect
基金项目:宁夏回族自治区科技计划项目(2015-NW-065)
作者单位邮编
刘强* 宁夏医科大学总医院康复医学科 宁夏 银川 750000
贾晶晶 宁夏银川市第二人民医院综合康复科 宁夏 银川 750001
刘小丽 宁夏医科大学 宁夏 银川
宁夏医科大学 宁夏 银川 
750004
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中文摘要:
      目的 探讨内热针与传统针刺治疗缺血性脑卒中后上肢运动障碍的疗效。方法 随机将2020年8月至2021年8月我院康复医学科收治的122例缺血性脑卒中后痉挛期上肢运动障碍患者分为两组。对照组采用传统针刺治疗2个疗程,观察组采用内热针治疗2个疗程。观察上肢运动功能、手功能、上肢肌群共同收缩率(CR)、肩部疼痛程度、肌肉痉挛程度、生活质量和不良反应。结果 122例患者110例完成治疗,每组各55例。两组治疗后FMA-UE评分、上肢Brunnstrom 、BBT、MBI评分较治疗前增加(P<0.05),且观察组治疗后高于对照组(P<0.05)。两组治疗后屈曲位肱二头肌CR、伸展位肱三头肌CR、VAS评分、MAS评分较治疗前降低(P<0.05),且观察组治疗后低于对照组(P<0.05)。结论 与传刺比较,内热针可更有效地缓解患者肌肉痉挛和疼痛程度,改善上肢和手运动功能,提高患者生活质量,在缺血性脑卒中后上肢功能障碍治疗中具有更高的应用价值。
英文摘要:
      Objective To investigate the effect of internal heat-type acupuncture and traditional acupuncture on upper limb dyskinesia after ischemic stroke. Methods 122 patients with spasmodic upper limb dyskinesia after ischemic stroke were randomly divided into two groups from August 2020 to August 2021. The control group was treated with traditional acupuncture for 2 courses, the observation group was treated with internal heat-type acupuncture for 2 courses. Upper limb motor function, hand function, common contraction rate (CR) of upper limb muscle groups, shoulder pain, muscle spasm, quality of life and adverse reactions were observed. Results 110 of the 122 patients completed the treatment, 55 in each group. After treatment, FMA-UE score, Brunnstrom of upper limbs, BBT and MBI scores in both groups were increased compared with those before treatment (P < 0.05), and the observation group was higher than the control group (P < 0.05). After treatment, CR biceps in flexion position and extension position, VAS score and MAS score in both groups were lower than those before treatment (P < 0.05), and those in the observation group was lower than the control group after treatment (P < 0.05). Conclusion Compared with traditional acupuncture, internal heat-type acupuncture can relieve muscle spasm and pain more effectively, improve the motor function of upper limbs and hands, improve the quality of life of patients, and has higher application value in the treatment of upper limb dysfunction after ischemic stroke.
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