本文選題：中風(fēng)病　切入點(diǎn)：經(jīng)筋結(jié)點(diǎn)　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察針刺經(jīng)筋結(jié)點(diǎn)治療中風(fēng)后髖關(guān)節(jié)痙攣狀態(tài)的療效,為中風(fēng)后髖關(guān)節(jié)痙攣狀態(tài)的治療提供新的思路。方法:納入符合本課題標(biāo)準(zhǔn)的患者64例,隨機(jī)分為兩組,每組各32例。其中對(duì)照組體針采用傳統(tǒng)針刺治療,治療組采用針刺經(jīng)筋結(jié)點(diǎn)治療,兩組其余常規(guī)治療如頭針針刺治療、神經(jīng)內(nèi)科常規(guī)治療均相同,共治療28日。在治療前后采用Brunnstrom偏癱下肢分級(jí)、簡(jiǎn)化Fugl-Meyer運(yùn)動(dòng)功能(FMA)、臨床痙攣指數(shù)(CSI)、髖關(guān)節(jié)活動(dòng)度(ROM)、神經(jīng)功能缺損程度(NDS)進(jìn)行評(píng)定,以此評(píng)價(jià)本課題所選取治療方案對(duì)于下肢尤其是髖關(guān)節(jié)痙攣狀態(tài)的療效。結(jié)果:1.治療前,治療組和對(duì)照組患者的Brunnstrom偏癱下肢分級(jí)、髖關(guān)節(jié)活動(dòng)度(包括屈伸、內(nèi)收)、FMA、CSI(包括腱反射、肌張力、陣攣)、NDS評(píng)分經(jīng)組間比較P0.05,兩組間沒有顯著差異,可進(jìn)行進(jìn)一步比較。2.治療后兩組組內(nèi)比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05),表明兩種方法均對(duì)中風(fēng)后患者有一定療效。3.治療后組間比較,髖關(guān)節(jié)內(nèi)收活動(dòng)度差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);Brunnstrom偏癱下肢分級(jí)、髖關(guān)節(jié)屈伸活動(dòng)度、FMA、CSI(包括腱反射、肌張力、陣攣)、NDS評(píng)分有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.應(yīng)用經(jīng)筋結(jié)點(diǎn)針刺治療可有效的改善中風(fēng)后髖關(guān)節(jié)痙攣狀態(tài)。2.針刺經(jīng)筋結(jié)點(diǎn)可提高中風(fēng)后髖關(guān)節(jié)痙攣狀態(tài)患者的髖關(guān)節(jié)運(yùn)動(dòng)能力,改善患者的神經(jīng)功能缺損程度。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture on spasticity of hip joint after stroke, and to provide a new idea for treatment of spastic state of hip joint after stroke. Methods: 64 patients who met the criteria of this subject were randomly divided into two groups. There were 32 cases in each group. The control group was treated with traditional acupuncture, the treatment group was treated with acupuncture on the meridian node, and the other routine treatments such as scalp acupuncture and routine neurology were the same in both groups. Before and after treatment for 28 days, Brunnstrom hemiplegic lower extremity grading was used to evaluate Fugl-Meyer motor function, clinical spasticity index (CSI), hip motion degree (ROM) and nerve function defect (NDS). Results: 1. Before treatment, the patients in the treatment group and control group had lower extremity grade of Brunnstrom hemiplegia, hip joint activity (including flexion and extension). FMA-CSI (including tendon reflex, muscle tension, clonoclonic NDS score was compared between the two groups (P0.05), there was no significant difference between the two groups, further comparison could be made between the two groups after treatment. The differences were statistically significant (P 0.05), indicating that the two methods had a certain curative effect on post-stroke patients. 3. After treatment, there was no significant difference in the adductive activity of hip joint between the two groups. There was no significant difference in the adductive activity of hip joint and the lower extremity grade of Brunnstrom hemiplegia, the flexion and extension activity of hip joint and FMACSI (including tendon reflex). There was significant difference in NDS score of muscle tension and clonus. Conclusion: 1. Acupuncture with meridian node can effectively improve the spasticity of hip joint after stroke. Acupuncture can improve the motor ability of hip joint in patients with spastic state of hip joint after stroke. To improve the degree of neurological deficit in patients.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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