| 盛国滨,薛瑞冬,蔡玉梅,田杨杨.电针肘部经筋结点对中风后痉挛期肘关节活动度的影响[J].中医药信息,0,(): |
| 电针肘部经筋结点对中风后痉挛期肘关节活动度的影响 |
| Effect of Electroacupuncture on Elbow Motion in Spastic Period after Stroke Through the Elbow Meridian Node |
| 投稿时间：2021-10-05 录用日期：2021-10-13 |
| DOI： |
| 中文关键词: 中风 电针 肘关节痉挛 经筋结点 肘关节活动度 |
| 英文关键词: Stroke Electroacupuncture Elbow Spasm Meridian Node Elbow Motion |
| 基金项目:教育部春晖计划项目：Z2005-2-15003；盛国滨名中医专家传承工作室项目，编号：黑中科教便函2019 1号；黑龙江中医药大学研究生创新科研项目：2020yjscx045 |
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| 中文摘要: |
| 通过观察该研究结果的临床变化，比较电针针刺经筋结点和电针针刺常规腧穴治疗中风后痉挛期上肢肘关节痉挛性瘫痪的疗效。方法:将40例肘关节痉挛的患者，按入院的先后顺序随机分成电针针刺经筋结点组和电针针刺常规腧穴组，各20例，记录两组治疗前、治疗7d、14d、21d及28d后的肘关节活动度(ROM)、肌张力等级（MAS）、Fugl-Meyer运动功能评分（FMA）(上肢)，并运用改良Ashworth 法(MAS)评估两组的疗效。结果:治疗7d、14d、21d、28d后，电针针刺经筋结点组和电针针刺常规腧穴组ROM和FMA较同组治疗前显著改善（P＜0.01），治疗14d、21d、28d后ROM和FMA评分改善明显优于电针针刺常规腧穴组（P＜0.05）。治疗14d、21d和28d后，电针针刺经筋结点组和电针针刺常规腧穴组MAS评级较同组治疗前降低(P＜0.05)；且治疗14d、21d、28d后电针针刺经筋结点组MAS等级评级明显低于电针针刺常规腧穴组（P＜0.05）。电针针刺经筋结点组总有效率为95.00%(19/20)，电针针刺常规腧穴组总有效率为65.00%(13/20)，前者疗效更优（P＜0.05）。结论：电针针刺经筋结点疗法在增大肘关节活动度,减轻上肢肌张力增高和改善上肢运动功能等方面,优于电针针刺常规腧穴治疗。 |
| 英文摘要: |
| By observing the clinical changes of the results of this study, the curative effect of electroacupuncture at meridian junction and electroacupuncture at conventional acupoints in the treatment of spasmodic paralysis of upper limb elbow joint after stroke was compared. Methods :40 patients with elbow spasms were randomly divided into electroacupuncture group and electroacupuncture group ,20 cases each, and recorded the elbow motion (ROM), muscle tension (MAS), Fugl-Meyer motor function score (FMA)(upper limb) before treatment ,7 d、14d、21d and 28 d after treatment, and used the modified Ashworth method (MAS) To assess the efficacy of both groups. Results: After 7 d、14d、21d、28d of treatment, The ROM and FMA of electroacupuncture group and electroacupuncture group were significantly improved (P<0.01), The improvement of ROM and FMA scores after 14 d、21d、28d was significantly better than that of electroacupuncture group (P<0.05). Treatment of 14 d、21d and 28 d, The MAS rating of electroacupuncture group and electroacupuncture group was lower than that of the same group before treatment (P<0.05); Electroacupuncture after 14 d、21d、28d of treatment The grade of MAS in the group was significantly lower than that in the group of electroacupuncture (P<0.05). Electroacupuncture acupuncture meridian node group total effective rate is 95.00%(19/20), electroacupuncture routine acupoint group total effective rate is 65.00%(13/20), the former curative effect is better (P<0.05). Conclusion: electroacupuncture is better than electroacupuncture at conventional acupoints in increasing elbow motion, reducing muscle tension of upper limb and improving motor function of upper limb. |
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