[1]王亚非,兑振华,周政.针刺联合推拿治疗中风后肌张力增高疗效评定[J].西部中医药,2020,33(04):124-126.[doi:10.12174/j.issn.1004-6852.2020.04.38]
 WANG Yafei,DUI Zhenhua,ZHOU Zheng.Assessment of Clinical Effects of Acupuncture and Massage in Treating Increased Muscle Tone after Stroke[J].Western Journal of Traditional Chinese Medicine,2020,33(04):124-126.[doi:10.12174/j.issn.1004-6852.2020.04.38]
点击复制

针刺联合推拿治疗中风后肌张力增高疗效评定
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年04期
页码:
124-126
栏目:
报道·特色医疗
出版日期:
2020-04-15

文章信息/Info

Title:
Assessment of Clinical Effects of Acupuncture and Massage in Treating Increased Muscle Tone after Stroke
文章编号:
1004-6852(2020)04-0124-03
作者:
王亚非兑振华周政
天津中医药大学第二附属医院,天津 300150
Author(s):
WANG Yafei DUI Zhenhua ZHOU Zheng
Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300150, China
关键词:
针刺推拿中风肌张力增高
Keywords:
acupuncture massage stroke increased muscle tone
分类号:
R255.2
DOI:
10.12174/j.issn.1004-6852.2020.04.38
文献标志码:
B
摘要:
目的:观察针刺联合推拿手法治疗对中风后肌张力增高的临床疗效。方法:将60例中风后肌张力增高患者按就诊顺序随机分为观察组和对照组,每组30例,观察组应用针刺联合推拿治疗,对照组使用单纯针刺治疗,两组均以治疗15天为1个疗程,共治疗4个疗程。观察患者肌张力评分、视觉疼痛量表评分(visual analog scale,VAS)、神经功能缺损程度积分(national institutes of health stroke scale,NIHSS)、日常生活活动能力积分(Barthel index,BI)等指数。结果:上下肢肌张力分级情况对照组治疗2个月及3个月时与治疗前比较,差异均有统计学意义(P<0.05);观察组治疗15天时、2个月时及3个月时与治疗前比较,差异有统计学意义(P<0.05);治疗2个月时、3个月时两组间比较,差异有统计学意义(P<0.05)。上下肢VAS、BI、NIHSS等指标治疗前两组比较,差异无统计学意义(P>0.05);两组治疗2个月时与治疗前比较,差异均有统计学意义(P<0.05);治疗后相同时间点两组间比较,差异有统计学意义(P<0.05)。结论:针刺联合推拿手法治疗中风后肌张力增高,可有效降低肌张力,减轻患者疼痛症状,改善神经功能,提高其生活质量。
Abstract:
Objective: To survey clinical effects of acupuncture and massage in the treatment of increased muscle tone after stroke. Methods: Sixty patients were allocated to the observation group and the control group according to the visiting order, 30 cases each group, the observation group were treated by acupuncture and massage, and the control group used single acupuncture only, 15 days were one course, both groups were treated for four courses. To observe muscle tone score, VAS scores, NIHSS, BI and others. Results: The difference was statistically significant when muscle tone classification conditions of upper and lower limbs of the control group two months and three months after treating were compared with these before treating (P<0.05); the difference showed statistical meaning when the observation group 15 days, two months and three months after treating were compared with that before treating (P<0.05); the difference showed statistical meaning betwene both groups two and three months after treating (P<0.05). The difference had no statistical meaning in VAS, BZ, NIHSS and others of upper and lower limbs between both groups before treating (P>0.05); the difference had statistical meaning when both groups two months after treating were compared with these before treating (P<0.05); the difference had statistical meaning between both groups after treating at the same time points (P<0.05). Conclusion: Acupuncture and massage could effectively reduce muscle tone, relieve pain, improve neurololical function and lift their quality of life..

相似文献/References:

[1]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
 LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(04):100.
[2]庞勇,陶继恩,胡苗苗.董氏针法治疗中风肢体偏瘫24例疗效观察[J].西部中医药,2012,25(12):94.
 PANG Yong,TAO Ji-en,HU Miao-miao.Curative Observation on DongShi Acupuncture Therapy for 24 Cases of Hemiplegia Induced by Apoplexy[J].Western Journal of Traditional Chinese Medicine,2012,25(04):94.
[3]左帮平,王兴丽,王维佳,等.针刺治疗顽固性面瘫临床应用分析[J].西部中医药,2013,26(02):100.
 ZUO Bangping,WANG Xingli,WANG W eijia,et al.Analysis on Clinical Application of Acupuncture to Intractable Facial Paralysis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):100.
[4]梁霁,指导:金钰钧.矩阵针灸治疗周围性面神经麻痹30例[J].西部中医药,2013,26(03):58.
 LIANG Ji,Director: JIN Yujun.Clinical Observation on 30 Cases of Peripheral Facial Palsy Treated with Matrix Acupuncture[J].Western Journal of Traditional Chinese Medicine,2013,26(04):58.
[5]晏宏伟.推拿手法后刺络拔罐治疗颈肩背部肌筋膜疼痛综合征的疗效观察[J].西部中医药,2013,26(04):100.
 YAN Hongwei.Clinical Effects of Manipulation, Blood-letting Puncture and Cupping in Treating Myofascial Pain Syndrome of Neck and Back[J].Western Journal of Traditional Chinese Medicine,2013,26(04):100.
[6]颜惠萍.短杠杆微调手法配合针刺治疗颈椎病40例[J].西部中医药,2013,26(06):71.
 YAN Huiping.Short Lever Adjustment Manipulation and Acupuncture in Treating 40 Patients with Cervical Spondylosis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):71.
[7]侯春英,赵耀东△,田永萍.针刺利咽穴治疗阴虚肺燥型慢性咽炎30例*[J].西部中医药,2013,26(06):99.
 HOU Chunying,ZHAO Yaodong,TIAN Yongping.Treatment for 30 Cases of Chronic Pharyngitis of Yin Deficiency and Pulmonary Dryness Pattern with Acupoints Needling[J].Western Journal of Traditional Chinese Medicine,2013,26(04):99.
[8]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(09):31.
 YANG Yi-jie.Matrix Acupuncture Therapy Combined with Reduction Method of Massage and Tendon-regulation in the Treatment for 62 Cases of Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2012,25(04):31.
[9]米仲祥,毕军伟.推拿治疗神经根型颈椎病的临床疗效观察[J].西部中医药,2013,26(07):101.
 MI Zhongxiang,BI Junwei.Clinical Observation on Massage for Cervical Spondylotic Radiculopathy[J].Western Journal of Traditional Chinese Medicine,2013,26(04):101.
[10]高亚会.针刺联合药物治疗血管神经性头痛40例[J].西部中医药,2012,25(07):79.
 GAO Ya-hui.Acupuncture and Medicine in Treating 40 Cases of Vascular Nerve Headache[J].Western Journal of Traditional Chinese Medicine,2012,25(04):79.
[11]黄继升,谢小强.阿是穴合谷刺配合推拿治疗腰椎间盘突出症临床观察[J].西部中医药,2013,26(11):111.
 HUANG Jisheng,XIE Xiaoqiang.Clinical Observation on AShi Acupoint HeGu Needling Combined with Massage in Treating Lumbar Intervertebral Disc Protrusion[J].Western Journal of Traditional Chinese Medicine,2013,26(04):111.
[12]嘉士健.辨证针刺配合推拿整复治疗颈源性咽炎疗效观察[J].西部中医药,2015,28(03):124.
[13]蒋花,邱连利△.保守疗法治疗腰椎间盘突出症60例[J].西部中医药,2017,30(02):100.
 JIANG Hua,QIU Lianli.Conservative Therapy in Treating 60 Cases of Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2017,30(04):100.

备注/Memo

备注/Memo:
收稿日期:2019-08-21*基金项目: 天津市卫计委中医中西医结合科研课题C2015109)。作者简介:王亚非(1964—),男,副主任医师。研究方向:针灸推拿临床及教学。
更新日期/Last Update: 2020-04-15