Observation on the Clinical Curative Effect of Acupuncture for Stroke Hemiplegia According to Muscle Tension Evolution Rule

IF 0.2 4区医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE

Acupuncture & Electro-Therapeutics Research Pub Date : 2021-06-02 DOI:10.3727/036012921X16207330235347

Yingying Zhang, Minyao Li, Gang Ouyang

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引用次数: 1

Abstract

Objective: Patients with hemiplegia after stroke were treated with acupuncture according to the evolution of muscle tension combined with rehabilitation exercises, conventional acupuncture combined with rehabilitation exercises, and rehabilitation exercises alone, then the clinical effects were compared. Methods: According to the random number table method, 125 stroke hemiplegia patients were randomly divided into three groups: control group A (n = 42), control group B (n = 40), and observation group (n = 43). Patients in control group A were treated with rehabilitation exercise therapy, patients in control group B were treated with conventional acupuncture combined with rehabilitation exercises, and patients in the observation group were treated with staging acupuncture according to the evolution of muscle tension combined with rehabilitation exercises once a day for four weeks. Before and after treatment, patients were evaluated using the simplified Fugl–Meyer assessment (FMA) scale, modified Barthel index (MBI), and nerve function imperfection (NFI). The differences within and between groups were evaluated, and clinical efficacies after treatment were compared. Results: Before treatment, the differences in FMA, MBI, and NFI scores among the three groups were not statistically significant (P > 0.05). After treatment, the FMA score and MBI of the three groups were significantly improved, and the NFI scores were significantly reduced. Afterreduced. After treatment, FMA and MBI scores were in the following order: observation group > control group B, control group B > control group A (P < 0.05). NFI scores were in the following order: observation group < control group B, control group B < control group A (P < 0.05). Conclusion: The curative effects were in the following order: acupuncture according to the evolution of muscle tension combined with rehabilitation exercises > conventional acupuncture combined with rehabilitation exercises > rehabilitation exercises alone.

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从肌张力演变规律观察针刺治疗脑卒中偏瘫的临床疗效

目的：根据脑卒中偏瘫患者肌肉张力的演变，结合康复训练，常规针刺结合康复训练和单纯康复训练进行治疗，并比较其临床疗效。方法：采用随机数表法，将125例脑卒中偏瘫患者随机分为三组：对照组A（n=42）、对照组B（n=40）和观察组43。对照组A患者采用康复运动治疗，对照组B患者采用常规针刺结合康复运动治疗；观察组患者采用根据肌张力演变分期针刺结合康复训练治疗，每天1次，疗程4周。在治疗前后，使用简化的Fugl-Meyer评估（FMA）量表、改良Barthel指数（MBI）和神经功能缺损（NFI）对患者进行评估。评估组内和组间的差异，并比较治疗后的临床疗效。结果：治疗前，三组FMA、MBI和NFI评分差异无统计学意义（P>0.05），治疗后，三组的FMA评分和MBI评分均有明显改善，NFI评分均有显著降低。后还原。治疗后FMA和MBI评分依次为：观察组>对照组B、对照组B>对照组A（P<0.05），对照组B＜对照组A（P＜0.05）。

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来源期刊

Acupuncture & Electro-Therapeutics Research 医学-全科医学与补充医学

CiteScore

0.50

自引率

66.70%

发文量

审稿时长

>12 weeks

期刊介绍： The aim of the journal is to provide an international forum for the exchange of ideas and promotion of basic and clinical research in acupuncture, electro-therapeutics, and related fields. The journal was established in order to make acupuncture and electro-therapeutics a universally acceptable branch of medicine through multidisciplinary research based on scientific disciplines. The final goal is to provide a better understanding of both the beneficial and adverse effects of these treatments in order to supplement or improve existing methods of diagnosis, prognosis, treatment, and prevention of diseases in both Western and Oriental medicine.