文章摘要
娄必丹,章薇,刘智,李金香,黄洁,谭朝坚,余兆安.张力平衡针法对脑卒中下肢功能及独立生活能力的影响[J].中国康复,2012,27(4):255-256
张力平衡针法对脑卒中下肢功能及独立生活能力的影响
Effects of tension balance acupuncture on the lower limb function and ability to live independently in the post-stroke patients with spastic paralysis
  
DOI:
中文关键词: 脑卒中  张力平衡针法  传统针刺法
英文关键词: stroke  tension balance acupuncture  traditional acupuncture
基金项目:国家中医药管理局中医临床诊疗技术整理与研究项目(2001ZL36)
作者单位
娄必丹 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
章薇 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
刘智 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
李金香 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
黄洁 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
谭朝坚 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
余兆安 湖南中医药大学第一附属医院针灸推拿康复科长沙 410007 
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中文摘要:
  目的:观察张力平衡针法对脑卒中患者下肢功能及独立生活能力的影响。方法:脑卒中痉挛患者70例,随机分为张力平衡针法组(研究组)和传统针法组(对照组)各35例。研究组采用张力平衡针法治疗,对照组采用传统针法治疗。治疗前后评定2组患者下肢肌张力、痉挛指数(CSI)、足下垂内翻程度、Fugl-Meyer及FIM运动功能。结果:治疗30d后,2组改良的Ashworth、下肢FMA及FIM评分均明显高于治疗前(P<0.01),且研究组更高于对照组(P<0.01,0.05);2组CSI评分、足下垂及内翻角度均低于治疗前(P<0.01),且研究组更低于对照组(P<0.01,0.05)。结论:张力平衡针法能显著改善脑卒中痉挛瘫痪患者下肢运动功能,并提高其独立生活能力。
英文摘要:
  Objective:To observe the effects of tension balance acupuncture on the lower limb function and ability to live independently in the post-stroke patients with spasm. Methods: Seventy cases of post-stroke spastic patients were randomly divided into treatment group receiving tension balance acupuncture (n=35) and control group given traditional acupuncture (n=35). Revised Ashworth scale, CSI index, the degree of foot drop or strephenopodia, Fugl-Meyer and FIM scale of lower limb muscle were assessed before and after the treatment. Results: After treatment for 30 days, revised Ashworth scores, Fugl-Meyer and FIM scores in both groups were increased as compared with those before treatment (P<0.01), more significantly in treatment group than in control group (P<0.01, or P<0.05). CSI index, and the degree of foot drop or strephenopodia in both groups after treatment were reduced as compared with those before treatment (P<0.01), more significantly in treatment group than in control group (P<0.01, or P<0.05). Conclusion: Tension balance acupuncture can significantly improve lower extremity motor function of stroke patients with spastic paralysis and enhance independent ability of life.
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