| 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 |
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| 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） |
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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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