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| 火针辅以腧穴埋线对中风上肢痉挛患者痉挛程度、上肢运动功能的影响 |
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侯鑫磊1, 金泽1, 商玮珉2, 安微1, 陈静1, 宋琦3, 王琳晶1, 李旭州4
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1.黑龙江中医药大学附属第二医院针灸科, 哈尔滨 150001;2.黑龙江中医药大学附属第二医院彩超室, 哈尔滨 150001;3.黑龙江中医药大学附属附属第二医院康复科, 哈尔滨 150001;4.黑龙江中医药大学针灸科, 哈尔滨 150040
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| 摘要: |
| [目的] 研究火针辅以腧穴埋线对中风上肢痉挛患者痉挛程度（MAS）和上肢运动功能（FMA）的影响。[方法] 文章选取2019年1月—2021年2月在黑龙江中医药大学第二附属医院针灸五病房住院的中风上肢痉挛患者120例，按照随机数字表法分为治疗组和对照组，各60例。对照组给予火针治疗，治疗组在对照组火针针灸治疗的基础上辅以腧穴埋线治疗，两组患者共治疗4周。检测患者MAS、FMA、神经功能缺损评分标准（CSS）、γ-氨基丁酸（GABA）、甘氨酸（Gly）、焦虑自评量表（SAS）、日常生活活动能力（ADL）指标，统计治疗效果。[结果] 治疗后，CSS、SAS评分均低于治疗前，FMA、Gly、GABA、ADL评分均高于治疗前，差异有统计学意义（P<0.05）；治疗后治疗组MAS评分等级优于对照组，CSS、SAS评分均低于对照组，FMA、Gly、GABA、ADL及临床疗效优于对照组，差异有统计学意义（P<0.05）。[结论] 火针辅以腧穴埋线对中风上肢痉挛患者治疗痉挛程度、上肢运动功能的效果明显，能降低患者痉挛程度，提高患者上肢运动功能。 |
| 关键词: 火针 腧穴埋线 中风上肢痉挛 痉挛程度 上肢运动功能 |
| DOI：10.11656/j.issn.1672-1519.2022.01.15 |
| 分类号:R255.2 |
| 基金项目:黑龙江省卫生健康委科研课题（2020-295）。 |
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| Effect of fire needle combined with acupoint catgut embedding on spasticity and motor function of upper limb in stroke patients |
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HOU Xinlei1, JIN Ze1, SHANG Weimin2, AN Wei1, CHEN Jing1, SONG Qi3, WANG Linjing1, LI Xuzhou4
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1.Department of Acupuncture, The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150001, China;2.Ultrasound Room, The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150001, China;3.Department of Rehabilitation, The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150001, China;4.Department of Acupuncture, Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China
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| Abstract: |
| [Objective] To study the effect of fire needle combined with acupoint catgut embedding on Modified Ashworth Scale （MAS） and Fugl Meyer assessment （FMA） in stroke patients with upper limb spasm. [Methods] In this paper，120 cases of apoplectic upper limb spasticity in The Second Affiliated Hospital of Heijongjiang University of Traditional Chinese Medicine from January 2019 to February 2021 were selected and randomly divided into treatment group and control group，60 cases in each group. The control group was treated with fire acupuncture，while the treatment group was treated with acupoint catgut embedding on the basis of fire acupuncture in the control group. The two groups were treated for 4 weeks. MAS，FMA，China Stroke Scale （CSS），gamma aminobutyric acid （GABA），glycine （Gly），self rating Anxiety Scale （SAS） and activities of daily living （ADL） were detected，and the treatment effect was statistically analyzed. [Results] After treatment，CSS and SAS scores were lower than before treatment，FMA，Gly，GABA，ADL scores were higher than before treatment，the difference was statistically significant （P<0.05）；after treatment，the MAS scores of treatment group were better than those of control group，CSS and SAS scores were lower than those of control group. The scores of FMA，Gly，GABA，ADL and effective rate in the treatment group were better than those in the control group （P<0.05）. [Conclusion] Fire needle combined with acupoint catgut embedding has obvious effect on spasticity and upper limb motor function of stroke patients with upper limb spasm，which can reduce the degree of spasticity and improve the motor function of upper limb. |
| Key words: fire needle acupoint catgut embedding apoplectic upper limb spasm spasticity degree upper limb motor function |
