穴位注射联合康复治疗对改善脑卒中后足内翻的临床研究

》首页 》 医学论文 》穴位注射联合康复治疗对改善脑卒中后足内翻的临床研究
作者:无, 字数:4303

   【摘要】 目的:探讨穴位注射联合康复治疗对改善脑卒中后足内翻的临床疗效。方法:选取2017年6月-2019年11月本院收治的80例脑卒中后足内翻患者为研究对象。按照随机数字表法分为对照组和观察组,每组40例。对照组予以常规康复训练,观察组在对照组基础上予以穴位注射治疗。比较两组患者的临床疗效,患侧胫前肌步行摆动期表面肌电均方根(RMS)值及足外翻关节活动度,足内翻积分及下肢运动功能评分。结果:观察组的治疗总有效率为90.00%,高于对照组的65.00%,差异有统计学意义(P<0.05)。治疗后,两组表面肌电RMS值及足内翻积分均下降,且观察组均低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组足外翻关节活动度、下肢运动功能评分均升高,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:穴位注射联合康复治疗对改善脑卒中后足内翻的疗效较佳,有利于增加关节活动度,提高患者的步行能力,值得临床推广与应用。
   【关键词】 穴位注射 足内翻 脑卒中 康复疗法
   [Abstract] Objective: To explore the clinical effect of acupoint injection combined with rehabilitation therapy on improving foot inversion after stroke. Method: A total of 80 patients with foot inversion after stroke in our hospital from June 2017 to November 2019 were selected as the research objects. According to the random number table method, the patients were divided into control group and observation group, 40 cases in each group. The control group was given routine rehabilitation training, the observation group was given acupoint injection therapy on the basis of the control group. The clinical efficacy, root mean square (RMS) value of surface electromyography and the range of motion of valgus joint, foot inversion score and lower limb motor function score were compared between the two groups. Result: The total effective rate of the observation group was 90.00%, higher than 65.00% of the control group, the difference was statistically significant (P<0.05). After treatment, the surface electromyography RMS value and foot inversion score of the two groups decreased, and the observation group were lower than those of the control group, the differences were statistically significant (P<0.05). After treatment, the valgus joint range of motion and lower limb motor function scores of the two groups were increased, and the observation group were higher than those of  the control group, the differences were statistically significant (P<0.05). Conclusion: Acupoint injection combined with rehabilitation therapy has a better effect on improving foot inversion after stroke, which is conducive to increase joint activity and improve walking ability of patients, which is worthy of clinical promotion and application.
   [Key words] Acupoint injection Foot inversion Stroke Rehabilitation therapy
   First-author’s address: Fuzhou First People’s Hospital, Fuzhou 344000, China
   doi:10.3969/j.issn.1674-4985.2020.26.029
   腦卒中是临床上一类发病率高、致残率高、复发率高、致死率高的疾病,足内翻作为脑卒中较常见的后遗症,是步态异常、阻碍下肢功能活动的重要原因[1]。随着病程的发展,软瘫逐渐转成硬瘫,患侧肌张力逐步亢进,不仅会导致外观畸形,更会影响患者的行走及平衡[2]。现代医学对卒中后足内翻的认识尚未完全深入,治疗该病仍是一项难题,多以康复治疗为主。康复治疗可以调节肌张力平衡,促进建立神经回路正常运动程序,提高步行能力[3]。中医认为本病由气血虚弱、脉络瘀滞、筋脉失养引起,使用正清风痛宁穴位注射将药物的药理作用、穴位的传导作用、针刺的机械作用相结合,可对人体产生强烈的刺激,促进肢体恢复正常的功能和形态[4]。因此本研究在康复治疗基础上应用穴位注射治疗脑卒中后足内翻,进行临床疗效观察,现报道如下。

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