电针拮抗肌结合Bobath疗法治疗中风后足内翻的临床研究

摘要

目的:探讨电针拮抗肌结合Bobath疗法对中风后足内翻的治疗作用及效果.方法:把120例中风后足内翻的病人应用随机数字表法,分成治疗组(电针拮抗肌结合Bobath疗法)60例和对照组(Bobath疗法)60例.对比两组病人治疗前后下肢痉挛程度、下肢运动功能、日常生活能力评分,运用修改的Ashworth法评价两组的临床疗效.结果:治疗组对病人的下肢痉挛程度的分级优于对照组(P＜0.05),下肢Fugl-Meyer运动功能评分优于对照组(P＜0.05),日常生活能力评分比较优于对照组(P＜0.05).治疗组总有效率为93.33％,对照组总有效率为85％.结论:电针拮抗肌结合Bobath疗法可以改善中风后足内翻患者的下肢痉挛程度,纠正足内翻,进而提高病人下肢运动功能,治疗效果优于单纯Bobath疗法.%Objective:To observe the effect of needling antagonistic muscle with electro-acupuncture combined with Bobath therapy in the treatment of strephenopodia after stroke.Methods:120 patients with strephenopodia after stroke were randomly divided into the observation group and the control group,with 60 cases in each group.The observation group was intervened by needling antagonistic muscle with electro-acupuncture combined with Bobath thearpy,whereas the control group was only treated with Bobath therapy.The degree of lower limb spasticity and motor function,daily life activity were compared between the two groups before and after the treatment,the clinical efficacy was evaluated with the modified Ashworth method.Results:The degree of lower limb spasticity was lower in the observation group than that in the control group (P ＜ 0.05);scores of Fugl-Meyer motor function in lower limbs and daily life activity were both higher in the observation group than those in the control group(P ＜ O.05).The total effective rate was 93.33％ in the observation group,compared to 85 ％ in the control group.Conclusion:The therapy of needling antagonistic muscle with electro-acupuncture combined with Bobath method can alleviate spasticity degree of lower limbs,correct strephenopodia and improve motor function in patients with strephenopodia after stroke,which is superior to single Bobath therapy.