毫针透刺法配合运动疗法治疗中风后足内翻临床疗效观察

摘要

目的:观察毫针透刺法结合运动疗法治疗中风后足内翻的临床疗效和患肢痉挛程度、肢体运动功能.方法:50例中风后足内翻患者随机分为治疗组和对照组,每组各25例.治疗组采取透刺法配合运动疗法治疗,对照组则采用常规针刺配合运动疗法治疗,两组患者均采取常规支持对症治疗,治疗2个疗程后观察两组痉挛程度、肢体运动功能和临床疗效.结果:治疗组总有效率为96％,对照组总有效率为84％,治疗组临床疗效优于对照组(P＜0.05);两组治疗后Ashworth评分均较前减少,Fugl-Meyer 评分较前有所增加(均P＜0.01);且治疗组较对照组Ashworth评分降低更明显(P＜0.05),Fugl - Meyer评分增加更明显(P＜0.01).结论:毫针透刺法配合运动疗法是治疗中风后足内翻临床疗效更佳的方法,能更加有效的改善患肢痉挛程度和肢体运动功能.%Objective:To evaluate the clinical effects .the intensity of spasm and function of limbs of treating strphenopodia after stroke. Methods: Fifty post - stroke patients with strephenopodia were randomized into a treatment group and a control group,25 in each group. The treatment group received point - through - point acupuncture combined with rehabilitation training, and the control group received normal acupuncture combined with rehabilitation training. Two groups of patients were taking conventional symptomatic treatments support. To evaluate the clinical effects .the intensity of spasm and function of limbs after two treatments. Results:The total effective rate of the treatment group was 96%. Hie total effective rate of the control group was 84% , so the treatment group of the total effective rate was better than that in the control group (P <0. 05 ) ; the two groups of Ashworth index had reduced and the two groups of Fugl - Meyer index had increased after treatment ( P < 0. 01) ; Moreover, the treatment group had decreased more significantly than the control group in Ashworth index , and increased more significantly in Fugl - Meyer index. Conclusion: Point - through - point acupuncture combined with rehabilitation training is a better clinical approach for treating strphenopodia after stroke,and it can be more effective in improving the intensity of spasm and function of limbs.