巨刺法结合持续静力牵张治疗中风后肌张力增高的观察临床医学.docVIP

巨刺法结合持续静力牵张治疗中风后肌张力增高的观察临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：巨刺法结合持续静力牵张治疗中风后肌张力增高的观察临床医学 1 1 临床资料 2 2 治疗 方法 3 3 疗效观察 3 4 讨论 4 文2：舌下三针治疗中风后吞咽困难28例观察临床医学 5 1资料与方法 5 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 巨刺法结合持续静力牵张治疗中风后肌张力增高的观察临床医学 文1：巨刺法结合持续静力牵张治疗中风后肌张力增高的观察临床医学 Abstract: ［Objective］To observe the effect of opposing needling accompanying continual static stretch(CSS) on highspasticity poststroke.［Methods］80 patients with high spasticity poststroke were randomly divided into four group: treated with opposing needling accompanying CSS；B group: treated with opposing needling；C group: treated with CSS；D group: acupoints selected from antispasm therapeutic effect of the four methods was evaluated on proving spasm degree and motor function.［Results］Four methods had effect on high muscle teion in patients marks of Ashworth scale and FuglMeyer scale of the four groups had remarkable difference (P＜).The therapy of A group has the best recuperative effect；B group’s and C group’s have better effect than D group’s.［Conclusion］Opposing needling accompanying CSS has effect on high spasticity and motor function in apoplectic recuperative effect of opposing needling accompanying CSS is superior to either only opposing needling or only CSS treatment；the recuperative effect of either opposing needling or CSS is superior to routine oneside acupuncture treatment on improving high muscle teion. Key words：opposing needling；continual static stretch；cerebral vascular accident；spasm；Ashworth mark 脑卒中的发病率、致残率、病死率、复发率都很高，严重危害人类生命和健康。国内资料统计表明：脑卒中后80%～90%的患者都有肌张力障碍［1］。肌张力异常升高制约肢体运动功能的恢复，日常生活能力明显下降，严重影响患者的生活质量。而药物和手术的疗效并不理想，且不良反应多。本研究对脑卒中后肢体高肌张力状态患者采用巨刺法结合持续静力牵张 治疗 进行临床疗效观察，报告如下。 1 临床资料 根据全国第四届脑血管病会议上通过《各类脑血管病诊断要点》，并经过CT或MR检查确诊，选择符合脑卒中诊断的患者80例，年龄在48～78岁，认知功能良好，痉挛肢体的Asworth量表1～4级。应用随机数字表，将纳入对象平均分为A、B、C、D4组，每组20例。经统计学处理，各组在年龄、病程长短、病情程度等方面均无显著性差异。 2 治疗 方法 (1)巨刺法:选健侧穴位针刺，上肢以屈侧为主，多选阴经穴；下肢以伸侧为主，多选阳经穴。上肢取内关、尺泽、侠白；下肢取足三里、阳陵泉、太冲、丘墟、风市。针用泻法。两组穴位交替隔日使用，1次/d，每次