文章摘要
魏从兵 ，王丹 ，魏仁贤.体外冲击波联合针灸对脑卒中患者上肢屈肌痉挛状态的疗效观察[J].神经损伤功能重建,2021,16(9):515-517
体外冲击波联合针灸对脑卒中患者上肢屈肌痉挛状态的疗效观察
Effect of Extracorporeal Shock Wave Therapy Combined with Acupuncture on Stroke Patientswith Upper Limb Flexor Spasticity
  
DOI：
中文关键词: 体外冲击波治疗  针灸  脑卒中  上肢屈肌痉挛
英文关键词: extra-corporeal shock wave therapy  acupuncture  stroke  upper limb flexor spasm
基金项目:武汉市卫计委科研 立项（No. WX18D 45）
作者单位
魏从兵1 ，王丹1 ，魏仁贤2 1. 中 国 地 质 大 学 （武汉）医院神经内 科 2. 江汉大学附属武 汉市六医院中医康 复科 
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中文摘要:
      目的：观察体外冲击波治疗（ESWT）联合针灸对脑卒中上肢屈肌痉挛状态患者的治疗效果。方法：脑 卒中后上肢单瘫恢复期伴有上肢屈肌肌张力增高的患者80例，随机分为对照组、针灸组、ESWT组和联合 组，每组20例，均给予常规康复治疗，针灸组另予针灸治疗，ESWT组另予ESWT，联合组另予针灸联合ESWT 治疗，连续治疗 4 周。应用改良 Ashworth 量表（MAS）、简化 Fugl-Meyer 评定法上肢部分（U-FMA）和 Barthel指数（BI）分别于治疗前后对患者的上肢屈肌痉挛情况、运动功能及日常生活能力进行评定。结果： 治疗前各组MAS、U-FMA、BI评分差异均无统计学意义（P>0.05）；治疗4周后，各组MAS评分较治疗前明 显降低，U-FMA、BI 评分较治疗前升高（P<0.05），联合组的 MAS 评分低于对照组、ESWT 组、针灸组， U-FMA、BI评分高于对照组、ESWT组、针灸组（P<0.05）。结论：ESWT联合针灸对脑卒中上肢屈肌痉挛状 态患者疗效显著，且安全无副作用。
英文摘要:
      To observe therapeutic effect of extracorporeal shock wave therapy (ESWT) combined with acupuncture on patients with upper limb flexor spasm after stroke. Methods: Total 80 patients with hemiplegia of the upper limbs and increased upper limb flexor tension after stroke were recruited and randomly divided into groups control, acupuncture, ESWT, and combined treatment, with 20 patients in each. All groups were treated with standard rehabilitation, and the acupuncture group was additionally given acupuncture therapy, the ESWT group given ESWT, and the combined treatment group given acupuncture and ESWT. Treatment was continued for 4 weeks. The modified Ashworth Scale (MAS), simplified Fugl-Meyer assessment for upper extremity (U-FMA), and modified Barthel Index (BI) were used to evaluate muscle spasm, motor function, and daily living ability before and after treatment. Results: There was no significant difference in the MAS, U-FMA, and BI scores between the groups before treatment (P>0.05). After 4 weeks of treatment, all groups showed a decrease in MAS scores and increase in U-FMA and BI scores compared to before treatment (P<0.05). The combined treatment group showed a lower MAS score and higher U-FMA and BI scores than the control, ESWT, and acupuncture groups. Conclusion: ESWT combined with acupuncture has a significant curative effect on patients with upper limb flexor spasm after stroke; additionally, this treatment is safe and has no side effects.
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