摘要
目的:观察电针联合放散式体外冲击波(radial extracorporeal shock wave treatment,rESWT)治疗脑卒中后腓肠肌痉挛的临床疗效。方法:选取2017年4月至2018年12月在广东省中西医结合医院康复科住院治疗的腓肠肌痉挛患者90例,按照随机数字表法分为对照组、rESWT组、电针联合rESWT组,每组30例。对照组给予基础治疗及常规康复治疗,rESWT组在对照组治疗的基础上给予rESWT治疗,电针联合rESWT组在rESWT组治疗的基础上给予电针治疗。比较治疗前后三组患者踝关节被动活动度(passive range of motion,PROM)、改良Ashworth量表评分、肌电图Hmax/Mmax值。结果:rESWT组、电针联合rESWT组PROM高于对照组,且电针联合rESWT组PROM高于rESWT组,差异有统计学意义(P<0.05);电针联合rESWT组MAS评分和Hmax/Mmax值低于对照组、rESWT组,差异有统计学意义(P<0.05)。结论:电针联合放散式体外冲击波治疗脑卒中后腓肠肌痉挛,能改善患者PROM、MAS评分和Hmax/Mmax值。
Objective:To observe the clinical curative effect of electroacupuncture combined with radial extracorporeal shock wave treatment(rESWT)on gastrocnemius spasm after stroke.Methods:A total of 90 patients with gastrocnemius spasm who were hospitalized in the rehabilitation department of Guangdong integrated hospital of traditional Chinese and Western medicine from April 2017 to December 2018 were divided into the control group,the rESWT group,the electroacupuncture combined with rESWT group according to the random number table method,with 30 cases in each group.The control group was given basic treatment and routine rehabilitation treatment,the rESWT group was given rESWT treatment on the basis of the control group,and the electroacupuncture combined with rESWT group was given electroacupuncture treatment on the basis of the rESWT group.The ankle passive range of motion(PROM),the score of Ashworth scale and the Hmax/Mmax of EMG were compared between the three groups before and after the treatment.Results:The PROM of the rESWT group,and the electroacupuncture combined with rESWT group was higher than that of the control group;The PROM of the electroacupuncture combined with rESWT group was higher than that of the rESWT group,and all the differences were statistically significant(P<0.05).The MAS score and Hmax/Mmax value of the electroacupuncture combined with rESWT group was lower than that of the control group,and the rESWT group,and all the differences were statistically significant(P<0.05).Conclusion:Electroacupuncture combined with rESWT has a remarkable clinical curative effect on gastrocnemius spasm after stroke,can improve the PROM,MAS and Hmax/Mmax of patients.
作者
冯文锋
冼超俊
袁佳
麦方永
FENG Wen-feng;XIAN Chao-jun;YUAN Jia;MAI Fang-yong(Guangdong Integrated Hospital of Traditional Chinese and Western Medicine,Foshan,Guangdong,China,528200)
出处
《河南中医》
2020年第8期1281-1284,共4页
Henan Traditional Chinese Medicine
基金
广东省中医药管理局基金项目(20172032)。
