实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (1): 74-77.doi: 10.3969/j.issn.1003-9198.2025.01.017

• 临床研究 • 上一篇    下一篇

埋线疗法对老年脑卒中后下肢肌痉挛病人的疗效观察

朱博艺, 欧阳钢, 葛伟, 何睿, 余月, 鲍慧敏, 王鸣   

  1. 210023 江苏省南京市,南京中医药大学(朱博艺,欧阳钢);
    210024 江苏省南京市,南京医科大学附属老年医院针灸推拿科(朱博艺,欧阳钢,葛伟,余月,鲍慧敏,王鸣);超声科(何睿)
  • 收稿日期:2024-03-05 出版日期:2025-01-20 发布日期:2025-01-15
  • 通讯作者: 欧阳钢,Email:oygang@sina.com
  • 基金资助:
    江苏省中医药科技发展计划项目(MS2023162)

Observation of the therapeutic effect of thread embedding therapy in elderly patients with lower limb muscle spasm after stroke

ZHU Boyi, OUYANG Gang, GE Wei, HE Rui, YU Yue, BAO Huimin, WANG Ming   

  1. Nanjing University of Traditional Chinese Medicine, Nanjing 210023, China (ZHU Boyi,OUYANG Gang);
    Department of Acupuncture and Tuina (ZHU Boyi, OUYANG Gang, GE Wei, YU Yue, BAO Huimin, WANG Ming); Department of Ultrasound (HE Rui), Affiliated Geriatric Hospital of Nanjing Medical University, Nanjing 210024, China
  • Received:2024-03-05 Online:2025-01-20 Published:2025-01-15
  • Contact: OUYANG Gang, Email: oygang@sina.com

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摘要： 目的 观察埋线疗法对老年脑卒中后下肢肌痉挛病人的临床疗效。方法 选取南京医科大学附属老年医院住院和门诊治疗的老年脑卒中后下肢肌痉挛病人40例作为研究对象,采用随机数表法分为治疗组和对照组,每组20例。对照组予常规康复训练,治疗组予埋线治疗联合常规康复训练,比较2组治疗前后的改良Ashworth量表(modified Ashworth scale, MAS)评级、Peen评分、下肢Fugl-Meyer运动功能(FMA)评分和杨氏模量绝对值。结果 治疗前,2组MAS评级、Peen评分、下肢FMA评分和杨氏模量绝对值差异均无统计学意义(P＞0.05)。治疗后24 h,治疗组MAS评级、Peen评分均优于对照组;治疗后第10天,治疗组MAS评分、Peen评分、下肢FMA评分和杨氏模量绝对值亦优于对照组,差异均有统计学意义(P＜0.05)。结论 埋线疗法联合常规康复训练能显著提升老年脑卒中后下肢肌痉挛的治疗效果。

关键词: 埋线, 脑卒中, 肌痉挛

Abstract: Objective To observe the clinical efficacy of acupoint thread embedding therapy in the elderly patients with lower limb muscle spasms after stroke. Methods Forty elderly patients with post-stroke spasticity of lower limbs from Affiliated Geriatric Hospital of Nanjing Medical University were randomly divided into the treatment group and the control group, with 20 cases in each group. The control group received routine rehabilitation training, while the treatment group received thread embedding therapy(polydioxanone threads, PDO)combined with routine rehabilitation training. The grade of modified Ashworth scale, Peen scale and the scores of lower limb Fugl-Meyer assessment scale(FMA), and absolute value of Young’s modulus before and after treatment were compared between the two groups. Results There were no statistically significant differences in MAS grade, Peen grade, lower limb FMA score, and absolute value of Young’s modulus between the two groups before treatment (P＞0.05). After 24 hours of treatment, MAS grade and Peen grade in the treatment group were more significantly improved than those in the control group;On the 10th day after treatment, MAS score, Peen score, lower limb FMA score, and absolute value of Young’s modulus in the treatment group were more significantly improved than those in the control group (P＜0.05). Conclusions Acupoint thread embedding therapy combined with conventional rehabilitation training can significantly improve the therapeutic effect of lower limb muscle spasticity after stroke in the elderly patients.

Key words: acupoint thread embedding therapy, stroke, muscle spasms

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