A Clinical Observation on Shuttle Moxibustion along Meridians Combined with Reflex Inhibition Mode for 30 Cases of Spastic Hemiplegia After Stroke

CHI Zhenhai; XIONG Jun; CHEN Rixin; YU Hang; JIAO Lin; ZHANG Yanhui; YANG Hai

doi:10.13288/j.11-2166/r.2013.07.013

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A Clinical Observation on Shuttle Moxibustion along Meridians Combined with Reflex Inhibition Mode for 30 Cases of Spastic Hemiplegia After Stroke

更新时间：2021-11-17

- A Clinical Observation on Shuttle Moxibustion along Meridians Combined with Reflex Inhibition Mode for 30 Cases of Spastic Hemiplegia After Stroke
- Journal of Traditional Chinese Medicine Vol. 54, Issue 7, Pages: 580-583(2013)
- 作者机构：
  
  江西中医学院附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2013.07.013
  CLC： R246.6
- Published：2013
- 稿件说明：
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[1]迟振海,熊俊,陈日新,余航,焦琳,张衍辉,杨海.循经往返灸加反射抑制模式治疗脑卒中后痉挛性偏瘫患者30例临床研究[J].中医杂志,2013,54(07):580-583.

CHI Zhenhai, XIONG Jun, CHEN Rixin, et al. A Clinical Observation on Shuttle Moxibustion along Meridians Combined with Reflex Inhibition Mode for 30 Cases of Spastic Hemiplegia After Stroke[J]. Journal of Traditional Chinese Medicine2013, 54(7): 580-583.
[1]迟振海,熊俊,陈日新,余航,焦琳,张衍辉,杨海.循经往返灸加反射抑制模式治疗脑卒中后痉挛性偏瘫患者30例临床研究[J].中医杂志,2013,54(07):580-583. DOI： 10.13288/j.11-2166/r.2013.07.013.

CHI Zhenhai, XIONG Jun, CHEN Rixin, et al. A Clinical Observation on Shuttle Moxibustion along Meridians Combined with Reflex Inhibition Mode for 30 Cases of Spastic Hemiplegia After Stroke[J]. Journal of Traditional Chinese Medicine2013, 54(7): 580-583. DOI： 10.13288/j.11-2166/r.2013.07.013.

摘要

目的观察循经往返灸加反射抑制模式对脑卒中后痉挛性偏瘫患者肌张力、神经功能的影响及临床疗效。方法将90例脑卒中后痉挛性偏瘫患者随机分为治疗组、对照1组、对照2组各30例

治疗组采用循经往返灸加反射抑制模式治疗

对照1组、对照2组分别采用循经往返灸、反射抑制模式治疗

均每日1次

每周5次

共治疗20次。治疗后比较各组患者临床疗效

并分别于治疗前后及治疗后6个月随访时

采用改良Ash-worth评分评价各组患者肘关节、腕关节、膝关节、踝关节痉挛程度;采用临床神经功能缺损评分（NDS）及日常生活能力量表（ADL）评分评价患者肢体运动功能及生活自理能力。结果治疗组临床疗效总有效率为93.33%

对照1组为63.33%

对照2组为73.33%

治疗组临床疗效优于2个对照组（P<0.05）。除对照1组膝关节、对照2组腕关节外

各组治疗后各关节Ash-worth评分均较治疗前下降（P<0.05或P<0.01）;治疗后、随访时治疗组肘关节、膝关节改善程度均优于2个对照组（P<0.05或P<0.01）。治疗后各组患者NDS评分、ADL评分均较治疗前下降（P<0.01）;治疗组治疗后及随访时NDS评分、ADL评分改善程度均优于2个对照组（P<0.05）。结论循经往返灸结合反射抑制模式可改善脑卒中后痉挛性偏瘫患者的肌张力、神经功能缺损程度及日常生活能力

其疗效优于单一疗法。

Abstract

Objective To observe the effects of shuttle moxibustion along meridians combined with reflex inhibition mode on muscle tension and nerve function in patients with spastic hemiplegia after stroke and compare the therapeutic effect with monotherapy.Methods Ninety patients with spastic hemiplegia after stroke were randomized into the treatment group

first control group and second control group

with 30in each.The treatment group was given combo therapy of shuttle moxibustion along meridians and reflex inhibition mode.first control group and second control group was given shuttle moxibustion along meridians and reflex inhibition mode respectively.Each group was treated once daily

5times weekly for 20times.The therapeutic effect was observed and compared.The spasticity of elbow

wrist

knee and ankle was evaluated with modified Ash-worth Rating Scale and limb motor function and daily living ability was evaluated with neurologic deficit score（NDS）and activities of daily living（ADL）scale before and after treatment and during follow-up six months after treatment.Results The total effective rate of treatment group

first control group and second control group was 93.33%

63.33%and 73.33%respectively.The total effective rate of the treatment group was superior to those of both control groups（P<0.05）.The Ash-worth scores in all groups were significantly decreased after treatment（P<0.05or P<0.01）except scores of knee in first control group and wrist in second control group.The improvement of elbow and knee in the treatment group was superior to that in both control groups after treatment and during follow-up（P<0.05or P<0.01）.The scores of NDS and ADL were significantly decreased in all groups after treatment（P<0.01）.The improvement of NDS scores and ADL scores in the treatment group was superior to that in both control groups after treatment and during follow-up（P<0.05）.Conclusion The combo therapy of shuttle moxibustion along meridians and reflex inhibition mode can improve the muscle tension

nerve function and daily living ability for spastic hemiplegia after stroke

with a better therapeutic effect as compared with monotherapy.

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