CAJ | 학술논문

目的：探讨温针配合康复运动缓解中风后肌张力增高的治疗效果。方法：将80例中风后肌张力增高患者随机分为治疗组与对照组各40例，治疗组应用温针治疗，对照组应用普通针刺治疗，两组患者同时配合康复运动疗法，治疗1次/d，10次为1疗程，休息2 d，继续下一个疗程，共治疗3个疗程。采用 Ashworth 量表评定肢体痉挛状态，采用 Fugl-Meyer 评分法评定肢体运动功能水平，采用 Barthel 指数评分评定患者日常生活能力。结果：治疗后，治疗组患者 Ashworth 评分、Fugl-Meyer 评分、Barthel 指数评分均优于对照组，差异具有统计学意义(P＜0.01)。结论：温针配合康复运动治疗可有效缓解患者中风后肌张力增高以及对肢体功能改善有显著疗效，且优于单纯针刺联合康复运动。
목적：탐토온침배합강복운동완해중풍후기장력증고적치료효과。방법：장80례중풍후기장력증고환자수궤분위치료조여대조조각40례，치료조응용온침치료，대조조응용보통침자치료，량조환자동시배합강복운동요법，치료1차/d，10차위1료정，휴식2 d，계속하일개료정，공치료3개료정。채용 Ashworth 량표평정지체경련상태，채용 Fugl-Meyer 평분법평정지체운동공능수평，채용 Barthel 지수평분평정환자일상생활능력。결과：치료후，치료조환자 Ashworth 평분、Fugl-Meyer 평분、Barthel 지수평분균우우대조조，차이구유통계학의의(P＜0.01)。결론：온침배합강복운동치료가유효완해환자중풍후기장력증고이급대지체공능개선유현저료효，차우우단순침자연합강복운동。
Objective:To investigate the treatment effect of warm needling combined with rehabilitation exercise alleviate hypermyotonia after stroke.Methods:80 patients with post-stroke hypermyotonia were randomly divided into the treatment group and the control group with 40 cases in each group.The treatment group used needle warming therapy,and the control group used conventional acupuncture treatment.At the same time,the two groups patients combined with rehabilitation exercise therapy.They were treated for 1 time/d.10 times were 1 course of the treatment,rest 2 d,then continue to the next course of the treatment,and they were treated for a total of 3 courses.We used Ashworth scale to evaluate the limb spasticity;we used the Fugl-Meyer scoring system to evaluate the limb movement function level;we used the Barthel index score to evaluate the ability of daily life.Results:After the treatment,the Ashworth score,Fugl-Meyer score,Barthel index scores of the patients in the treatment group were better than those of the control group,and with significant difference(P<0.01).Conclusion:Acupuncture combined with rehabilitation exercise therapy can relieve patients with post-stroke hypermyotonia effectively and the improvement of limb function has obvious curative effect,and it is superior to that of simple acupuncture combined with rehabilitation exercise.