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脑卒中患者超早期电针疗法预防肩关节半脱位76例疗效观察

Clinical Observation on Effect of Prevention of Glenohumeral Subluxation with Electro-acupuncture Therapy in Super-early Period of Cerebral Stroke in 76 Cases

摘要目的 观察超早期电针疗法对脑卒中患者肩关节半脱位(GHS)的预防效果.方法 将160例脑卒中患者随机分为两组各80例,对照组给予常规药物治疗和康复训练,治疗组在此基础上加用电针治疗,连续治疗3个疗程后统计疗效.结果 治疗组第3个疗程发病率明显低于对照组(P<0.05);第2个疗程(P<O.05)及第3个疗 程(P<O.01)GHS分级中重度比率明显低于对照组.治疗组3个疗程中GHS分级差异无统计学意义(P>O.05), 对照组3个疗程中GHS分级差异有统计学意义(P<0.5).结论 超早期电针治疗可明显降低脑卒中患者GHS发病 率,缓解病情,控制其进展.

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abstractsObjective To observe the preventive effects of electroacupuncture therapy on glenohumeral subluxation(GHS)in patients of cerebral stroke of super-early period. Methods A total of 160 cases with cerebral stroke were randomly recruited into a control group of 80 cases and a treatment group of 80 cases. The control group was treated with conventional medicine and rehabilitation training, while the treatment group was given electro-acupuncture therapy based on conventional medicine and rehabilitation training. All treatments were performed once in each day, and one treatment course lasted for ten days. The preventive effect was evaluated after the successive three courses. Results 4 cases in treatment group and 2 cases in control group quitted in therapeutic process. The GHS incidence rate in the third course of treatment group was significantly lower than control group (P<0.05). The severe GHS incidence rate of treatment group was significantly lower than control group in the second course (P<0.05)and the third course (P<0.01). The GHS scale of the treatment group showed no significant difference in all three courses (P>0.05), while the control group showed significant difference in one course of all three(P<0.05). Conclusion Electro-acupuncture therapy can significantly decrease GHS incidence rate, relieve pathogenetic condition, control its progress, and so thus prevent GHS of stroke patients in super-early period.

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