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缩略语表缩写英文全称中文全称ADLactivitiesofdailyliving日常生活活动能力BIBarthel6级功能分级FMAFugl-MeyerAssessment简式Fugl-Meyer评分MRIMagneticResonanceImaging磁共振成像PNFProprioceptiveNeuro-MuscularFacilitation本体感受神经肌肉伸展法摘要目的:观察电针透刺法对中风后足内翻的临床疗效,探讨电针透刺法与传统针刺法对足内翻角度、中医证候、日间生活质量及下肢运动改善情况的影响。方法:将60例中风后足内翻患者分为两组,治疗组30例,使用电针透刺法治疗;对照组30例,使用传统针刺法治疗。采用国际通行的证候评分、Brunnstrom评定、Barthel指数比较对临床疗效进行评估。结果:1.不同组别在治疗前足内翻分级方面无显著性差异(p>0.05)具有可比性。治疗后两组均较之前有所改善。不同组别间治疗后分级效果比较存在显著性差异。2.不同组别在下肢运动功能(Brunnstrom分级)对比方面。治疗前后比较两组具有差异(p<0.05);下肢分级比较中治疗组较对照组改善具有显著性差异(p<0.05)。3.不同组别间日常生活能力对比研究(Barthel指数比较)不同组别治疗前后积分均有明显进步。治疗组进步幅度较对照组更大,具有统计学意义(p<0.05)。结论:1.电针透刺法与传统针刺法均能改善中风后足内翻中医证候状态、改善足内翻角度。2.电针透刺法与传统针刺法均能改善中风后足内翻患者下肢运动功能、改善日常生活能力。3.电针透刺法是治疗中风足内翻有效的治疗方法,其临床疗效较传统针刺治疗更具优势。关键词:透刺法电针中风足内翻临床观察ABSTRACTOBJECTIVE:Toobservetheclinicaleffectofelectroacupuncturepenetrationneedlingmethodandacupunctureonthestrephenopodiaofstroke,andtoexploretheeffectofelectro-acupunctureandtraditionalacupunctureonfootvarusangle,TCMsyndrome,daytimequalityoflifeandimprovementoflowerlimbmovementTheMethods:60patientswithvaricealstrephenopodiaweredividedintotwogroups.Thetreatmentgroupwastreatedwithelectroacupuncturepenetrationneedlingmethodatthesametime.Thecontrolgroupwastreatedwithtraditionalacupuncture.Theclinicalefficacywasassessedusingtheinternationallyacceptedsyndromescore,Brunnstromassessment,andBarthelindexcomparison.Results:1.Therewasnosignificantdifference(P>0.05)betweenthedifferentgroupsinthetreatmentoftheprefabricationoftheanteriorfoot.Aftertreatment,bothgroupsimprovedcomparedwiththeprevious.Thereweresignificantdifferencesinthegradingeffectbetweendifferentgroupsaftertreatment.2.Differentgroupsinthelowerlimbmotorfunction(Brunnstromclassification)contrast.(P<0.05).Therewassignificantdifferencebetweenthetwogroups(p<0.05).Therewassignificantdifferencebetweenthetwogroups(p<0.05).Comparisonofdailylifeabilitybetweendifferentgroups(Barthelindexcomparison)beforeandaftertreatmentofdifferentgroupshaveimproveds