浅刺法治疗急性缺血性中风偏瘫疗效观察

目的观察针灸捻转进针浅刺治疗法的疗效。方法将60例患者随机分为治疗组和对照组,治疗组30例用针灸捻转进针浅刺法治疗,对照组30例用常规针刺法治疗,方法同治疗组。结果治疗组总有效率为90．0％,对照组总有效率为66．7％;中医证候疗效结果显示,治疗组总有效率为86．0％,对照组总有效率为66．7％。两组总有效率比较差异具有统计学意义（P〈0．05）。结论针灸捻转进针浅刺法治疗急性缺血性中风偏瘫疗效好。     

针刺联合肌电生物反馈疗法对脑卒中患者下肢功能的影响

摘要 目的：观察针刺联合肌电生物反馈疗法对脑卒中偏瘫患者下肢功能康复的影响。 方法：将60例脑卒中偏瘫患者随机分为对照组和治疗组,各30例;两组患者均以偏瘫肢体训练为常规康复,对照组采用针刺治疗,治疗组在对照组基础上加用肌电生物反馈治疗,共治疗4周。分别于治疗前、治疗后,测定患者偏瘫侧踝关节主动背屈活动范围（AROM）,采用Fugl-Meyer运动功能量表（FMA）评定下肢运动功能,采用Barthel指数量表（BI）评定日常生活活动能力。 结果：治疗前,两组患者踝关节AROM平均差值（0.21±0.09）、下肢FMA平均差值（0.66±0.28）、BI平均差值（0.73±1.27）,评分相比差异均无显著性（P＞0.05）;治疗后,两组患者踝关节AROM平均差值（3.19±0.78）、下肢FMA平均差值（7.36±0.64）、Barthel平均差值（19.54±2.07）,评分均比治疗前明显增加（P＜0.01）且治疗组改善程度优于对照组（P＜0.05）。 结论：针刺联合肌电生物反馈疗法可以进一步促进脑卒中患者下肢功能的康复,显著提高偏瘫患者的关节活动度和日常生活活动能力。     

中风后偏瘫肩痛针灸疗效因素浅析

目的 对针灸治疗中风后偏瘫肩痛的影响因素进行分析。方法 对针灸治疗的30例进行影响疗效的相关因素分析。结果 不同性别组之间相比无显著性差异（P〉0．05）;而年龄40-59岁组与60-80岁组相比、肌张力降低组与肌张力增高组相比均具有显著性差异（P〈0．05）;肌力〉Ⅱ级组与肌力≤Ⅱ级组相比具有非常显著性差异（P〈0．01）;病程〈1月组与1-3月组相比、病程l-3月组与3-6月组相比均具有显著性差异（P〈0．05）。结论 在针灸治疗中风后偏瘫肩痛中,年轻、病程短、肌力较高、肌张力低的患者有较好的疗效,早期介入疗效更佳。     

易化区取穴针刺法对脑卒中偏瘫下肢运动功能的影响

目的:探讨易化区取穴针刺法对脑卒中患者偏瘫下肢运动功能的临床应用及效果。方法:将98例脑卒中患者随机分为治疗组50例和对照组48例,对照组采用传统取穴针刺法并结合常规康复训练,治疗组在常规康复训练的基础上采用Rood易化区针刺取穴法,于治疗前、治疗1个月、治疗3个月用Fugl-Meyer评价下肢运动功能;结果:两组患者治疗前后运动功能均有提高,治疗1个月后Fugl-Meyer评分治疗组显著高于对照组(P<0.05),3个月后有非常显著性差异(P<0.01);结论:易化区取穴针刺法能有效促进偏瘫后下肢运动功能恢复,缓解痉挛,使运动模式正常化。     

人工关节置换在偏瘫合并股骨转子间骨折治疗中的应用

目的 探讨一期人工关节置换术治疗偏瘫合并不稳定粉碎性股骨转子间骨折的可行性和效果.方法 对31例偏瘫合并不稳定粉碎性股骨转子间骨折患者行一期人工关节置换术.结果 31例经2年2个月～8年随访,1例于术后1年内死亡,3例于术后4年死亡,2例2年后失访.术后发生非中心性脱位4例(其中1例反复脱位),下肢深静脉血栓2例,假体松动3例,能行走的27例术后伤肢功能有5例较伤前差.结论 一期人工关节置换术治疗偏瘫合并不稳定粉碎性股骨转子间骨折优点明显,但并发症多,风险高.     

100例偏瘫患者的康复疗效分析

将偏瘫患者100例分成两组：一组用中药、针刺治疗,另一组用中药、针刺加康复训练。治疗4周,两组冶疗前后MAS及ADL评分均有显著差异。同时两组相比较,后者疗效优于前者,证明康复训练在偏瘫康复中具有不可缺少的重要作用。     

Contralateral C7 nerve transfer through posterior vertebral approach combined with selective posterior rhizotomy of the affected cervical nerve in the treatment of central upper limb spastic paralysis: A case report

Introduction:C7 nerve transfer alone can improve upper limb motor function and partial spasticity. Selective posterior rhizotomy (SPR) of the cervical nerve alone can comprehensively improve spasticity but without neuromotor regeneration. We propose a novel possible improvement of contralateral C7 (CC7) nerve transfer through the posterior vertebral approach, which was combined with SPR of the affected cervical nerve.Patient Concerns:A 33-year-old male patient presented with cerebral hemorrhage of the left basal ganglia, paralysis of the right limbs, and hypesthesia 8 months earlier. The dysfunction of the affected hand was already present at admission. The patient reported a previous history of hypertension for several years and oral antihypertensive drugs, and blood pressure was controlled within a normal range.Diagnosis:Central upper limb spastic paralysis. The muscle strength of the right lower limb was grade IV. The Fugl-Meyer score of the right upper limb was 7 points, and the modified Ashworth score was 10.Interventions:The patient underwent CC7 transfer and SPR.Outcomes:The patient successfully underwent CC7 transfer and SPR without complications. On the day after surgery, the left upper limb motions were normal. The Fugl-Meyer score was 9, and the modified Ashworth score of the right upper limb was 2.Conclusions:CC7 nerve transfer through the posterior vertebral approach combined with SPR of the affected cervical nerve can possibly improve the surgical outcomes of selected patients with upper limb motor dysfunction and partial spasticity. This method has not been reported in the literature before, and additional studies are necessary.     

Benign nocturnal alternating hemiplegia of childhood: A clinical and nomenclatural reappraisal

Objective

To describe the clinical spectrum of benign nocturnal alternating hemiplegia of childhood (BNAHC) including long-term follow-up data of previously published cases and to propose an underlying genetic cause of this disorder.