针刺夹脊穴联合运动疗法为主治疗中风后偏瘫痉挛状态的效果观察

Acupuncture Jiaji Point Combined with Exercise Therapy for the Treatment of Hemiplegia Spasticity after Stroke

目的：探讨针刺夹脊穴联合运动疗法为主对中风偏瘫痉挛状态的影响。方法：选择我院2010年1月~2013年2月收治入院的中风后偏瘫痉挛的患者100例,随机分为两组,对照组50例予以脑卒中内科治疗及常规康复治疗方法,治疗组50例在常规治疗基础上针刺华佗夹脊穴。4周后进行Ashworth肌张力量表评分和Barthel指数评定表评分,观察两组患者治疗效果,并进行统计学分析。结果：治疗组患者治疗后痉挛程度、运动功能障碍、日常生活活动能力与治疗前比较明显改善,差异有统计学意义（P〈0.05）;与治疗前相比,治疗后对照组患者的日常生活活动能力、运动功能障碍均得到显著改善,且差异具有统计学意义（P〈0.05）;治疗后,与对照组相比,治疗组患者的痉挛程度、运动功能障碍和日常生活活动能力均明显改善,两组差异具有统计学意义（P〈0.05）。结论：针刺夹脊穴联合运动疗法为主缓解中风患者肢体痉挛效果显著。

Objective ：To study the acupuncture at Jiaji point combined with exercise therapy for hemiplegia spasticity. Methods ： 100 cases of stroke patients with hemiplegia and spasm in our hospital during January 2010 to February 2013 were selected as the research objects. They were randomly divided into a treatment group and a control group with 50 cases in each group. The patients in the control group were given medical and conven- tional treatment, while the patients in the treatment group were given acupuncture at Jiaji point on the basis of the therapy in the control group. After 4 weeks evaluate the Ashworth muscle tone scale score and Barthel index score and observe patients＇ therapeutic effect in two groups and have a statistical analysis. Results：In the treat- ment group after treatment for patients with spasm degree, movement disorders, daily life activities ability were obviously improved, and the difference was statistically significant （ P 〈 0.05 ） ; in the treatment group after treat- ment for patients with spastic degree it had a statistical significance compared with that in the control group after treatment （ P 〈 0.05 ） ;in the control group after treatment movement dysfunction and daily life activities ability were improved compared with those before treatment, which was statistically significant （ P 〈 0.05 ） ; the degree of convulsions, movement disorders and daily life activities ability were more obviously improved compared with those in the control group, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion： Acupuncture at Jiaji point with exercise therapy can alleviate limb spasm among stroke patients and the effect is remarkable.