透穴针刺治疗卒中后偏瘫痉挛状态的临床观察

Observation on Therapeutic Effect of Acupoint Penetration on Spastic Paralysis after Cerebrovascler Disorder

目的对比观察不同针刺方案对卒中后偏瘫后痉挛状态的康复作用。方法将105例卒中后偏瘫痉挛状态患者按入院先后顺分为康复组、体针组和透穴组,各35例,均行基本康复治疗,体针组在此基础上加用体针治疗,透穴组加用透穴治疗,每15d观察1次疗效,共2次。结果3组患者治疗前Barthel(BI)积分间差别无显著性意义(P>0.05),治疗后组间差别有显著性意义(P<0.05);3组患者Fugl-meyer运动功能积分治疗前组间差别无显著性意义(P>0.05),治疗后组间差别有显著性意义(P<0.05);3组患者疗效间差别有显著性意义(P<0.05)。结论透穴治疗卒中后偏瘫痉挛状态是一种有效的治疗方法。

Objective To observe the rehabilitation of different acupuncture programs on spastic paralysis after cerebrovascular disorder.Methods 105 cases of spastic paralysis after stroke were randomly divided into an rehibitation group,an acupoint penetration group and an body acupuncture group with 35 cases in every group,They were all treated with basic rehabilitation.The body acupuncture group was added with body acupuncture,and the acupoint penetration group was added with penetration acupuncture.The therapeutic effects were observed every 15 days for 2 times.Results There were no significant differences in Barthel(BI) integral calculus prior to treatment for the three groups(P<0.05);and there were significant differences after the treatment(P<0.05); There were no significant differences in Fugl-meyer motor function integral calculus prior to treatment among the three groups(P<0.05);and there were significant differences after the treatment(P<0.05); There were significant differences in curative effects among the three groups(P<0.05).Conclusion Acupoints penetration is an effective therapy for spastic paralysis after cerebrovascular disorder.