针刺夹脊穴治疗脑卒中痉挛状态的临床研究

Clinical Study on Treatment of Spastic Paralysis after Stroke through Acupuncturing the JiaJi Acupoints

目的观察针刺夹脊穴治疗脑卒中痉挛性瘫痪的临床疗效。方法将符合标准的60例脑卒中后痉挛性瘫痪的患者随机分为两组,治疗组30例,采用针刺夹脊穴治疗;对照组30例,采用针刺阳明法治疗。比较两组患者的临床疗效。结果两组患者临床疗效间差异有显著性意义(P<0·05);两组患者治疗后Brunnstrom分级间差异有非常显著性意义(P<0·01);两组患者治疗后Ashworth痉挛分级比较差异无显著性意义(P>0·05);两组患者治疗后Barthel积分比较差异有非常显著性意义(P<0·01)。结论针刺夹脊穴疗效高于传统针刺法,为临床治疗脑卒中后痉挛瘫痪的有效方法。

Objective To observe the clinical therapeutic effect through acupuncturing the JiaJi acupoints on spastic paralysis after stroke. Methods 60 cases of spastic paralysis after stroke were randomly divided into two groups. 30 cases in the treatment group were treated with acupuncturing the JiaJi acupoints ; 30 cases in the control group were treated with traditional acupuncture therapy of adopting only the points of the channel of Yangming. The evaluation of the functional rehabilitation was carried out by the methods of Brunnstrom, Ashworth and Barthel. Results There was a significant difference in therapeutic effects （ P 〈 0. 05 ）, a more significant difference in the class of Brunnstrom （ P 〈 0.01 ）, no difference in the spastic class of Ashworth （ P 〉0. 05）, and a great difference in the cumulative scoring of Barthel （ P 〈0.01 ） between two groups after treatment. Conclusion The clinical study has proved that the method of acupuncturing the JiaJi points is effective for spastic paralysis after stroke.