平衡针刺法治疗中风后上肢高痉挛状态疗效观察

Clinical observation of recuperative effect of balancing acupuncture in treating high muscular tension of up limb in apoplectic hemiplegia

目的:观察平衡针刺法对中风后上肢高痉挛状态患者痉挛程度、肢体运动功能的影响,并对平衡针刺法的疗效作出正确评价。方法:将60例中风后上肢高痉挛状态患者随机分为2组。治疗组:平衡针刺法治疗;对照组:痉挛拮抗肌侧取穴治疗。根据治疗前后评分结果,对2种方法改善中风后上肢高痉挛状态的痉挛程度、肢体运动功能方面作出疗效评价。结果:平衡针刺法与传统针灸疗法在治疗中风后上肢高痉挛状态患者后肌张力都有下降,治疗后组间Ashworth评分比较有显著性差异(P<0.01)。平衡针刺法与传统针刺法都能较好改善患者上肢功能状态(治疗组P<0.001,对照组P<0.01);治疗后组间FMA评分比较有显著性差异(P<0.01)。结论:平衡针刺法对中风后上肢高痉挛状态有一定的抑制作用;平衡针刺法对中风后上肢高痉挛状态的临床疗效优于常规单侧针灸法。

Object:To observe the effect of balancing acupuncture on highspasticity of up-limb poststroke and the motor function to have the right assessment of recuperative effect.Methods:60 patients with high spasticity of up limbs poststroke were randomly divided into 2 groups.Treatment group:treated with balancing acupuncture.Comparement group:accupoints selected from anti-spasm musle.The therapeutic effect of the two methods were evaluated on proving spasm degree and motor function.Results:Both of the balancing acupuncture and traditional acupuncture had effect on proving high muscle tention of up limb in patients poststroke.The ashworth marks between the two groups had remarkable difference(P<0.01).Both of the two methods welly proved the motor function of the affected limbs(treatment group:p<0.001,comparement group:p<0.01).There was significant difference in FMA marks between the two groups.Conclusion:Balancing acupuncture has inhibition on high spasticity of up limb in apoplectic hemiplegia.The recuperative effect of balancing acupuncture are superior to routine oneside acupuncture treatment in proving high muscle tention of up limb.