巨刺法结合持续静力牵张治疗中风后肌张力增高的临床观察

Clinical Observation of Recuperative Effect of Opposing Needling Accompanying Continual Static Stretch in Treating High Muscular Tension of Apoplectic Hemiplegia

[目的]观察巨刺法结合持续静力牵张对中风患者肢体肌张力增高的临床疗效。[方法]将80例脑卒中后肌张力增高患者随机分为4组,巨刺法结合持续静力牵张组,巨刺法组,持续静力牵张组,传统针刺法。Ashworth和FMA评价4组方法对中风后高肌张力状态和肢体运动功能的影响。[结果]4种方法均能改善中风后患者的高肌张力状态,其中巨刺法结合持续静力牵张效果最好;巨刺法和持续静力牵张的效果相仿;传统针刺法效果最差。[结论]巨刺法和持续静力牵张均能显著改善脑卒中后的高肌张力状态,其疗效优于传统针刺法;巨刺法结合持续静力牵张有更好的降肌张力疗效。

[Objective] To observe the effect of opposing needling accompanying continual static stretch（CSS） on high-spastieity poststroke. [Methods]80 patients with high spasticity poststroke were randomly divided into four groups. A group., treated with opposing needling accompanying CSS;B group： treated with opposing needling;C group= treated with CSS;D group： aeupoints selected from anti spasm muscle. The therapeutic effect of the four methods was evaluated on proving spasm degree and motor function. [Results]Four methods had effect on high muscle tension in patients poststroke. The marks of Ashworth scale and Fugl-Meyer scale of the four groups had remarkable difference （P〈0.01）. The therapy of A group has the best recuperative effect; B group＇s and C group＇s have better effect than D group＇ s. [Conclusion]Opposing needling accompanying CSS has effect on high spastieity and motor function in apoplectic hemiplegia. The recuperative effect of opposing needling accompanying CSS is superior to either only opposing needling or only CSS treatment;the recuperative effect of either opposing needling or CSS is superior to routine one-side acupuncture treatment on improving high muscle tension.