摘要
目的观察改良的针刺疗法(针刺解痉调气法)治疗疗效。方法将98例脑卒中痉挛期患者随机分为两组。治疗组50人,取肩髃、肩髎、尺泽、天井、合谷、极泉、后溪、三阴交、血海、解溪、足三里、委中穴,头针患侧对应运动区;手法为行浅刺多捻,针前注重押手的作用,在施术部位切按重压,快速进针,深度约0.5~1.0寸,行小幅提插捻转,得气后留针30min。对照组48人,康复训练采用常规Bobath康复训练手法进行治疗;1次/d,40min/次。5次/周,15次为一疗程。完成2个疗程后做疗效评价。结果治疗组总有效率为70%,对照组总有效率为52.08%;两组患者治疗后均有明显改变(P<0.05),治疗组疗效明显优于对照组(P<0.05)。结论针灸解痉调气法能有效缓解脑卒中痉挛期症状,值得临床推广。
Objective To evaluate the clinical efficacy of spasmolytic acupuncture therapy for patients in convulsive stage of apoplectic sequelae.Methods 98 patients with post-stroke spasticity were randomly divided into 2 groups.Treatment group(50 cases)received prescription acupoints:Jianyu(LI15),Jianliao(TE14),Chize(LU5),Tianjing(TE10),Hegu(LI4),Jiquan(HT1),Houxi(SI3),Sanyinjiao(SP6),Xuehai(SP10),Jiexi(ST41),Zusanli(ST36),Weizhong(BL39);Scalp acupuncture ipsilateral side corresponds to motor zone.Manipulation:using horizontal and shallow insertion,paying attentions to the role of the pressing hand before insertion,giving hard press beside the operation area,insert the needles quickly with a depth of about 0.5-1 inches,following slight thrusting and lifting with rotation,retaining for 30 minutes after qi is obtained.Control group(48 cases)received rehabilitation training using conventional Bobath approach;once a day,40 minutes per time,5 times per week,15 times as a course of treatment.Results The total effective rate was 92.0% in the treatment group,and 87.5% in the control group;both groups were significantly improved after treatment(P〈0.05),while the treatment group was significantly better than the control group(P〈0.05).Conclusion Acupuncture relieving muscular spasm and regulating-qi technique can effectively ease the symptoms of the post-stroke spasticity,and worthy to be popularized in clinic.
出处
《中华全科医学》
2010年第9期1155-1156,共2页
Chinese Journal of General Practice
基金
2009年度浙江省中医药科技计划基金项目(2009SA006)
关键词
解痉针刺法
中风后遗症痉挛期
Spasmolytic acupuncture therapy
Convulsive stage of apoplectic sequelae