浮针配合电针治疗中风偏瘫痉挛状态疗效观察(英文)

Clinical Observation on Fu’s Subcutaneous Needling plus Electroacupuncture for Post-stroke Spastic Hemiplegia

目的:观察浮针配合电针治疗中风偏瘫痉挛状态的临床疗效。方法:将 120 例中风偏瘫肢体痉挛患者随机分为治疗组和对照组,每组 60 例。治疗组采用浮针配合电针治疗,对照组采用单纯电针治疗。分别于治疗前、治疗 30 d 后采用 Ashworth 量表评定肢体痉挛状态,采用简化 Fugl-Meyer 运动功能评分法评定肢体运动功能,采用改良 Barthel 指数(Barthel Index, BI)评定日常生活能力(Activity of Daily Living,ADL)。结果:治疗后,治疗组 Ashworth 评分、Fugl-Meyer 运动功能评分、BI 评分均明显高于对照组(P<0.05)。浮针配合电针可明显缓解偏瘫肢体的痉挛并且优于对照组。结论:浮针配合电针可有效地缓解脑卒中偏瘫的痉挛状态。

Objective： To observe the clinical effect of Fu’s subcutaneous needling plus electroacupuncture on post-stroke spastic hemiplegia. Methods： A hundred and twenty patients with post-stroke spastic hemiplegia were divided into the treatment group and the control group randomly, 60 individuals in each group. Patients in the treatment group received Fu’s subcutaneous needling plus electroacupuncture treatments, while only elecroacupuncture treatment for those in the control group. Limbs spasticity, extremity motor function and activity of daily living （ADL） was respectively evaluated with Ashworth scale, simplified Fugl-Meyer motor function score and modified Barthel index （BI） before treatment and after 30-day treatment. Results： After treatment, Ashworth scale score, Fugl-Meyer motor function score and BI score in the treatment group were much higher than those in the control group （P0.05）. Fu’s subcutaneous needling plus electroacupuncture can release spastic hemiplegia, and it is better than the control group. Conclusion： Fu’s subcutaneous needling plus electroacupuncture can release post-stroke spastic hemiplegia effectively.