针刺拮抗肌组腧穴治疗脑卒中后偏瘫肢体痉挛的临床研究

A clinical study of antagonistic muscle groups of acupoints of acupuncture treatment of hemiplegic limb spasticity after stroke

目的系统观察针刺拮抗肌组腧穴治疗脑卒中后偏瘫肢体痉挛的临床疗效。方法 80例脑卒中后偏瘫患者随机分为两组,实验组和对照组。实验组采用针刺拮抗肌组腧穴,对照组采用康复易化技术。治疗结束后采用临床神经功能缺损评分、修订的Ashworth痉挛评定量表、运动功能评价量表、日常生活能力评定四个量表进行疗效评定。结果实验组与对照组的平均愈显率分别为77.5%和62.5%;实验组与对照组在降低脑卒中后患者的神经功能缺损、改善痉挛、提高日常生活能力和运动功能方面有好的疗效(P<0.01);实验组对改善脑卒中后患者痉挛状态、提高日常生活能力和运动功能以及长远的疗效评价方面较与对照组组疗效好(P<0.05)。结论针刺拮抗肌组腧穴可明显改善脑卒中后偏瘫肢体痉挛状态,在改善临床神经功能缺损、提高运动功能及日常生活能力方面亦有较好的效果,值得临床推广应用。

ObjectiveSystematic observation of acupuncture against Anti-Acupoint in treating the muscle group clinical efficacy of hemiplegic limb spasticity after stroke. MethodsChoose 80 cases patients with hemiplegia and randomly divided them into two groups： the pilot group and the control group.Contrasts the use of antagonistic muscle groups of acupoints of acupuncture,rehabilitation and facilitation technique in the control group.Upon completion of therapy using clinical neurologic impairment rating,amendment of the Ashworth spasticity scale,movement function evaluation questionnaire,evaluation of daily living assessment of four tables. ResultsAntagonistic muscle groups of acupoints of acupuncture and rehabilitation instrument technique in the treatment of this disease become increasingly respectively on average 77.5% and 62.5%;Antagonist group of acupuncture of acupoints and rehabilitation technology in reducing neurological deficits in patients after stroke,improve spasms,improve motor function of daily living and has good curative effect（P0.01）;antagonistic muscle groups of acupoints acupuncture on cerebral apoplexy patients with spasticity,increased motor function and ability of daily life and long-term evaluation of curative effect of a good therapeutic effect of rehabilitation technology group（P0.05）. Conclusion The antagonistic muscle groups of acupoints of acupuncture can be significantly improving hemiplegic limb spasticity after stroke,and in improving the clinical neurological deficit,improve motor function and activity of daily living is also good results,and clinical application.