针刺结合现代康复疗法对卒中后上肢痉挛状态的疗效观察

Observation on clinical therapeutic effect of acupuncture combined with modern rehabilitation therapy for upper limb spasticity in the patient of poststroke

目的观察针刺结合现代康复疗法对脑卒中后上肢痉挛状态的疗效。方法将54例脑卒中患者随机分为治疗组和对照组,各27例。治疗组进行针刺治疗结合现代康复疗法,对照组只接受现代康复治疗,疗程为1个月。采用改良的Ashworth量表和改良的上肢的Fugl-Meyer进行疗效的评定。结果 2组患者上肢痉挛状态都有不同程度的改善,但治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论针刺结合现代康复疗法较单纯现代康复疗法对脑卒中后上肢痉挛状态有更好的疗效。

Objective To observe therapeutic effect of acupuncture combined with modem rehabilitation therapy for upper limb spasticity in the patient of poststroke. Methods Fifty-four cases were randomly divided into a treatment group and a control group, 27 cases in each group.The treatment group were treated by acupuncture combined with modem rehabilitation therapy, the control group only received modem rehabilitation therapy.The course was 1 month.Modified Ashworth scale and improved upper limb Fugl-Meyer were used for assessment of the therapeutic effect. Results After treatmet, the spasm was significantly alleviated in different degree of the two groups, while the treatment group was better than the control group, and there was a statistically significant difference （P〈0.05）. Conclusion Compared with the modem rehabilitation therapy, the acupuncture combined with modem rehabilitation therapy has a better therapy for upper limb spasticity in the patient of poststroke.