针刺夹脊穴治疗卒中后痉挛性瘫痪的临床研究

Clinical Study on Treating Post-stroke Spastic Paralysis with Acupuncturing Jiaji Points

目的：观察针刺夹脊穴治疗卒中后痉挛性瘫痪的临床疗效。方法：将180例卒中后痉挛性瘫痪患者随机分为针刺夹脊穴组、常规针刺组和口服妙纳片组，所有患者均给予抗痉挛体位治疗和脑血管病的常规治疗，在此基础上，分别给予针刺夹脊穴、常规针刺和口服妙纳片治疗，一个疗程后评价疗效。结果：三组患者治疗后的上下肢肌张力、肢体运动功能和日常生活活动能力较治疗前均有所改善（P〈0．05）；针剌夹脊穴组在各方面均优于常规针剌组和口服妙纳片组（P〈O．05）。结论：针刺夹脊穴、常规针刺和口服妙纳片均可缓解痉挛性瘫痪患者的上下肢肌张力、改善患者的肢体运动功能和日常生活活动能力，但针刺夹脊穴的治疗效果优于常规针刺和口服妙纳片。

Objective： To observe the clinical curative effects of acupuncturing jiaji points treating spastic paralysis after stroke. Methods： 180 cases of poststroke spastic paralysis were randomly divided into acupuncture Jiaji group, conventional acupuncture group and oral Myonal group, all pa tients adopted antispasmodic treatment position and conventional therapy of cerebrovascular disease, based on which, the three groups were respec tively treated with acupuncturing Jiaji points, conventional acupuncture and oral Myonal tablets, to evaluate the curative effects after one course of treatment. Results： The upper and lower extremity muscle tension, limbs motor function and activities of daily living of three groups after the treat ment were better improved （P〈0.05）; acupuncture Jiaji group was better than routine acupuncture group and oral Myonal group in all aspects （P〈 0.05）. Conclusion： Acupuncturing Jiaji points, routine acupuncture and oral Myonal may alleviate the upper and lower extremity muscle tension, im prove limbs motor function and activities of daily living of patients with spastic paralysis, but the curative effect of acupuncturing Jiaji points is bet ter than that of routine acupuncture and oral Myonal.