靳三针治疗中风后痉挛性偏瘫临床研究及其对康复训练的影响

Clinical Studies of Jin's Three-Needle Therapy on Spastic Hemiplegia after Stroke and Mutual Influence between Rehabilitation Training

目的:观察颞三针配合挛三针治疗中风后痉挛性偏瘫的临床效果,分析其推广价值,及其与康复训练之间的相互影响。方法:将符合入组标准的116例患者随机分为靳三针组、康复组、联合组,在基础治疗上分别施加颞三针合挛三针治疗、康复训练和联合治疗,分别进行功能评定和量表评估。结果:在FCA、NDS、FMA量表评分方面,7天后,除康复组外,其他两组的量表评分与治疗前比较,差异有统计学意义(P<0.05),而14天后,3组患者的量表评分较7天前均有好转(P<0.05),与治疗前比较,差异均有显著统计学意义(P<0.01)。在CSI评分方面,治疗7天后,靳三针组、康复组评分与治疗前比较,差异有统计学意义(P<0.05),而联合组的评分差异有显著统计学意义(P<0.01),与其他两组比较,差异亦有统计学意义(P<0.05)。结论:靳三针、康复训练及其联合应用均可缓解中风后痉挛性偏瘫症状,而靳三针不仅能够降低肌张力,还能在一定程度上改善患肢功能,提高康复训练效果,而且取穴、操作简便,适宜进行推广应用。

Objective：To observe the clinical effects of temporal three-needle combined with spasm three-needle therapy on spastic hemiplegia after stroke and to analyze its value for popularization, and the mutual influence between and rehabilitation training. Methods ： One hundred and sixteen cases subjecting to diagnostic criteria and inclusion criteria of spastic hemiplegia after stroke were emolled into the study. During the experiment, the patients were randomized into Jin＇s three-needle therapy （JTNT） group,rehabilitation therapy （RT） group and combination therapy （CT） group. On the basic treatment,three groups respectively applied temporal three-needle combined with spasm three-needle therapy, rehabilitation therapy and combination therapy. Results ： In the aspects of FCA, NDS,FMA Scales, except CT group, the other two groups＇scores 7 days after treatment compared with those before treatment had statistical significant difference （P 〈 0. 05 ）. After 14 days, three groups＇ scores were all improved （P 〈 0. 05 ）. Compared with those before treatment, the difference had statistical significance （P 〈 0. 01 ）. After 7 days, CSI scores were improved in the three groups （P 〈 0. 05 ） , compared with those before treatment. The difference of CSI score in the CT group had statistically significant meaning （P 〈0.01 ）. Compared with the other two groups ,the difference had statistical significance （P 〈 O. 05）. Conclusion：The therapy of Jin＇s three-needle as well as rehabilitation and those combinations all could relieve the symptoms of spastic hemiplegia after stroke. The therapy of Jin＇s three-needle should be widely applied for its simplicity in acupoint selection and manipulation, and it not only could reduce the muscle tension, but also improve the limb function to a certain extent.