针刺中药康复综合方案预防中风后肢体痉挛的临床研究

Clinical Study of Integrated Program Combined Needling,Chinese Herbs and Recovery on Preventing Limb Spasticity after Stroke

目的:观察预防中风后肢体痉挛的最佳方案。方法:采用随机、单盲、对照研究方法,将合格受试者随机分为综合组,针刺组,康复组,中药组四组,共66例病人,分别给予针刺+中药+康复治疗,以及单纯针刺,单纯中药,单纯康复治疗,观察治疗前后患者效应指标,对其疗效及安全性进行评价。结果:经过治疗前后观察对比发现综合组在改善运动功能,生活能力的同时,预防肢体痉挛的效果优于对照组。结果:本研究所采用的综合方案对于中风后肢体痉挛的预防其他单纯方案相比有明显的优势,且疗效肯定,使用安全,在临床上可广为推广。

To explore the best proposal for preventing extremity spasm after apoplexy. Methods： Based on the principle of random, single-blinded and contrast methods, 66 qualified subjects were randomly divided into four groups： combined therapy within acupuncture, traditional Chinese medicine and rehabilitation, purely acupuncture, purely traditional Chinese medicine and purely rehabilitation therapy were applied for every group. Observing effect indices before and after treatment efficacy, and e- valuating the curative effect and safety. Results： Motor function and viability were improved in combination group, and in which it showed better effect in preventing extremity spasm than that in controlled group. Conclusion： It shows better proposal for pre- venting extremity spasm after apoplexy by combined therapy, which is an available and safe method to choose in clinic.