电针夹脊穴为主治疗中风后痉挛性偏瘫的临床疗效评价

Evaluation on Clinical Therapeutic Effect of Treatment for Stroke Patients with Spastic Hemiplemia Mainly by Electroacupuncture on Jiaji Points

目的:评价电针夹脊穴为主治疗中风后痉挛性偏瘫的临床疗效。方法:采用随机法将70例中风后痉挛性偏瘫患者分为电针夹脊组和常规针刺组,每组各35例。在药物治疗和头针治疗的基础上,电针夹脊组选取夹脊穴1、3、5、7、9、11、13、15、17与2、4、6、8、10、12、14、16(均双侧),两组穴位隔日交替使用,常规针刺组参考《针灸治疗学》常规取穴,两组均配合电针,每日治疗1次,每周5次,共治疗6周。采用改良Ashworth量表及简化的Fugl-Meyer运动功能评分表于治疗前后进行评分,并比较两组疗效。结果:电针夹脊组与常规针刺组治疗前后的上肢改良Ashworth分级及简化的Fugl-Meyer运动功能评分均无明显改善(P>0.05)。治疗后两组比较,差异亦无统计学意义(P>0.05);两组治疗前后的下肢改良Ashworth分级及简化的Fugl-Meyer运动功能评分均有明显改善(P<0.05,P<0.01)。治疗后两组比较,差异亦有统计学意义(P<0.05,P<0.01)。结论:电针夹脊组治疗中风后痉挛性偏瘫的总体疗效要优于常规针刺组,其中以下肢功能的改善更为明显。

Objective：To evaluate the clinical therapeutic effect of the treatment for stroke patients with spastic hemipl- emia mainly by electroacupuncture on Jiaji points. Methods ： Seventy cases were randomly divided into a electroacupuncture on Jiaji points group and a routine acupuncture group,35 cases in each group. On the basis of dcug and scalp needle treat- ments ,Jiaji points of 1,3,5,7,9,11,13,15,17 and 2,4,6,8,10,12,14,16 bilateral were applied alternately in electroacu- puncture on Jiaji points group. In routine acupuncture group, the routine points were selected referring to the textbook Sci- ence of Acupuncture Treatment. Both groups were supplemented with E - stimulation, once a day, 5 times a week and 6 weeks totally. The scale of modified Ashworth and the score of simplified Fugl - Meyer motor function scale were observed before and after treatment, and the therapeutic effects in both groups were compared. Results ： There was no significant im- provement of the modified Ashworth scale and the score of simplified Fugl - Meyer motor function scale of the spastic lateral upper limb after treatment in two groups（ P 〉0. 05）. There was no significant difference between two groups after treatment （ P 〉0. 05）. There was significant improvement of the modified Ashworth scale and the score of simplified Fugl - Meyer mo- tor function scale of the spastic lateral lower limb after treatment in two groups（ P 〈 0.05 ,P 〈0.01 ）. There was also signifi- cant difference between two groups after treatment （ P 〈 0.05, P 〈0. 01 ）. Conclusion ： The overall therapeutic effect of elec- troacupuncture on Jiaji points group for stroke patients with spastic hemiplemia is superior to that of routine acupuncture group ,in which the therapeutic effect of the function improvement of the spastic lateral lower limb is much better.