调任督脉配合局部针刺治疗中风后上肢痉挛的疗效观察

Effect observation on treating upper limb spasticity following stroke by acupuncture

目的:观察针刺任督脉穴位配合局部有效穴治疗脑卒中上肢痉挛状态的临床疗效。方法:将60例病人随机分成调任督配合局部针刺组(治疗组)和常规针刺组(对照组),治疗七周后观察两组患者Ashworth分级法、国内简化的FuglMeyer(FMA)运动评分的变化。结果:治疗组改善肌张力增高的总有效率高于对照组,经统计学处理差异有极显著性意义(P<0.01);同时5周后运动评分均明显高于对照组,经统计学处理差异有显著性意义(P<0.05)。结论:调任督配合局部针刺能有效改善脑卒中后上肢偏瘫痉挛状态,显著提高患肢的运动功能,疗效明显优于常规取穴。

Objective： To observe the clinical effect of Rendu meridian acupoints combined with the local effective acupuncture points to treat the upper limb spastic after stroke. Method： 60 cases were randomly divided into the treated group （30 cases） and the control group （30 cases）. The change of two groups＇ Ashworth grading and FMA integral after seven weeks treatment were observed. Result： There was a significant difference in the total efficiency of the muscle tone＇s improvement （P〈0.01）. Between the two groups, the treated groupwas more effective; FMA integral improved more in the treated group than in the control group after seven weeks ＇cure（P〈0.05）. Conclusion： Rendu meridian acupoints combining with the local acupuncture points could effectively improve the upper limb spastic hemiplegia and its therapeutic effect is superior to that of conventional acupuncture.