火针经筋疗法对脑梗后上肢肌痉挛的临床研究

Clinical Research on fire needle under the theory of meridian sinew in the treatment of upper limb muscle spasticity for cerebral infarction patients

目的观察火针经筋疗法治疗脑梗后上肢肌痉挛的有效性。方法将60名脑梗后上肢肌痉挛患者随机分为两组,在应用基础治疗药物及康复治疗的基础上,常规针刺组采用石氏醒脑开窍法穴位针刺,常规针刺+火针组加用火针点刺手三阴经筋阳性反应点,治疗4周后,观察改良Ashworth评分、Fugl-Meyer评分的变化。结果治疗后两组的改良Ashworth评分、Fugl-Meyer评分均有上升,治疗前后均有显著差异(P<0.05),两组相比,常规针刺+火针组优于常规针刺组(P<0.05)。结论火针经筋疗法可改善脑梗后上肢肌痉挛程度以及提高上肢的运动功能。

This study aimed to objectively assess the clinical effect of fire needle guided by the theory of meridian sinew in treating cerebral infarction patients with upper limb muscle spasticity,thus to explore an characteristic traditional Chinese therapeutic method that is convenient,with valid effect and less side effect. Methods 60 cases met the inclusion criteria were randomly divided into two groups,treatment group（ n = 30） and control group（ n = 30）. Basic drug treatment and rehabilitation treatment that both groups received were same. These two groups received different acupuncture treatments,needling traditional points in control group according to the method of Shishi Xingnaokaiqiao,despite needling traditional points,needling the three meridian sinews of hand-yin with fire needle in treatment group. Both groups were treated for 4 weeks,after that,every case was evaluated before treatment and 4 weeks after the beginning of treatment according to modified Ashworth Scale and Fugl-Meyer Assessment,and the total scores were calculated. Results After 4 weeks treatment,scores of Modified Ashworth Scale and Fugl-Meyer Assessment in both groups were increased and had significance comparing with that before treatment（ P 0. 05）. Whats more,scores of Modified Ashworth Scale and Fugl-Meyer Accessment were significant between treatment group and control group after treatment（ P 0. 05）,treatment group was better than control group. Conclusion Fire needle guided by the meridian sinew theory may reduce upper limb muscle spasticity and improve upper limb functions,its effect is valid. What＇s more,fire needle is convenient and don＇t have to keep the needle staying,and it is worth popularizing.