针刺董氏奇穴和康复训练对脑卒中后上肢痉挛性偏瘫患者的效果

Effects of Dong's Extraordinary Acupoints Acupuncture and Rehabilitation on Neural Function in Patients with Upper Limb Spastic Hemiplegia after Stroke

目的观察针刺董氏奇穴和康复训练对脑卒中后上肢痉挛性偏瘫患者神经功能缺损及上肢肌张力的改善效果。方法脑卒中后上肢痉挛性偏瘫患者105例,随机分为A、B、C三组,各35例,分别接受抗痉挛药配合康复训练、董氏奇穴针刺、董氏奇穴针刺配合康复训练治疗,共6周。治疗前后采用脑卒中临床神经功能缺损程度评分(CSS)、改良Ashworth量表(MAS)进行评定。结果治疗后,各组CSS总分、MAS评分均较治疗前明显改善(P<0.01);组间比较,治疗后CSS总分改善程度C组优于B组和A组(P<0.05)。结论董氏奇穴配合康复训练能够更好地改善脑卒中后上肢痉挛性偏瘫患者的神经功能。

Objective To observe the effects of Dong＇s Extraordinary Acupoints acupuncture and rehabilitation on upper limb spastic hemiplegia after stroke. Methods 105 patients with upper limb spastic hemiplegia after stroke were randomized into 3 groups as groups A,B, C equally, and receiving Baclofen and rehabilitation training, acupuncture at Dong＇s Extraordinary Acupoints, and both acupuncture at Dong＇s Extraordinary Acupoints and rehabilitation training for 8 weeks, respectively. They were assessed with China Stroke Scale（CSS） and modified Ashworth Scale（MAS） before and after treatment Results The CSS and MAS scores obviously improved after treatment in each group（P〈0.01）, and improved more in the group C than in the group A and B for CSS（P〈0.05）. Conclusion Both acupuncture at Dong＇s Extraordinary Acupoints and rehabilitation can improve the neural function and upper limb muscle tension in patients with upper limb spastic hemiplegia after stroke, with the synergistic effects.