Effect of row needling in muscle regions combined with seven-star needle tapping on cognitive function and quality of life in patients with post-stroke upper limb spasticity

经筋排刺配合皮肤针疗法对脑卒中后上肢痉挛患者认知功能及生活质量的影响（英文）

Objective：To observe the effect of row needling in muscle regions combined with seven-star needle tapping on cognitive function and quality of life （QOL） in patients with post-stroke upper limb spasticity. Methods： A total of 448 eligible cases were randomly allocated into a treatment group and a control group, 244 in each group. Based on standard conventional treatment, cases in the treatment group received row needling in muscle regions combined with seven-star needle tapping, whereas cases in the control group took oral Western medication. After 3 weeks of treatment, the cognitive functions were assessed using comprehensive functional assessment （CFA） and mini-mental state examination （MMSE）. The O,OL was evaluated using the Chinese-version 36-item short-form health survey （SF-36）. Results： After treatment, the CFA and MMSE scores were significantly improved in both groups （P〈0.05）; and there were between-group statistical differences （P〈0.05）, showing a better effect in the treatment group than that in the control group. In addition, there were between-group statistical significances in scores of QOL （P〈0.05, P〈0.01）. Conclusion： Row needling in muscle regions combined with seven-star needle tapping can significantly improve the cognitive function and O, OL of patients with post-stroke upper limb spasticity.

目的:观察经筋排刺配合皮肤针疗法对脑卒中后上肢痉挛患者认知功能及生活质量的影响。方法:将488例脑卒中后上肢痉挛患者随机分为治疗组和对照组,每组244例,在必要康复治疗的基础上,治疗组给予经筋排刺配合皮肤针疗法,对照组给予常规西药治疗。两组均连续治疗3星期后观察疗效。采用功能综合评定量表(functional comprehensive assessment,FCA)和简易精神状态检查量表(mini-mental state examination,MMSE)评价患者认知功能;采用健康状况调查问卷(36-item short-form health survey,SF-36)中文版评价患者的生活质量。结果:治疗后,两组F CA、MMSE评分均较治疗前有明显改善(P<0.05),且治疗组改善情况均优于对照组,两组间差异均有统计学意义(P<0.05)。治疗组患者各项生活质量评分均明显高于对照组,差异有统计学意义(P<0.05,P<0.01)。结论:经筋排刺配合皮肤针疗法能明显改善脑卒中后上肢痉挛患者的认知功能,提高其生活质量。