点穴疗法配合针刺治疗缺血性中风痉挛性偏瘫疗效观察

Effects of Pointing Therapy Combined with Acupuncture on Ischemic Stroke Patients with Spastic Hemiplegia

目的:研究点穴配合针刺疗法对缺血性中风患者痉挛性偏瘫状态的治疗效果。方法:将61例符合纳入标准的缺血性中风痉挛性偏瘫的患者随机分为治疗组和对照组。治疗组30例,对照组31例。2组均接受基础康复治疗和针刺治疗,治疗组在此基础上给予点穴疗法。经治疗2周后,分别运用临床神经功能缺损程度量表(NDS)和改良Ashworth量表评定2组患者神经功能缺损程度和肌张力痉挛程度。结果:2组患者治疗后的NDS和改良Ashworth量表评分结果均显著低于治疗前(P<0.05),且治疗后治疗组在上肢肩关节肌力、下肢肌力、步行能力和痉挛程度这4个层面均比对照组改善更明显(P<0.05)。结论:点穴疗法配合针刺能显著地缓解肢体的痉挛状态和改善缺血性中风痉挛性偏瘫患者的神经功能,提高患者的日常生活能力。

Objective ： To study the effect of pointing therapy combined with acupuncture on ischemic stroke patients with spastic hemiplegia. Methods： According to the case inclusion criteria,61 ischemic stroke patients with spastic hemiplegia were included and randomly divided into treatment group （ pointing therapy plus acupuncture group; n=30 ） and control group （ acupuncture group; n=31 ）. After 2-week treatment, the therapeutic efficacy was evMuated by the questionnaires of NDS scores and Ashworth scores. Results ： After 2-week treatment, the total scores of NDS and Ashworth of both groups were significant lower than their baseline evaluation （ P〈0.05 ）, and walking ability, the muscle spasticity, shoulder muscle strength and lower limbs muscle strength in treatment group had better improvements than that in the control group （ P〈0.05 ）. Conclusion ： Pointing therapy combined with acupuncture can obviously relieve neurologic deficiency, alleviate muscle spasticity and help improve the quality of life in patients with ischemic stroke.