拮抗肌取穴针刺治疗脑卒中后下肢H反射的变化

The Change of H Reflex of Lower Limbs with Acupuncture on Antagonistic Muscle Treating Post-stroke

目的：观察拮抗肌取穴针刺治疗脑卒中后下肢痉挛状态的疗效及其H反射变化。方法：98例脑卒中偏瘫患者随机分为治疗组和对照组各49例，两组患者予常规处理及康复训练，治疗组采用拮抗肌取穴针刺，对照组采用传统取穴法针刺，治疗前后比较两组患者临床痉挛指数及患侧下肢H反射。结果：治疗后治疗组CSI评分及H/M值均明显低于对照组，H反射潜伏期长于对照组（P〈0.05）。结论：拮抗肌取穴针刺治疗脑卒中患者下肢痉挛有良好疗效；H反射可客观、量化评价脑卒中后下肢痉挛的严重程度。

Objective：To observe the therapeutic effect of acupuncture on antagonistic muscle treating lower limb spasm after cerebral apoplexy and the change of H reflex. Methods：98 patients with stroke hemiplegia were randomly divided into treatment group and control group with each of 49 cases, both with conventional treatment and rehabilitation training, treatment group adopted acupuncture on antagonistic muscle, control group with traditional acupuncture, before and after treatment clinical spasticity index and H reflex of lower extremity affected side between the two groups were compared. Results：After treatment the scores of CSI and H/M in treatment group were significantly lower than those in control group, and laten-cy of H reflex was longer than that of control group （P〈0.05）. Conclusion：Acupuncture on antagonistic muscle treating lower limb spasm of stroke has a good effect;H reflex can be objective and quantitative assessment for the severity of lower limb spasm after stroke.