电针拮抗肌腧穴联合Bobath技术治疗脑卒中后下肢痉挛的临床观察

Clinical observation on treating limb spasticity after stroke by electroacupuncture at antagonistic muscle acupoints plus Bobath technique

目的:观察电针拮抗肌腧穴联合Bobath技术治疗脑卒中后下肢痉挛的临床疗效。方法:将脑卒中后下肢痉挛的60例患者随机分为对照组30例和治疗组30例。治疗组采用拮抗肌腧穴电针治疗配合Bobath技术治疗,对照组采用主动肌腧穴电针结合Bobath技术治疗,4个疗程后对两组患者肢体痉挛状态、下肢运动功能积分及日常生活能力进行评定。结果:治疗结束后,治疗组与对照组的下肢痉挛程度均有所缓解,运动功能及日常生活能力均有所提高,与治疗前相比,差异有统计学意义(P<0.05)。治疗组下肢痉挛程度、运动功能、日常生活能力与对照组相比,差异有统计学意义(P<0.05),治疗组优于对照组。结论:电针拮抗肌相应腧穴结合Bobath技术治疗脑卒中后下肢痉挛效果优于主动肌腧穴电针结合Bobath疗法,且患者下肢痉挛程度的改善有助于运动功能及日常生活能力的提高。

Objective： To investigate clinical efficacy of electroacupuncture at antagonistic muscle acupoints plus Bobath on lower limb spasticity after stroke. Methods： 60 cases were randomly divided into the control group of 30 patients and the treatment group of 30 cases. The treatment group received electroacupuncture at antagonistic muscle acupoints plus Bobath therapy; the control group was given electroacupuncture at muscle acupoints plus Bobath therapy. Results： In two groups, lower limb spasticity was improved; motor function score and activities of daily living were increased after treatment. Difference between before and after treatment was significant. And after treatment, those in the treatment group were better （P〈0.05）. Conclusion： Electroacupuncture at antagonistic muscle acupoints plus Bobath therapy was more effecitve on lower limb spasticity after stroke. And improved lower limb spasticity can improve motor function and daily living abilities.