壮医经筋挑刺法治疗脑卒中偏瘫痉挛状态的效果

Effects of Zhuang Medicine Jib on Spastic Hemiplegia after Stroke

目的观察壮医经筋挑刺法对脑卒中后偏瘫肢体痉挛的疗效。方法 2014年1月至2015年12月,55例脑卒中后偏瘫痉挛患者随机分为治疗组(n=27)与对照组(n=28)。两组均接受常规康复治疗及中医针刺治疗,治疗组加用壮医经筋挑刺疗法。治疗前及治疗4周后,采用改良Ashworth量表(MAS)、Barthel指数(BI)、简化Fugl-Meyer评定量表(FMA)进行评定。随访3个月,记录不良事件发生。结果两组治疗后MAS、BI、FMA评分均明显改善(t>3.32,P<0.01),治疗组优于对照组(t>2.286,P<0.05)。随访期间未发现不良事件发生。结论配合壮医经筋挑刺法能更好缓解脑卒中后偏瘫患者的肌张力,改善其运动功能,提高生活自理能力。

Objective To observe the effect of Zhuang Medicine Jib on spasm in hemiplegics after stroke. Methods From January,2014 to December,2015,55 patients with spastic hemiplegia after stroke were divided randomly into treatment group（n=27） and control group（n=28）. Both groups accepted routine rehabilitation and acupuncture,while the treatment group accepted Zhuang Medicine Jib in addition.They were assessed with modified Ashworth Scale（MAS）,Barthel index（BI）,Simpling Fugl- Meyer Assessment（FMA） before and four weeks after treatment. The side- effects within three months after treatment were recorded. Results The scores of MAS,BI and FMA improved in both groups after treatment（t〉3.32,P〈0.01）,and improved more in the treatment group than in the control group（t〉2.286,P〈0.05）. No side-effect was found in the follow-up. Conclusion Zhuang Medicine Jib can further relieve spasm after stroke,and improve the motor function and activities of daily living.