分期针刺法治疗脑卒中后软瘫期肢体功能障碍临床研究

Clinical Effect of Staging Acupuncture in Treatment of Limb Dysfunction in Flaccid Paralysis Period after Stroke

目的观察分期针刺法治疗脑卒中后软瘫期肢体功能障碍的疗效。方法将80例脑卒中后软瘫期(BrunnstromⅠ~Ⅱ期)患者随机分为分期针刺法针刺组和常规针刺组,每组40例。分期针刺组采用分期针刺治疗,常规针刺组采用常规针刺治疗,两组均给予基础药物治疗,治疗14d后观察两组患者临床疗效及Fugl-Meyer量表(Fugl-Meyer assessment,FMA)评分、Barthel指数(Barthel index,BI)评分。结果分期针刺组疗效明显优于常规针刺组(P<0.05);与治疗前比较,两组患者治疗后FMA和BI评分均显著升高(P<0.05),分期针刺组患者治疗前后FMA和BI评分升高值显著大于常规针刺组(P<0.05)。结论分期针刺在改善脑卒中后软瘫期患者肢体运动功能及日常能力方面有较好的临床疗效,优于常规针刺治疗。

Objective To investigate the clinical effect of staging acupuncture in the treatment of limb dysfunction in the flaccid paralysis period after stroke. Methods A total of 80 patients in the flaccid paralysis period after stroke （Brunnstrom stage Ⅰ -Ⅱ） were randomly divided into staging acupuncture group and conventional acupuncture group, with 40 patients in each group. Both groups were given basic medication; in addition, the patients in the staging acupuncture group were given staging acupuncture, and those in the conventional acupuncture group were given conventional acupuncture. The clinical outcome, Fugl-Meyer assessment （FMA） score, and Barthel index （BI） were evaluated in both groups after 14 days of treatment. Results The staging acupuncture group had a significantly better clinical outcome than the conventional acupuncture group （P〈0.05）. Both groups had significant increases in FMA score and BI after treatment （P〈0.05）, and the staging acupuncture group had significantly greater increases than the conventional acupuncture group （P〈0.05）. Conclusion Compared with conventional acupuncture, staging acupuncture has better clinical effects in improving limb motor function and daily activities in patients in the flaccid paralysis period after stroke.