浅刺针法治疗缺血性中风后痉挛性偏瘫临床研究

Clinical Study on Post-ischemic Stroke Spastic Hemiplegia Treated by Superficial Acupuncture

目的:观察浅刺针法治疗缺血性中风后痉挛的临床疗效。方法:60例随机分为治疗组和对照组各30例,两组均采用基础治疗,对照组加用常规针刺疗法,治疗组加用浅刺针法,分别于治疗前、治疗7天、治疗14天、治疗28天和治疗结束后3个月后采用四肢简化Fugl-Meyer(FMA)、功能综合评定量表(FCA)比较治疗前后的肢体功能障碍及日常生活综合能力。结果:治疗7天、14天、28天及治疗结束3个月后,治疗组FMA评分、FCA评分显著高于对照组(P<0.05)。结论:浅刺针法可明显提高缺血性中风后痉挛性偏瘫患者肢体功能,改善日常生活综合能力。

Objective： To observe the clinical therapeutic effect of shallow needling on spastic hemiplegia after ischemic stroke. Method： 60 cases were evenly divided into treatment and control groups in random. The control group received conventional acupuncture while the treatment group received shallow needling. Functional Comprehensive Assessment （ FCA ） scores and Fugl-Meyer Assessment （ FMA ） scores were observed at the time point of before treatment, the 7th day, the 14thday, the 28th day in the treatment and 3 months after the treatment completed. Result ： The FCA and FMA scores of treatment group was significantly higher than that of the control group at the time point of the 7th day, the 14th day, the 28th day in the treatment and 3 months after the treatment completed （P〈0.05） .Conclusion： Shallow needling could enhance the function of limbs of spastic hemiplegia after ischemic stroke and improve the level of the comprehensive abilities of daily living.