缪刺法结合常规康复训练治疗脑卒中后肢体痉挛的临床疗效

Clinical efficacy of contralateral puncture with rehabilitation therapy for postapopletic spastic hemiplegia

目的观察缪刺法结合常规康复训练治疗脑卒中肢体痉挛的疗效。方法将60例脑卒中肢体痉挛患者采用随机数字法分为对照组、治疗组各30例。两组均给予常规康复治疗,每日一次,每次30 min,治疗3个疗程;治疗组在对照组的基础上加用缪刺法治疗,每日一次,每次15 min,治疗3个疗程。两组治疗前后,采用改良Ashworth量表(MAS)评分评价肢体痉挛程度、改良Barthel指数评分评价日常生活能力。结果治疗后两组患者痉挛程度和日常生活活动能力均较治疗前有所改善,且治疗组更明显,差异均有统计学意义(P<0.05)。治疗过程中两组患者均未见明显不良反应。结论缪刺法结合常规康复训练能缓解脑卒中肢体痉挛程度,改善患者日常生活能力,且相对安全。

Objective To observe the clinical efficacy of contralateral puncture with rehabilitation therapy for postapopletic spastic hemiplegia. Methods A total of 60 cases with postapoplectic spastic hemiplegia were randomly divided into control or treatment group,30 in each group. The control group was given rehabilitation therapy while the treatment group received contralateral puncture combined with rehabilitation therapy. The treatment was continued for total of 3 mouths. Before and after treatment, the degree of limb spasms and daily living were evaluated by Modified Ashworth Scales （MAS） score and Barthel Assessment Scale score. Results After treatment, spasticity and daily activities of the patients in the two groups were improved,but the treatment group was more obvious （P 〈 0. 05 ）. Conclusion The contralateral puncture combined with rehabilitation therapy is better than rehabilitation therapy alone in alleviating postapoplectic limb spasticity,improving the limb motor function and increasing the activities of daily living.