电针刺激常规腧穴与拮抗肌运动点对脑卒中后肢体痉挛的对比分析

Comparative Analysis of Electro-acupuncture and Antagonistic Muscle Movement Point on the Clinical Efficacy of Limb Spasticity After Stroke

目的观察不同方式治疗脑卒中后肢体痉挛中的临床应用效果。方法选择我院收治的脑卒中患者80例,均出现肢体痉挛症状,按照入院顺序随机分为对照组和观察组,对照组给予拮抗肌常规腧穴电针治疗,观察组给予拮抗肌运动点电针刺激治疗。比较两组的FMA评分、Barthel评分、上肢、下肢MAS评分与治疗效果。结果经不同方法治疗后,两组FMA评分、Barthel评分均显著提高,但观察组改善效果优于对照组,治疗后评分明显偏高(均P<0.05)。不同的治疗后两组上肢、下肢MAS评分均显著下降,但观察组改善效果优于对照组,治疗后评分明显偏低(P<0.05)。经临床治疗效果判定,观察组的治疗效果较为显著,治疗总有效率明显高于对照组(P<0.05)。结论脑卒中后肢体痉挛患者实施拮抗肌运动点电针刺激治疗疗效显著,可更好的改善患者的临床症状,提高其肢体运动功能。

Objective To observe the different ways of clinical application in treatment of limb spasm after stroke. Methods 80 cases of patients with stroke were randomly divided into control group and observation group, control group was given electro acupuncture at acupoints treatment, observation group was given electro-acupuncture treatment of antagonist muscle motion. The FMA scores, Barthel scores, upper and lower limbs MAS scores and the treatment effect were compared between the two groups after treatment. Results After treatment, the FMA scores and Barthel scores of both groups were sig- nificantly improved, and the improvement of observation group was more obvious, the above scores were significantly higher than those of control group （all P〈0.05）. The MAS scores of the upper limbs and lower limbs of both groups were significantly decreased, and the improvement of observation group was more obvious, and the scores were significantly lower than those of control group （P〈0.05）. The therapeutic effect of observation group was significant, and the total effective rate was significantly higher than that of control group （P〈0.05）. Conclusion The effect of electric stimulation of antagonistic muscle points on patients with limb spasm after stroke is significant, which can better improve the clinical symptoms of patients and improve their limb movement function.