不同取穴方法治疗缺血性中风后偏瘫的临床研究

Clinical Study on Different Point Selection Methods for Treatment of Hemiplegia after Ischemic Apoplexy

目的 :对比不同取穴方法治疗脑梗死偏瘫的疗效。方法 :以Brunnstrom脑卒中运动恢复六阶段表作为治疗偏瘫划分阶段标准 ,按不同阶段选取不同屈肌伸肌的穴位进行治疗。同时用简式Fugl Meyer运动量表作为疗效评定标准进行疗效评定。并设常规针刺治疗组对照。结果 :治疗组的疗效比常规针刺治疗组明显提高 (P <0 0 5 )。结论 :根据神经反射弧的原理 ,结合康复学的有关评定措施 ,分不同阶段。

Purpose To compare therapeutic effects of different point selection methods on hemiplegia of cerebral infarction. Methods The Brunnstrom Cerebral Apoplexy Motor Recovery Six Stages Scale was used as criterion for division of stages in treatment of hemiplegia, and different points of flexors and extensors were selected according to different stages,and the Simplified Fugl Meyer Motor Scale was adopted as criteria for assessment of the therapeutic effect;with routine acupuncture treatment used as control. Results The thrapeutic effect of the treatment group was significantly higher than that of the routine acupuncture treatment group (P<0 05 ). Conclusion Acupuncture at different points of the flexor and extensor at different stages based on principle of reflex arc has a good therapeutic effect on hemiplegia of cerebral infarction