拮抗肌火针结合舌针治疗中风后痉挛性偏瘫临床观察

Clinical efficiency observation of antagonistic muscle fire-needling and tongue needling on poststroke-induced spastic hemiplegia

目的:观察拮抗肌火针疗法结合舌针治疗中风后痉挛性偏瘫的临床效果。方法:选取120例中风后痉挛性偏瘫患者作为研究对象,分为对照组(传统针刺法)、舌针组、火针组(拮抗肌火针疗法)、火针加舌针组各30例。比较各组治疗前后及组间临床痉挛指数(CSI)评分、日常生活活动能力Barthel评分,评价治疗效果。结果:各组治疗后较治疗前CSI评分均有显著降低,Barthel评分均有显著升高(P<0.05)。治疗后火针加舌针组CSI评分较其他各组更低,Barthel评分较其他各组更高(P<0.05);火针组与舌针组CSI评分均较对照组显著降低,Barthel评分均较对照组显著升高(P﹤0.05)。治疗后火针加舌针组治愈率(70.00%)及总有效率(96.67%)均较其他各组显著升高(P<0.05);火针组与舌针组治愈率(46.67,43.33%)及总有效率(80.00%,76.67%)组间比较无统计学差异,但均较对照组(16.67%,53.33%)显著升高(P<0.05)。结论:拮抗肌火针结合舌针治疗中风后痉挛性偏瘫效果显著。

Objective:To observe the clinical effect of antagonistic muscle fire-needling and tongue needling on poststroke-induced spastic hemiplegia.Methods:120 cases of patients with poststroke-induced spastic hemiplegia were selected as researched objects,and divided into control group(traditional needling),tongue needling group,fire-needling group(antagonistic muscle fire-needling),fire needling and tongue needling combination group,30 cases in each group.The clinical spasm index(CSI)score and Barthel score of activities of daily living were compared respectively in each group and between two groups before and after treatment,and the therapeutic effect was evaluated.Results:After treatment:compared in each group with before treatment,CSI score was significantly lower,Barthel score was significantly higher(P﹤0.05);in fire needling and tongue needling combination group,CSI score was more significantly lower than in other each group,Barthel score was more significantly higher than in other each group(P﹤0.05);in fire-needling group and tongue needling group,CSI score was significantly lower than in control group,and Barthel score was significantly higher than in control group(P﹤0.05).After treatment:in fire needling+tongue needling group,cure rate(70.00%)and total effective rate(96.67%)were significantly higher than in other each group(P﹤0.05);between fire-needling group and tongue needling group,there was no significant difference in cure rate(respectively 46.67%and 43.33%)and total effective rate(respectively 80.00%and 76.67%)which were significantly higher than 16.67%and 53.33%in control group(P﹤0.05).Conclusion:The clinical effect of antagonistic muscle fire-needling and tongue needling on poststrokeinduced spastic hemiplegia is significant.