耳穴贴压配合跷脉针刺治疗脑卒中后痉挛性偏瘫临床观察

Clinical Observation on Auricular Point Sticking Combined with Heel Channel Acupuncture inthe Treatment of Spastic Hemiplegia after Stroke

目的评价耳穴贴压配合跷脉针刺治疗脑卒中后痉挛性偏瘫的临床效果。方法选取2020年1月—2021年4月在福建中医药大学附属康复医院神经康复科就诊的脑卒中后痉挛性偏瘫患者72例,按随机数字表分为治疗组和对照组,各36例。2组患者均采用常规药物治疗,对照组在常规药物治疗的基础上进行拮抗肌针刺治疗,治疗组在常规药物基础上进行耳穴贴压配合跷脉针刺治疗。分别于治疗前、治疗4周后采用临床痉挛指数(CSI)、改良的Barthel指数量表(MBI)和简式Fugl-Meyer量表(FMA)评估临床效果。结果治疗4周后,2组患者CSI、MBI和FMA评分均较治疗前改善,差异均有统计学意义(P<0.05),且试验组CSI、MBI和FMA评分均优于对照组,差异均有统计学意义(P<0.05)。结论耳穴贴压配合跷脉针刺可作为脑卒中痉挛性偏瘫患者的适宜治疗方案,值得在临床上推广和应用。

Objective To investigate clinical effect of auricular point sticking combined with heel channel acupuncture in the treatment of spastic hemiplegia after stroke.Methods A total of 72 patients with spastic hemiplegia after stroke treated in Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2020 to April 2021 were selected and divided into treatment group and control group according to the random number table,with 36 cases in each group.Patients in the two groups were treated with conventional drugs,the control group was treated with antagonistic muscle acupuncture on the basis of conventional drugs,and the treatment group was treated with auricular point sticking combined with stilt pulse acupuncture on the basis of conventional drugs.Clinical efficacy was evaluated by clinical spasticity index(CSI),modified Barthel Index(MBI)and Fugl-Meyer scale(FMA)before and after 4 weeks of treatment.Results After 4 weeks of treatment,the CSI,MBI and FMA scores of the two groups were improved compared with those before treatment,and the differences were statistically significant(P<0.05).The CSI,MBI and FMA scores of the experimental group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Auricular point sticking combined with heel channel acupuncture can be used as a suitable treatment plan for patients with spastic hemiplegia after stroke,and it is worthy of clinical promotion and application.