穴位拍打联合温针灸治疗脑卒中后上肢偏瘫临床观察

目的:观察穴位拍打联合温针灸治疗脑卒中后上肢偏瘫的临床疗效。方法:76例按随机数字表法分为两组各38例。两组均用温针灸治疗,治疗组联合穴位拍打治疗。结果:治疗组总有效率高于对照组(P<0.05)。治疗后两组mAS各项评分均降低,且治疗组腕屈肌、肘屈肌评分均低于对照组(P<0.05)。治疗后两组FMA-UE、ARAT和FTHUE-HK评分均升高、VAS评分降低,且治疗组FMA-UE、ARAT和FTHUE-HK评分更高、VAS评分更低(P<0.05)。治疗后两组BFGF、VEGF水平均升高,且治疗组BFGF、VEGF水平更高(P<0.05)。两组不良反应比较差异无统计学意义(P>0.05)。结论:穴位拍打联合温针灸治疗脑卒中后上肢偏瘫疗效较好,且安全。

Objective:To observe the clinical effect of acupoint tapping combined with warm acupuncture on upper limb hemiplegia after stroke. Methods: Seventy-six cases were randomly divided into two groups, 38 cases in each group.Both groups were treated with warm acupuncture, and the treatment group were combined with acupoint beating. Results:The total effective rate of the treatment group was higher than that of the control group(P<0.05). After treatment, the mAS scores of the two groups decreased, and the scores of flexor muscle of wrist and elbow flexor in the treatment group were lower than those in the control group(P<0.05). After treatment, the FMA-UE, ARAT and FTHUE-HK scores were increased and the VAS score was decreased in the two groups, and the FMA-UE, ARAT and FTHUE-HK scores were higher and the VAS score was lower in the treatment group(P<0.05). After treatment, the levels of BFGF and VEGF in the two groups were increased, and the levels of BFGF and VEGF in the treatment group were higher(P<0.05). There was no significant difference in adverse reactions between the two groups(P>0.05). Conclusion : Acupoint tapping combined with warm acupuncture is effective and safe in treating upper limb hemiplegia after stroke.