醒神调气通络针刺法联合康复训练治疗脑卒中下肢痉挛性瘫痪临床效果

Clinical effect of the acupuncture method of awakening the spirit,regulating qi,and dredging collaterals combined with rehabilitation training for the treatment of spastic paralysis of lower limbs after stroke

目的观察醒神调气通络针刺法联合康复训练治疗脑卒中下肢痉挛性瘫痪临床效果。方法将2021年11月至2023年1月泰安市中医医院康复科收治的72例脑卒中下肢痉挛性瘫痪患者随机分为观察组(醒神调气通络针刺法)与对照组(传统阳明经穴针刺法),每组各36例。两组均给予常规康复训练,观察两组患者治疗前后改良Ashworth量表(MAS)分级、临床痉挛指数(CSI)评分、Fugl-Meyer运动功能评分量表(FMA)评分、改良Barthel指数(MBI)评分变化情况。结果治疗前,两组脑卒中患者MAS分级、CSI评分比较,差异无统计学意义(P>0.05);治疗后,观察组MAS分级优于对照组,观察组CSI评分低于对照组,差异有统计学意义(P<0.05)。两组脑卒中患者的FMA、MBI评分较治疗前均得到明显提高,且观察组评分均高于对照组,差异有统计学意义(P<0.05)。结论醒神调气通络针刺法联合康复训练可以明显改善脑卒中下肢肌张力、痉挛程度、运动功能及日常活动能力,临床效果优于传统针刺组。

Objective To observe the clinical efficacy of the acupuncture method of awakening the spirit,regulating qi,and dredging collaterals combined with rehabilitation training for the treatment of spastic paralysis of the lower limbs after stroke.Methods A total of 72 patients with spastic paralysis of lower limbs after stroke admitted to the Department of Rehabilitation of Tai’an Hospital of Traditional Chinese Medicine from November 2021 to January 2023 were randomly divided into an observation group using the acupuncture method of awakening the spirit,regulating qi,and dredging collaterals,and a control group using the acupuncture method of traditional Yangming meridian points,with 36 cases in each group.Both groups received routine rehabilitation training and the changes in modified Ashworth scale(MAS)grading,clinical spasm index(CSI)scoring,Fugl-Meyer assessment scale(FMA)scoring,and modified Barthel index(MBI)scoring before and after treatment were observed.Results Before treatment,there was no statistically significant difference in MAS grading and CSI scores between the two groups of stroke patients(P>0.05).After treatment,the MAS grading of the observation group was better than that of the control group,and the CSI score of the observation group was lower than that of the control group,with significant statistical significance(P<0.05).The FMA score and MBI score of the two groups of stroke patients were significantly improved compared with those before treatment,and the scores of the observation group were higher than those of the control group,with significant statistical significance(P<0.05).Conclusion The acupuncture method of awakening the spirit,regulating qi,and dredging collaterals combined with rehabilitation training can significantly improve the lower limb muscle tension,spasticity,motor function,and daily activity ability of stroke patients,and its clinical effect is superior to that of the traditional acupuncture group.