眼针联合巨刺法治疗脑卒中后痉挛性偏瘫临床疗效观察

Clinical Study of the Effect of Eye Acupuncture Combined with Opposing Needling Method on Spastic Hemiplegia after Cerebral Apoplexy

目的:探讨眼针联合巨刺法治疗脑卒中后痉挛性偏瘫的疗效观察。方法:收集我院收治的脑卒中患者66例,依据随机数字表法随机分为对照组和治疗组,各33例,对照组予以西医常规治疗;治疗组在对照组的基础上采用眼针联合巨刺法治疗,两组患者均治疗4周。比较两组患者临床疗效及两组患者FMA评分、Barthel评分、Ashworth评分。结果:治疗后,治疗组临床总有效率为84.85%,对照组临床总有效率为66.67%,治疗组较对照组改善明显,结果具有显著差异(P<0.05);经治疗,两组患者FMA评分及Barthel评分均有所改善(P<0.05),且与对照组比较,治疗组FMA评分及Barthel评分改善更为显著,结果具有统计学意义(P<0.05);经治疗,两组患者Ashworth评分均有所降低,结果具有统计学意义(P<0.05),与对照组相比,治疗组患者Ashworth评分降低更为显著(P<0.05)。结论:眼针联合巨刺法治疗脑卒中后痉挛性瘫痪取得较为满意的临床治疗效果,可改善患者脑部病灶区域内血液运行,挽救缺血半暗带,协调患侧肢体平衡性,促进病后治愈程度,值得临床推广应用。

Objective:To explore the clinical study of the effect of opposing needling method combined with eye acupuncture on hemiplegia after cerebral apoplexy. Methods:66 patients with cerebral apoplexy in our hospital were collected and randomly divided into control group and treatment group according to random number table method,33 cases in each group,the control group was treated by Western medicine. The treatment group was treated with the opposing needling method combined with eye acupuncture based on the control group,and the two groups were treated for 4 weeks. Compared the clinical efficacy of two groups patients. Compared the FMA scores,Barthel scores and the Ashworth scores between two groups. Results:After treatment,the total clinical efficiency of the treatment group was 84.85%,the total effective rate of the control group was 66.67%,and the treatment group was significantly better than the control group,with significant difference between the two groups(P<0.05);After the treatment,the FMA scores and the Barthel scores of two groups patients were improved(P<0.05),compared with the control group,the FMA scores and the Barthel scores of treatment group improved more significantly than the control group,the difference was statistically significant(P<0.05),after treatment,the Ashworth scores of two groups were decreased,compared with the control group,the Ashworth scores of treatment group decreased significantly than that in the control group(P<0.05). Conclusion:The method of opposing needling method combined with eye acupuncture in the treatment of spastic paralysis after stroke made more satisfactory clinical effect,it can improve the patients’ disease brain focal area blood running,save ischemia half dark belt,coordination of body balance,promote the degree of cure after illness. It is worthy of clinical popularization and application.