针刺锥体区治疗卒中偏瘫痉挛状态的临床研究

Clinical Study on Needling Zhuiti Region in Treating the Spastic State of Apoplectic Patients

目的:观察针刺锥体区对卒中偏瘫痉挛状态的影响,为治疗卒中偏瘫痉挛状态的有效针刺治疗方法提供科学的临床依据。方法:随机抽取60例住院病人,平均分为治疗组与对照组。以修改的Ashworth量表、Fugl-Meyer评价法、Barthel氏ADL指数等做指标,在醒脑开窍法的基础上,观察评定两组的治疗结果。结果:醒脑开窍针法加针刺锥体区治疗卒中偏瘫痉挛状态具有较好疗效(有效率90.0%),优于单纯醒脑开窍针法组(有效率66.7%);针刺锥体组与单纯醒脑开窍针法组在运动功能水平、生活自理能力方面治疗后均有明显改善。结论:针刺锥体区能明显缓解卒中患者肢体的痉挛程度,是对醒脑开窍针法的有益补充。

Objective: The effects of needling Zhuiti region (the surface projection of decussation of pyramid) on the spastic degree of extremities after apoplexy were observed. Methods: 60 in-patients were divided randomly into the treating group and control group. The Ashworth table, Fugl-Meyer evaluation and Barthel's ADL index were adopted as observation items on the basis of Xingnaokaiqiao (XNKQ) therapy. The results in both groups were evaluated after treatment. Results: A better result to apoplectic patients has been achieved (the effective rate was 90.0%) when XNKQ therapy and needling Zhuiti region were combined than that of the control group (the effective rate was 66.7%). Both movement of extremities and self-caring ability of patients were markedly improved after treatment with needling Zhuiti region or XNKQ therapy. Conclusion: Needling Zhuiti region can release significantly the spastic degree of extremities for apoplectic patients, and serve as a useful supplement to XNKQ therapy in the treatment of patients who suffer from apoplectic spasticity.