针灸联合电针治疗脑卒中痉挛性瘫痪随机平行对照研究

Hand Acupuncture Combined with Cupping Treatment of Spastic Cerebral Apoplexy Paralysis Random Parallel Control Study

[目的]观察针灸联合电针治疗脑卒中痉挛性瘫痪疗效。[方法]使用随机平行对照方法,将60例住院患者按随机数字表法分为两组。均采用Bobath易化技术康复和药物治疗。对照组30例针刺:主穴患偏瘫侧曲池、合谷、阳陵泉;配穴患侧肩髃、臂臑、手五里、手三里、外关、梁丘、血海、阴陵泉、足三里、丰隆、上巨虚、下巨虚、悬钟、解溪、太溪、太冲。患者取仰卧位,主穴每次均取,配穴每次取8～10个,行针1次,力度适中,频率120次/min,角度为180°,持续1min,留针30min,1次/d。治疗组30例电针治疗。取穴同对照组,接电针治疗仪,留针30min,1次/d。进针深度根据患者针感而定,避免因强烈刺激而引发患肢痉挛性抽动。手法同对照组。连续治疗10d为1疗程。观测临床症状、SIAS积分、血清谷氨酸、y-氨基丁酸、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组治愈5例,显效15例,有效7例,无效3例,总有效率90.00%。对照组治愈2例,显效8例,有效15例,无效5例,总有效率83.33%。治疗组疗效优于对照组(P<0.05)。SIAS积分变化两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。血清Glu和r-氨基丁酸GABA含量两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)[结论]手针联合电针治疗脑卒中痉挛性瘫痪效果显著,值得推广。

[Objective]To observe the hand needle combined with cupping treatment of spastic cerebral apoplexy paralysis efficacy.[Methods]Using random parallel control method,60 cases of hospitalized patients into two groups according to random number table method.Two groups all use Bobath facilitation technology rehabilitation and medical treatment.Acupuncture control group 30 cases.Find out:the main point of hemiplegia side li 11,or valley,gb 34;With hole Er Yu paralysis side shoulder,arm,hand,hand three mile),closed,Liang Qiu,blood,Yin ling springs,st 36,hong leong,huge imaginary,under huge empty,hanging bell,st 41,too creek,lr 3.Patient in the supine position,the holes are shown at a time,take 8 ～ 10 with acupuncture point each time.Retaining needle technique during the operation,moderate strength,frequency of 120 times/ min,the Angle is 180°,last 1 min,retaining needle 30 min,1 / d.Treatment group of 30 cases of cupping therapy.Find out with the control group,then the curative therapeutic apparatus,the retaining needle 30 min,1 / d.Depth according to the patient into the needle feeling and calm,avoid the intense stimulation caused limb spastic twitches.Methods acupuncture and the control group.Continuous treatment 10 d for 1 course of treatment.Observation of clinical symptoms,SIAS integral,serum glutamic acid content,y-aminobutyric acid content,adverse reactions.Continuous treatment 3 period of treatment,judge curative effect.[Result] The treatment group cure in 5 cases,15 cases were markedly effective,effective 7 cases,3 had no effect,total effective rate was 90.00%.Control group cure in 2 cases,8 cases were markedly effective,15 cases were valid,invalid in 5 cases,total effective rate was 83.33%.Treatment group curative effect is better than that of control group(P < 0.05).SIAS integral change in the two groups were improved(P < 0.05),treatment group is better than that of control group(P < 0.05).Serum Glu and r-GABA GABA levels in the two groups have improved(P < 0.05),treatment group better than the control group(P < 0.05).[Conclusion]The hand needle combined with cupping treatment spastic paralysis stroke effect is significant,worthy of promotion.