“补缓泻急”针刺法治疗中风性肌痉挛疗效观察

目的观察“补缓泻急”针刺法对中风性肌痉挛的临床疗效。方法60例中风病偏瘫患者随机分为治疗组30例和对照组30例。治疗组采用“补缓泻急”针刺法,对照组采用现代康复训练。采用目前康复学界常用的修改的Ashworth痉挛程度评级法,Brunnstrom分期法以及Barthel指数分别评定治疗前后痉挛程度、运动功能水平和日常生活能力。结果“补缓泻急”针刺法对中风性肌痉挛的改善优于对照组。结论“补缓泻急”针刺法在改善痉挛状态方面有独特的优势。

电针配合补缓泻急法治疗中风肌痉挛性偏瘫的临床观察

目的:观察电针配合补缓泻急法治疗中风痉挛性偏瘫的临床疗效。方法:将100例中风痉挛性偏瘫的患者随机分为治疗组和对照组,每组各50例。对照组运用电针常规治疗。治疗组运用电针加补缓泻急法治疗,观察两组治疗前、治疗后4周Ashworth痉挛量表(ASS)和CS1评分的变化,并统计临床疗效。结果:与治疗前相比,治疗后两组ASS及CS1均降低(P <0.01),且治疗组明显优于对照组(P <0.01)。结论:电针配合补缓泻急法治疗中风痉挛性偏瘫,疗效显著,值得推广应用。

补缓泻急法治疗中风偏瘫肌痉挛30例临床观察

目的运用补缓泻急法治疗与电针配合头针组治疗对中风偏瘫肌痉挛的疗效对比。方法将60例患者随机分为治疗组与对照组各30例。治疗组采用补缓泻急法针刺治疗,每日1次,治疗2周;对照组采用电针配合头针治疗,每日1次,治疗2周。结果 Ashworth量表显示治疗后治疗组评分为(2.19±0.7),疗效优于对照组为(2.75±0.81)(P<0.01);CSI痉挛指数显示治疗组为(8.31±1.57),明显优于对照组(9.86±0.81)(P<0.01)。2组较治疗前均有效。结论补缓泻急法治疗中风偏瘫肌痉挛疗效肯定,值得临床推广。

Efficacy of “Remissive Stage-reinforcing and Acute Stage-reducing”Acupuncture for Treating 30 Apoplectic Myospasm Patients

Objective： To investigate the clinical efficacy of ＂remissive stage-reinforcing and acute stage-reducing＂ acupuncture for treating apoplectic myospasm. Methods： Sixty patients with apoplectic hemiplegia were randomly divided into a treatment group of 30 cases and a control group of 30 cases. The treatment group was treated by ＂remissive stage-reinforcing and acute stage- reducing＂ acupuncture and the control group by modem rehabilitation training. Before and after treatment, the degree of spasm, the level of motor function and ability for daily life were evaluated by modified Ashwordth spasm grading, Brunnstrom grading and Barthel index now often used in the rehabilitation field. Results： ＂Remissive stage-reinforcing and acute stage reducing＂acupuncture was superior to modem rehabilitation training in relieving apoplectic myospasm.Conchtsion： ＂Remissive stage-reinforcing and acute stage-reducing＂acupuncture has a unique advantage in relieving spasm.