恢刺和关刺法与常规针刺法治疗中风后上肢痉挛的临床研究  

Effect of Hui and Guan Puncture and Routine Acupuncture Method on Cases with Upper Limb Spasticity after Stroke

作　　者：何晓华[1] 胡雨华[1] 柯生海[1] 杨立峰[1] 

机构地区：[1]宁夏医科大学附属银川市中医医院,银川750001

出　　处：《宁夏医科大学学报》2013年第11期1247-1249,共3页Journal of Ningxia Medical University

基　　金：宁夏科技攻关项目(092164198)

摘　　要：目的对比恢刺和关刺法与常规针刺法治疗中风后上肢痉挛的疗效差异。方法采用随机单盲对照的临床试验研究方法,将60例中风后上肢痉挛的患者随机分为两组,治疗组30例采用恢刺和关刺法,对照组30例采用常规针刺法,两组均于治疗20d后进行症状体征、功能及生活质量的测定评价。结果 (1)两组临床疗效比较,恢刺和关刺组与常规针刺组的显效率分别为96.67%和56.67%,恢刺和关刺组疗效明显优于常规针刺组(P<0.01)。(2)治疗后恢刺和关刺组的痉挛Ashworth评级降低优于常规针刺组(P<0.01)。(3)治疗后恢刺、关刺组临床神经功能缺损程度评分明显降低(P<0.01),且明显优于常规针刺组(P<0.01)。(4)两组治疗后SFMA运动功能评定评分,日常生活能力(BI)记分均增高(P<0.05),但恢刺和关刺组增高较常规针刺组明显(P<0.01)。结论恢刺和关刺法能缓解中风后上肢痉挛,改善其运动功能,从而提高患者的生活质量,且疗效明显优于常规针刺组。Objective To compare the curative effects between Hui and Guan acupuncture and routine acupuncture method on the patients with upper limb spasticity after stroke. Methods According to single blind randomized controlled trial,60 patients with spasticity of upper limb after stroke were selected. Among them,30 cases accepted treatment of Hui and Guan acupuncture while the others accepted treatment of routine acupuncture. The function,quality of life and symptoms after 20- day treatment in two groups were evaluated.Results( 1) The curative effect( 96. 67%) of Hui and Guan acupuncture group was significantly higher than that( 56. 67%) of routine acupuncture group( P < 0. 01).( 2) After treatment,convulsion Ashworth rating in Hui and Guan acupuncture group was significantly lower than that of routine acupuncture group( P < 0. 01).( 3) After treatment,the clinical neural function defect degree scores of Hui and Guan acupuncture group were significantly decreased( P < 0. 01) than routine acupuncture group did( P < 0. 01).( 4) After treatment,the SFMA score and BI score of the two groups were all significantly increased( P < 0. 05). But scores of Hui and Guan acupuncture group were more significantly increased compared with the routine acupuncture group( P <0. 01). Conclusion The Hui and Guan acupuncture can relieve the muscular spasm and improve the function of the upper limb and the quality of life of patients.

关 键 词：恢刺和关刺法 常规针刺法 中风痉挛 上肢 临床对照 

分 类 号：R246.6[医药卫生—针灸推拿学]