电针联合巴氯芬对控制脑卒中痉挛状态的作用  

Clinical Effect of Electric Acupuncture and Baclofen on Recovery of Spasticity

作　　者：李莉[1] 杨卫新[1] 胡凤娟[1] 徐红星[1] 王海波[1] 倪波业[1] 

机构地区：[1]苏州大学附属第一医院康复医学科,江苏苏州215006

出　　处：《中国康复》2007年第5期319-320,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨电针刺激与巴氯芬联合治疗脑卒中高痉挛状态的临床效果。方法:脑卒中单侧偏瘫伴痉挛患者58例,随机分为对照组和电针组各29例,均常规给予口服巴氯芬片,中频电刺激患肢痉挛拮抗肌,抗痉挛体位练习及功能训练。电针组同时加用电针刺激,上肢取劣势侧伸肌,下肢取劣势侧屈肌。结果:治疗2个月后,电针组与治疗前及对照组比较,上下肢痉挛评分均明显降低;Barthel评分明显提高(均P<0.01)。结论:电针联合巴氯芬能有效控制脑卒中所至高痉挛状态,有利于患者运动训练的进行,使ADL能力得到提高。Objective： To explore the effect of electric acupuncture and baclofen on the spasticity of stroke patients with hemiplegia. Methods： Forty-eight stroke patients with hemiplegia were randomly divided into treatment group and control group. In both groups, the patients were orally administered with baclofen and subjected to routine rehabilitation training. Besides, the patients in treatment group were subjected to electric acupuncture. Modified Ashworth Scale and Barthel index were used to assess the degree of muscle tension and the activities of daily living （ADL） before and 60 days after treatment. Results： After treatment for 2 months, spasticity scores in treatment group were significantly reduced as compared with those before treatment and control group （P〈0, 01）. The ADL scores in the treatment group were obviously higher than those in the control group （P〈0. 01）. Conclusion： The electric acupuncture and baclofen therapies could reduce spasticity of stroke patients and improve the ADL.

关 键 词：脑卒中痉挛 电针刺激 巴氯芬 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]