平衡针刺法对脑卒中后上肢高痉挛患者正中神经F波的影响  

Effect of Balance Needle on Median Nerve's F-response in Patients of Spastic Upper Limb After Stoke

作　　者：朱国祥[1] 包烨华[1] 曾友华[1] 陈红薇[1] 龚燕[1] 邹超[1] 王翀敏[1] 李江[1] 张文忠[1] 

机构地区：[1]杭州市中医院针灸科,浙江杭州310000

出　　处：《中华中医药学刊》2008年第10期2185-2187,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药管理局资助项目(2003C123)

摘　　要：目的:观察平衡针刺法对中风后上肢高痉挛状态正中神经F波的影响,并对其疗效做出正确的评价。方法:治疗组30例,拮抗肌治疗对照组30例,观察两组病人治疗前后肌电F波的变化及疗效情况。结果:治疗组总有效率为93.33%,对照组为66.67%,(P<0.01)。治疗前后治疗组波幅下降(P<0.01),而对照组无显著性变化(P>0.05);两组病人治疗后阈值均有提高,但治疗组(P<0.001),优于对照组(P<0.01)。结论:平衡针刺法通过降低脊髓前角细胞的兴奋性,减弱牵张反射以缓解痉挛,对中风后患肢高痉挛状态的治疗作用优于传统针刺法。Obejective： To obaerve effect of balance needle on median nerve＇s F -response in patients of spastic upper limb after stoke, and evaluate its curative effecto Methods： 60 cases were randomly divided into two groups. Among them 30 cases had been treated with balance needle for 4 weeks ; the other 30 cases had been treated with antagonistic muscle needle served as a control group. The change of F - response had been observed, as well as its curative effect. Results ： The total effective rate of treated group was 93.33% ,66.67% as the control group（ P 〈0.01 ）. The amplitude of treated group had decreased（ P 〈 0.01 ）, and the control group had no significant change; the leak point of both groups after treatment had increased, and the treated group was higher than control group. Conclusions ： Balance needle can lower excitability of comu anterius medullae spinalis cell, relieve spasm by weaken stretch reflex, its therapeutical effect to the situation of spastic upper limb after stoke was better than traditional needle method.

关 键 词：平衡针刺法 F波 脑血管意外 痉挛 经络电 Ashworth评分 

分 类 号：R246[医药卫生—针灸推拿学]