经筋排刺法配合皮肤针治疗脑卒中后上肢痉挛疗效观察  

Observations on the Efficacy of Muscle-region Alignment Needling plus Skin Acupuncture in Treating Post-stroke Upper Limb Spasticity

作　　者：韩淑凯[1] 张宝昌[1] 左永发[1] 问晓玉[1] 

机构地区：[1]河北省望都县中医院,河北072450

出　　处：《上海针灸杂志》2010年第5期284-286,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察经筋排刺法配合皮肤针治疗脑卒中后上肢痉挛的临床疗效。方法将150例患者随机分为治疗组和对照组,每组75例。在必要的康复治疗基础上,治疗组采用经筋排刺法配合皮肤针循经叩刺法治疗;对照组采用西药治疗。评价两组临床疗效、临床症状评分、肌张力、运动功能及日常生活能力。结果治疗组和对照组总有效率分别为94.7%和62.7%,差异有统计学意义(P<0.05);两组治疗后症状评分治疗组优于对照组(P<0.05);两组治疗前后肌张力(MAS)、运动功能(FMA)及日常生活能力(ADL)比较差异均有统计学意义(P<0.05),以治疗组更为明显。结论经筋排刺法配合皮肤针循经叩刺治疗脑卒中后上肢痉挛疗效优于常规药物治疗。Objective To investigate the clinical efficacy of Muscle-region alignment needling plus skin acupuncture in treating post-stroke upper limb spasticity. Methods One hundred and fifty patients were randomly allocated to treatment and control groups, 75 cases each. Based on necessary rehabilitation measures, the treatment group received muscle-region alignment needling plus skin acupuncture and the control group, Western drug treatment. The clinical therapeutic effect, symptom score, muscular tension, motor function and activities of daily living were evaluated in the two groups. Results The total efficacy rate were 94.7% in the treatment group and 62.7% in the control group, and there was a statistically significant difference （P〈0.05）. After treatment, the symptom score was better in the treatment group than in the control group （P〈0.05）. There were statistically significant pre-/post-treatment differences in muscular tension, motor function and activities of daily living in both groups （P〈0.05）. The differences were more obvious in the treatment group. Conclusion The effect of muscle-region alignment needling plus skin acupuncture is superior to that of routine medication in treating post-stroke upper limb spasticity.

关 键 词：经筋 丛刺 皮肤针疗法 痉挛 上肢 中风后遗症 

分 类 号：R246.6[医药卫生—针灸推拿学]