针刺缓解中风痉挛性瘫痪诊疗方案的临床研究  

Clinical Study on Acupuncture Treatment Methods for Spasticity of Paralysed Limbs after Stroke

作　　者：姜京明[1] 岳增辉[2] 叶禹[2] 李良[2] 李向荣[3] 

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学针灸推拿学院,湖南长沙410007 [3]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《中国中医药信息杂志》2010年第10期14-16,共3页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：湖南省中医药科研计划重点项目(2008004);经穴-脏腑相关重点研究室;针灸推拿学重点学科;针灸生物信息重点实验室建设项目

摘　　要：目的探讨并总结出一套切合临床实用的脑卒中后肢体痉挛状态的治疗方案。方法将95例患者随机分为透刺滞针组36例、经筋刺法组31例和康复对照组28例。给予相应治疗,每日1次,10次为1个疗程。3个疗程后采用康复医学的Brunnstrom、脑卒中残损评定法(SIAS)、Asthworth进行治疗前后的康复评定。结果根据治疗前后康复评定结果,各针刺组的疗效均优于康复对照组,且疗效差异有统计学意义(P<0.05)。透刺滞针组疗效与经筋刺法组比较差异无统计学意义,而SIAS积分中透刺滞针组与经筋刺法组差异有统计学意义(P<0.05)。结论透刺滞针术结合康复、药物治疗脑卒中后肢体痉挛状态的疗效较佳。Objective To study and summarized a set of practical clinical therapeutic scheme for the spasticity of paralysed limbs after stroke. Methods Ninety-five cases were randomly divided into the stuck elongated needle technique group （n=36）, the muscle region needling group （n=31） and the rehabilitation group （n=28）. Ten times was one treatment course. After three courses, the methods of Brunnstrom, Stroke Impairment Assessment （SIAS） and Ashworth were used to evaluate the rehabilitional function. Results According to the results of evaluation, the curative effect of the two needling group was better than the rehabilitation group respectively, with significant difference （P〈 0.05）. The comparison of effect between the stuck elongated needle technique group and the muscle region needling group had no statistical difference （P〉0.05）, but in SIAS integration, the difference between them was significant （P〈0.05）. Conclusion The stuck elongated needle technique group with the rehabilitation and medication is a better therapeutic scheme for the spasticity of paralysed limbs after stroke.

关 键 词：肢体痉挛状态 针刺疗法 透刺滞针术 

分 类 号：R277.733[医药卫生—中医学] R245.2