益肝止痉针法治疗脑卒中后肢体痉挛的临床研究  

Clinical Study on Limb Spasticity after Stroke Treated with Yigan Zhijing Needling

作　　者：胡卡明[1] 李宁[2] 路阳[3] 杨玲[1] 刘钺[1] 金硕果[1] 曾洁萍[1] 余茜[4] 

机构地区：[1]成都中医药大学附属医院,四川成都610075 [2]四川大学华西医院,四川成都610041 [3]成都市第一人民医院,四川成都610041 [4]四川省人民医院,四川成都610075

出　　处：《河南中医》2012年第1期49-51,共3页Henan Traditional Chinese Medicine

基　　金：国家中医药管理局中医药科学技术研究专项课题(编号:2009ZL39)

摘　　要：目的:观察益肝止痉法治疗脑卒中后肢体痉挛的临床疗效。方法:180例脑卒中后肢体痉挛的患者在接受相同的康复治疗的基础上随机分为对照组和试验组各90例,对照组采用传统针法治疗,试验组采用益肝止痉针法治疗。两组均每日治疗1次,每周5次,治疗40 d后评估疗效。结果:治疗后,试验组的改良Ashworth量表评分、神经功能缺损评分、日常生活活动能力评分的改善程度均优于传统取穴针刺组(P<0.05)。结论:益肝止痉针刺法在改善脑卒中患者肢体痉挛,神经功能缺损和日常生活能力方面疗效显著。Objective： To observe the clinical effect of Yigan Zhijing needling on limb spasticity after stroke, Methods： 180 patients with limb spasticity after stroke were randomly divided into control group and experimental group on the basis of same rehabilitation treatment, 90 patients in each. The control group received the traditional acupuncture treatment, while the experimental group Yigan Zhijing needling. Both groups were treated once a day＇, 5 times a week, the effect was assessed 40d after the treatment. Results： After the treatment, the improvement degree of the modified Ashwnrth scale score, deficit score of neurological function and the activity score in daily life of the experimental group was superior to that of the traditional acupuncture group （P 〈 0.05）. Conclusion： Yigan Zhijing needling has a significant effect in improving limb spasticity, neurological deficits and daily living skills of stroke patients.

关 键 词：益肝止痉 针刺 脑卒中 肢体痉挛 

分 类 号：R743[医药卫生—神经病学与精神病学]