巨刺配合康复训练治疗脑卒中后痉挛性偏瘫疗效观察  

Therapeutic Observation on Contralateral Needling plus Rehabilitation Training for Post-stroke Spastic Hemiplegia

作　　者：张艳[1] 刘国成[1] 王金宇[1] 孙云广[1] 杨柳江[1] 

机构地区：[1]柳州市中医院,柳州545001

出　　处：《上海针灸杂志》2012年第9期631-633,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广西中医学院自然科学研究课题(P2010079)

摘　　要：目的观察巨刺配合康复训练治疗脑卒中后痉挛性偏瘫的临床疗效。方法将36例脑卒中后痉挛性偏瘫的患者随机分为治疗组和对照组,每组18例。两组均进行康复训练治疗,治疗组在醒脑开窍组穴基础上采用巨刺治疗,对照组在醒脑开窍组穴基础上采用常规针刺治疗,治疗前后分别对两组用修改的Ashworth量表(MAS)、痉挛评定量表(CSI)评价疗效。结果治疗组总有效率为94.4%,对照组为67.7%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后MAS、CSI量表评分与对照组比较,差异均具有统计学意义(P<0.05)。结论巨刺配合康复训练是一种治疗脑卒中后痉挛性偏瘫的有效方法。Objective To observe the clinical efficacy of contralateral needling plus rehabilitation training in treating spastic hemiplegia after stroke. Method Thirty-six patients with post-stroke spastic hemiplegia were randomized into a treatment group and a control group, 18 in each. The two groups both received rehabilitation training. In addition to the acupoint formula of mind-refreshing and orifice-opening needling, contralateral needling was also adopted in the treatment group and conventional needling was used in the control group. Modified Ashworth Scale （MAS） and clinical spasticity index （CSI） were used to evaluate the therapeutic efficacy before and after treatment. Result The total effective rate was 94.4% in the treatment group versus 67.7% in the control group, and the difference was statistically significant （P〈0.05）. After treatment, MAS and CSI scores in the treatment group were markedly different from those in the control group （P〈0.05）. Conclusion Contralateral needling plus rehabilitation training is an effective approach in treating post-stroke spastic hemiplegia.

关 键 词：针刺疗法 巨刺 康复训练 脑卒中 偏瘫 中风后遗症 

分 类 号：R246.6[医药卫生—针灸推拿学]