温针结合现代康复技术对脑卒中后肢体痉挛患者运动功能及四肢动脉血流参数的影响  

Influence of Warm Needling Therapy Combined with Facilitation Techniques on Motor Function and Limbs Artery Hemodynamic Parameters of Patients with Spasticity After Stroke

作　　者：黄劲柏[1] 宋安娜[1] 钟利远[1] 陈庆[1] 王峥[1] 卓廉佳[1] 

机构地区：[1]广东公安边防总队医院,广东深圳518029

出　　处：《中国中医药信息杂志》2013年第3期8-10,共3页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：广东省建设中医药强省科研基金(2011-2018);深圳市罗湖区科技计划(2011-049)

摘　　要：目的观察温针结合现代康复技术对脑卒中后肢体痉挛患者运动功能及四肢动脉血流参数的影响。方法采用随机对照研究方法,将70例脑卒中后肢体痉挛患者分为对照组及试验组,每组35例。对照组取阳明经穴位,毫针刺法;试验组取拮抗肌侧穴位,采用针上加灸的治疗方法,同时结合Bobath康复技术。连续治疗4周后,比较2组治疗前后改良Ashworth评分、运动功能Fugl-Meyer评分及四肢大动脉脉搏波传导速度(PWV)、踝肱指数(ABI)变化情况。结果试验组在缓解肢体痉挛、改善运动功能方面与对照组比较差异有统计学意义(P<0.05);2组治疗前后健肢血流参数比较差异无统计学意义(P>0.05)。试验组治疗后与治疗前比较,患肢PWV降低,ABI上升(P<0.05);对照组患肢治疗前后血流参数比较差异无统计学意义(P>0.05)。结论温针结合现代康复技术治疗脑卒中后肢体痉挛,能够缓解肢体痉挛状态,改善运动功能,加速四肢动脉血流状态,较单纯针刺治疗更有优势。Objective To observe the influence of warm needling therapy combined with facilitation techniques on the motor function and limbs artery hemodynamic parameters of patients with spasticity after stroke. Methods Seventy cases with spasticity after stroke were randomly divided into acupuncture group （control group） and warm needling combined with facilitation techniques group （experiment group）, 35 cases in each group. Control group selected acupoints on Yangming meridian with filiform needle treatment and experiment group selected acupoints on antagonistic muscles with acupuncture plus moxibustion combined with Bobath techniques. After 4 weeks treatment, the assessment of modified Ashworth spastic rating, Fugl-Meyer motor function, and the change of limb arterial pulse wave velocity （PWV） and ankle-brachial index （ABI） were compared. Results Compared with the control group, there was significant difference in relieving spasm and improving motor function in experiment group （P 〈0.05） after treatment. Hemodynamic parameters had no significant difference （P〉0.05） in unaffected limb of two groups after treatment. In experiment group, the affected limb PWV slowered, and ABI increased after treatment, with significant difference （P 〈0.05）. Hemodynamic parameters of affected limb in control group had no significant difference （P 〉0.05）. Conclusion In the treatment of spasticity after stroke, warm needling therapy combined with facilitation techniques can relieve spasm, improve motor function, accelerate blood flow of limb artery, has more advantage than the treatment of only acupuncture.

关 键 词：温针 易化技术 中风后遗症 肢体痉挛 运动功能 血流参数 

分 类 号：R277.733[医药卫生—中医学]