经筋排刺法配合皮肤针对脑卒中后上肢痉挛患者远期疗效的影响  

Effect of Muscle-region Alignment Needling plus Dermal Needle Therapy on the Long-term Therapeutic Efficacy for Post-stroke Upper-limb Spasticity

作　　者：张宝昌 韩淑凯 高伟娜 许玉娜 靳红强[2] 杨新伟[3] 杨伟红[4] 

机构地区：[1]河北省望都县中医医院,望都072450 [2]河北省荣军医院,保定071000 [3]保定市第一中医院,保定071000 [4]河北大学附属医院,保定071000

出　　处：《上海针灸杂志》2014年第12期1120-1123,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省中医药管理局科研计划项目(2009180)

摘　　要：目的评价经筋排刺法配合皮肤针疗法治疗脑卒中后上肢痉挛的远期疗效。方法将488例脑卒中后上肢痉挛患者随机分为治疗组和对照组,每组244例。在必要康复治疗的基础上,治疗组给予经筋排刺法配合皮肤针疗法,对照组给予常规西药治疗。两组均连续治疗3星期后随访6个月。观察两组患者随访期末神经功能、综合功能、SS-QOL评分。结果治疗组总有效率为93.4%,对照组总有效率为61.5%,两组比较差异有统计学意义(P<0.05);治疗组患者随访期末神经功能缺损积分、FCA评分及SS-QOL评分均明显优于对照组(P<0.05)。结论经筋排刺法配合皮肤针疗法治疗脑卒中后上肢痉挛具有较好的远期疗效。Objective To evaluate the long-term therapeutic efficacy of muscle-region alignment needling plus dermal needle therapy in treating post-stroke upper-limb spasticity. Method Totally 488 patients with post-stroke upper-limb spasticity were randomized into a treatment group and a control group, 244 in each group. Besides the essential rehabilitation treatment, the treatment group was intervened by muscle-region alignment needling plus dermal needle therapy, while the control group was given regular Western medication. The two groups were intervened for 3 weeks and were followed up for 6 months. The neurologic function, Functional Comprehensive Assessment （FCA）, and Stroke Speciality-Quality of Life （SS-QOL） were observed for the follow-up study. Result The total effective rate was 93.4% in the treatment group versus 61.5% in the control group, and the difference was statistically significant （P〈0.05）; the neurologic function, FCA score, and SS-QOL score in the treatment group were significantly superior to that in the control group at the end of the follow-up study （P〈0.05）. Conclusion Muscle-region alignment needling plus dermal needle therapy can produce a content long-term therapeutic efficacy in treating post-stroke upper-limb spasticity.

关 键 词：丛刺 皮肤针疗法 肌痉挛 中风并发症 偏瘫 

分 类 号：R246.6[医药卫生—针灸推拿学]