益肝止痉针法治疗脑卒中后肢体痉挛临床疗效观察  

Curative Observation of Using Yigan Zhijing Acupuncture Therapy to Treat Limbs Spasm after Cerebral Apoplexy

作　　者：郭耀光[1] 涂永梅[2] 胡卡明[1] 

机构地区：[1]成都中医药大学附属医院针灸康复科,四川成都610000 [2]成都中医药大学针灸推拿学院,四川成都610000

出　　处：《四川中医》2015年第5期150-152,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药科学技术专项研究(项目:2009ZL39)

摘　　要：目的:观察益肝止痉针法与传统针法在治疗脑卒中后肢体痉挛的疗效差异。方法:按照随机对照的试验原则,将受试者随机分为益肝止痉针刺组(90例)和传统针刺组(90例),均每日治疗1次,每周5次,连续治疗40天。治疗前、治疗20天后、治疗40天后分别对受试者进行改良Ashworth分级评定。结果:两组在治疗脑卒中后肢体痉挛方面均有效,两组治疗后肢体痉挛改良Ashworth分级较治疗前明显降低(P<0.05),益肝止痉针刺组与传统针刺组在治疗40天后肢体痉挛疗效比较,益肝止痉针刺组总有效率为86.7%,传统针刺组总有效率为67.8%,差异有统计学意义(P<0.05)。结论:益肝止痉针刺法能改善患者脑卒中后肢体痉挛情况,且优于传统针刺法。Objective： To observe the differences on curative effect to limbs spasm after cerebral apoplexy between the way of Yigan Zhijing therapy and the way of traditional points option. Methods ： Dividing the chosen medical cases into the cure group （90cases） and the contrast group （90cases） according to experim ental principle of random. The cure group was treated in the way of Yigan Zhijing therapy, while the contrast group was treated in the way of traditional points option. Both of them were treated once a day, 5times one week and 40days continuously. Then we observed the vary of limbs spasm of patients in two groups.Results ： The level of modified Ashworth Scale of limbs spasm was reduced apparently after treatment in both groups as compared with that before treatment （P〈0.05）. According to modified Ashworth Scale of limbs spasm, the total valid rate of the cure group was 86. 7% , while the contrast group was 67. 8% , the difference between them was meaningful in statistic method （P〈 0.05 ）. Conclusion ： In aspect of limbs spasm, the way of Yigan Zhijing therapy is better than the traditional points option in limbs spasm after cerebral apoplexy.

关 键 词：益肝止痉 针刺 脑卒中 神经功能缺损 

分 类 号：R246.6[医药卫生—针灸推拿学]