“醒脑开窍”针刺法治疗中风后痉挛性瘫痪疗效观察  

Therapeutic Observation on Spastic Paralysis after Stroke Treated with Xingnao Kaiqiao Needling Therapy

作　　者：杜蓉[1] 张春红[2] 张新亚[1] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《针灸临床杂志》2015年第5期21-23,共3页Journal of Clinical Acupuncture and Moxibustion

基　　金：公益性行业专项;编号:201007002

摘　　要：目的:探讨"醒脑开窍"针刺法治疗中风后痉挛性瘫痪的临床疗效,为中风后痉挛性瘫痪的治疗提供参考。方法:采用"醒脑开窍"针刺法对120例中风后痉挛瘫患者进行治疗,每日治疗1次,28天为1个疗程,均治疗1个疗程。比较患者治疗前后修订的Ashworth量表及修订的ADL-Barthel指数评分差异,评价其临床疗效。结果:根据修订的Ashworth量表评级法评定痉挛程度,显效33例,有效67例,无效20例,总有效率83.33%。治疗后修订的ADL-Barthel指数高于治疗前,且治疗前后差异有统计学意义(P<0.05)。结论:"醒脑开窍"针刺法能有效改善患者痉挛程度,明显提高日常生活能力,对中风后痉挛性瘫痪具有显著治疗效果,值得临床推广应用。Objective：To investigate the clinical effect of Xingnao Kaiqiao needling therapy on spastic paralysis after stroke in order to provide evidence of this intervention.Methods：120 patients with spastic paralysis after stroke were treated by Xingnao Kaiqiao needling method and patients received acupuncture treatment once every day.28 days＆#39;treatment was as a course.One course of treatment was required.The efficacy of acupuncture was evaluated by using Modified Ashworth Scale and Modified ADL-Barthel index before and after treatment.Re-sults：According to Modified Ashworth Scale, we evaluated the degree of spasm.Data demonstrated that 33 cases were markedly effective, 67 cases were effective, 20 cases were invalid, and the total effective rate was 83.33%.After treatment, the Modified ADL-Barthel index was significantly higher than that before treatment among all patients and the differences before and after treatment were statistically significant（P〈0.05）.Con-clusion：Xingnao Kaiqiao needling method can significantly improve the degree of spasm and the activities of daily living,so it has an obviously therapeutic effect on spastic paralysis after stroke and is worthy of clinical ap-plication.

关 键 词：醒脑开窍 针刺疗法 中风 痉挛性瘫痪 

分 类 号：R246.6[医药卫生—针灸推拿学]