神经干刺激结合电针拮抗肌穴位治疗脑卒中上肢痉挛临床观察  

Clinical Observation of Nerve-trunk Stimulation plus Electroacupuncture at Antagonistic Points for Post-stroke Upper-limb Spasm

作　　者：王英姿[1] 谢辉[1] 李国民[1] 陈闽湘[1] 

机构地区：[1]湖南省郴州市第一人民医院,郴州423000

出　　处：《上海针灸杂志》2015年第6期518-520,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖南中医药管理局科研项目(201482)

摘　　要：目的观察神经干刺激结合电针拮抗肌穴位与对照组的疗效差异。方法将患者随机分为神经干刺激结合电针拮抗肌穴位组(A组)、电针拮抗肌穴位组(B组)和基础治疗组(C组),每组45例,每日治疗1次,每星期5次,共治疗4星期。观察患侧上肢痉挛程度、运动功能和日常生活能力的变化。结果 B组与C组,A组与B组治疗后比较差异有统计学意义(P<0.05);A组与C组治疗后比较差异有统计学意义(P<0.01)。结论神经干刺激结合电针拮抗肌穴位治疗在改善患侧肢体痉挛程度、运动功能和日常生活能力等方面优于单纯电针拮抗穴位和基础治疗。Objective To observe the therapeutic efficacy of acupuncture plus hyperbaric oxygen in treating post-stroke depression. Method Sixty patients with post-stroke depression were randomized into a treatment group of 30 cases and a control group of 30 cases. The treatment group was intervened by acupuncture plus hyperbaric oxygen, while the control group was by Fluoxetine. Before and after intervention, the Hamilton Depression scale（HAMD） was adopted for evaluation, and the efficacies were compared. Result The total effective rate of the treatment group was significantly higher than that of the control（P〈0.01）; after intervention, the HAMD score of the treatment group was markedly lower than that of the control（P〈0.01）. Conclusion Acupuncture plus hyperbaric oxygen can obviously improve the depression symptom and promote the recovery of neurologic function in patients with post-stroke depression.

关 键 词：电针 中风后遗症 神经干刺激 肌痉挛 

分 类 号：R246.6[医药卫生—针灸推拿学]