针刺治疗脑卒中后肌张力障碍的临床研究  

Clinical Study on Acupuncture for Post-stroke Myodystonia

作　　者：李作伟[1,2] 李平[3] 姚璐璐[1] 李英艳[1] 麻微 

机构地区：[1]天津市南开医院,天津300193 [2]天津中医药大学,天津300100 [3]天津市第三中心医院,天津300170 [4]天津市南开区水上公园医院,天津300191

出　　处：《上海针灸杂志》2015年第7期615-617,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺配合巨刺治疗脑卒中后肌张力障碍的临床疗效。方法将120例脑卒中后肌张力障碍患者随机分为A组、B组、C组和D组,每组30例。A组采用泻阴补阳针刺法配合巨刺治疗,B组采用常规针刺配合巨刺治疗,C组采用单纯泻阴补阳针刺法治疗,D组采用常规针刺治疗。比较各组治疗前后临床痉挛指数(CSI)评分。结果 4组治疗后CSI各项评分(腱反射评分、肌张力评分、阵挛评分及总分)与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。A组治疗后腱反射评分、肌张力评分及总分与B组、C组和D组比较,差异均具有统计学意义(P<0.01,P<0.05)。A组治疗后阵挛评分与D组比较,差异具有统计学意义(P<0.01)。B组治疗后腱反射评分、肌张力评分及总分与D组比较,差异均具有统计学意义(P<0.01)。C组治疗后总分与D组比较,差异具有统计学意义(P<0.05)。结论泻阴补阳针刺法配合巨刺是一种治疗脑卒中后肌张力障碍的有效方法。Objective To observe the clinical efficacy of acupuncture plus contralateral needling in treating post-stoke myodystonia. Method Totally 120 patients with post-stroke myodystonia were randomized into group A, B, C and D, 30 in each group. Group A was intervened by yin-reducing and yang-tonifying needling method plus contralateral needling; group B was by ordinary acupuncture plus contralateral needling, group C was by yin-reducing and yang-tonifying needling alone, while group D by ordinary acupuncture. Clinical Spasticity Index （CSI） was observed before and after intervention. Result After treatment, the CSI scores （tendon reflex, muscle tension, episodic spasm scores and total score） were significantly changed in the four groups （P〈0.01, P〈0.05）. The tendon reflex score, muscle tension score and total score in group A were significantly different from that in the other three groups after intervention （P〈0.01,P〈0.05）. There was a significant difference in comparing the episodic spasm score between group A and D after intervention （P〈0.01）. There were significant differences in comparing the tendon reflex score, muscle tension score and total score between group B and D after intervention （P〈0.05）. The total score in group C was markedly different from that in group D after intervention （P〈0.05）. Conclusion Yin-reducing and yang-tonifying needling method plus contralateral needling is an effective method in treating post-stroke myodystonia.

关 键 词：针刺治疗 巨刺 针法 肌张力障碍 临床痉挛指数 中风后遗症 偏瘫 

分 类 号：R246.6[医药卫生—针灸推拿学]