电针经筋结点对缺血性脑卒中急性期偏瘫的疗效观察  

Curative Effect of Electro-acupuncture at Meridian Sinew Nodal Point on Patients with Acute Ischemic Stroke of Paralysis

作　　者：盛国滨[1] 孟悦[2] 唐英[3] 

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2016年第1期56-58,共3页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江中医药大学研究生创新科研项目;编号:2015-34

摘　　要：目的:观察电针经筋结点治疗缺血性脑卒中急性期下肢瘫痪的临床疗效。方法:将48例缺血性脑卒中急性期下肢瘫痪患者以随机数字法随机分为观察组与对照组,各24例。观察组予电针经筋结点治疗,对照组予常规穴位电针治疗,疗程均为2周(每周7天,每日1次)。于治疗前后采用肌力6级分级法及修改的Ashworth法评定偏瘫下肢运动功能。结果:治疗后,观察组和对照组的肌力疗效比较差异无统计学意义,肌张力疗效比较差异有统计学意义,观察组肌张力达I和I^+水平为83.33%,肌痉挛率为0%,对照组肌张力达I和I^+水平为66.67%,肌痉挛率为8.33%,肌痉挛发生率观察组明显低于对照组,两组分别比较差异均有统计学意义(P<0.05)。结论:电针经筋结点治疗缺血性脑卒中急性期下肢瘫痪疗效显著。Objective： To evaluate the efficacy of electro-acupuncture at meridian sinew nodal point on lower limb paralysis in patients with acute ischemic stroke.Methods： Forty-eight patients with lower limb paralysis after acute ischemic stroke were randomized into an observation group and a control group,24 cases in each group.The observation group was treated by electro-acupuncture at meridian sinew nodal point,while the control group was intervened by conventional electro-acupuncture.Treatment was conducted for 2 weeks（ seven days per-week and once a day）.Muscle strength classification method and modified Ashworth rating scale of each participator in both groups were assessed for two times（ once at admission and once after the final intervention）.Results： After the treatment,the difference of the muscle strength in the observation group and control group was not statistically significant.The difference of the muscle tension between the observation group and the control group was statistically significant（ P〈0.05）.The incidence of muscle spasm was significantly lower in the observation group than that in the control group.Conclusion： The electro-acupuncture at meridian sinew nodal point is effective for lower limb paralysis after acute ischemic stroke.

关 键 词：电针 经筋结点 偏瘫 缺血性脑卒中 

分 类 号：R246.6[医药卫生—针灸推拿学]