电针拮抗肌运动点配合康复训练治疗脑卒中后痉挛状态的临床观察  

Herapeutic effect of electroacupunctureantagonistic muscle motor points combined with rehabilitation training on post-stroke spasm

作　　者：王二争[1] 李佩芳[1] 

机构地区：[1]安徽中医药大学第二附属医院康复科,安徽合肥230061

出　　处：《安徽医药》2016年第7期1317-1320,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察电针拮抗肌运动点配合康复训练治疗脑卒中后痉挛状态的临床疗效。方法将60例脑卒中后痉挛状态患者,分为对照组(常规针刺配合康复训练)和治疗组(电针拮抗肌运动点配合康复训练),每组各30例,两组治疗前后均采用Fugl-Meyer运动功能量表(FMA)、改良Ashworth痉挛评定量表(MAS)、改良Barthel指数(MBI)对两组患者肢体痉挛状态以及肢体运动功能进行观察和评定。结果治疗后,两组患者肢体运动功能以及ADL均较治疗前有显著改善(P<0.01),且治疗组临床疗效要优于对照组(P<0.05)。结论电针拮抗肌运动点配合康复训练疗法治疗脑卒中后痉挛状态临床疗效明显。Objective To observe the clinical effect of electroacupunctureantagonistic muscle motor points combined with rehabilitation training on the treatment of spastic state after stroke. Methods We randomly assigned 60 patients into the control group（ conventional acupuncture combined with rehabilitation training） and treatment group（ electro acupuncture antagonistic muscle motor points combined with rehabilitation training）,30 cases in each group. Before and after treatment Fugl-Meyer motor function table（ FMA）,modified Ashworth scale volume table（ MAS） and modified Barthel Index（ MBI） were used to assess limb spasticity and motor function of patients in bothgroups. Results Limb motor function and ADL were significantly improved in patients of both groups after treatment（ P〈0. 01）,and the clinical efficacy of the treatment group was significantly better than the control group（ P〈0. 05）. Conclusion The therapeutic effect of electro acupuncture antagonistic muscle motor points combined with rehabilitation training is significant in the treatment of spastic state after stroke.

关 键 词：卒中/并发症 痉挛 运动疗法 电针 

分 类 号：R246.6[医药卫生—针灸推拿学]