主动肌肌止点联合拮抗肌肌腹针刺法改善脑卒中痉挛性偏瘫上肢痉挛状态  

Agonist Muscle Insertion Combined Antagonist Venter Musculi Acupuncture for Improving the Spasticity of Upper Limb in Stroke Patients with Spastic Hemiplegia

作　　者：杨翊[1] 刘传芃 刘经星[1] 

机构地区：[1]湖北医药学院附属人民医院康复医学科,湖北十堰442000

出　　处：《湖北医药学院学报》2016年第5期461-464,共4页Journal of Hubei University of Medicine

基　　金：2014年十堰市科学技术研究开发项目计划(14Y39)

摘　　要：目的:观察主动肌肌止点联合拮抗肌肌腹针刺法对脑卒中痉挛性偏瘫上肢痉挛状态的影响。方法:将111名脑卒中痉挛性偏瘫患者随机分为普通针刺组和联合针刺组,普通针刺组选取传统针灸穴位进行针刺治疗,联合针刺组选取患侧上肢主动肌肌止点及拮抗肌肌腹进行针刺治疗,治疗3个疗程后,观察改良Ashworth评分、BI评分及患侧桡侧腕屈肌Hmax/Mmax值的变化。结果:治疗后联合针刺组的改良Ashworth评分和Hmax/Mmax值显著下降(P<0.05),普通针刺组的改良Ashworth评分和Hmax/Mmax值无明显变化(P>0.05),治疗后两组BI评分均显著升高(P<0.05),两组相比,联合针刺组优于普通针刺组(P<0.05)。结论:针刺主动肌肌止点及拮抗肌肌腹可有效改善脑卒中痉挛性偏瘫上肢痉挛状态。Objective To observe the effect of acupuncture with agonist muscle insertion and antagonist venter musculi on improving the spasticity of upper limb in stroke patients with spastic hemiplegia. Methods Total 111 stroke patients with spastic hemiplegia were randomly divided into normal acupuncture group and combined acupuncture group. The patients in normal group were given traditional acupuncture at acupoint and the patients in combined group were given acupuncture at agonist muscle insertion and antagonist venter musculi,all the patients were treated for 3 courses. The modified Ashworth score,BI score and Hmax/ Mmaxvalue of affected side radialis wrist flexors were recorded. Results The modified Ashworth score and Hmax/ Mmaxvalue were significantly decreased in combined acupuncture group after treatment（ P 〈 0. 05）,but which had no significant changes in normal acupuncture group（ P〉0.05）. The BI score was significantly increased in both groups,and the BI score in combined group was obviously superior to normal group（ P〈0.05）. Conclusion Agonist muscle insertion and antagonist venter musculi acupuncture could effectively improve the spasticity of upper limb in stroke patients with spastic hemiplegia.

关 键 词：上肢痉挛 主动肌肌止点 拮抗肌肌腹 脑卒中 

分 类 号：R246.6[医药卫生—针灸推拿学]