拮抗肌组穴透刺治疗中风后上肢痉挛性瘫痪的临床研究  

Clinical Study of Pair-acupoints Penetration Needling of Antagonistic Muscle for Treatment of Spastic Paralysis of Upper Extremity after Stroke

作　　者：刘悦[1] 张俊杰[1] 邝伟川[1] 谢水平 高海燕[1] 曾科学[1] LIU Yue, ZHANG Jun - jie, KUANG Wei - chuan, XIE Shui - ping, GAO Hai - yan, ZENG Ke - xue(The Second Hospital of Guangdong Province, Guangzhou 510095, Chin)

机构地区：[1]广东省第二中医院,广东广州510095

出　　处：《云南中医中药杂志》2018年第3期55-57,共3页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：广东省中医药局科研课题(NO:20161024)

摘　　要：目的探讨中风后上肢痉挛性瘫痪分别采用拮抗肌组穴透刺及常规针刺的方法所取得的临床效果,为临床治疗这一疾病的方法提供优选。方法按随机数字表法将60例符合纳入标准的中风后上肢痉挛性瘫痪的患者随机分为拮抗肌组穴透刺观察组30例,常规针刺对照组30例。治疗前后分别对2组患者进行运动功能、痉挛程度及日常生活活动能力进行评定,且比较临床疗效差异。结果 (1)2组患者治疗后的运动功能及日常生活活动能力评分均较治疗前有所增长(P<0.05),痉挛程度较治疗前下降(P<0.05);(2)2组治疗前后运动功能及日常生活活动能力评分差值比较,具有统计学意义(P<0.05);(3)2组治疗前后上肢痉挛程度比较,观察组上肢痉挛改善程度优于对照组(P<0.05);(4)2组治疗后临床疗效分布明显具有统计学意义(P=0.05)。结论拮抗肌组穴透刺治疗中风后上肢痉挛性瘫痪临床疗效更优。Objective： To study the clinical effect of pair-acupoints penetration needling of antagonistic muscle and conventional acupuncture on the treatment of spastic paralysis of upper extremity after stroke and to provide a better method for clinical treatment of this disease. Methods： According to the random number table method, 60 patients were divided into a pari - acupoints penetration needling group and a conventional acupuncture control group, 30 cases per group. Before and after treatment, the motor function, spasticity and activities of daily living of the two groups were evaluated respectively and the differences of clinical curative effect were compared. Results ： The scores of the motor function and activities of daily living of the two groups were significantly higher than those of the pre - treatment （P 〈 0. 05）, and the degree of spasticity was lower than that of the pre - treatment （P 〈 0. 05）. The grading difference value comparison of the motor function and activities of daily life of the two groups had statistical significance （ P 〈 0. 05 ）. In comparison of the degree of upper extremity spasm before and after treatment, the degree of upper extremity spasm improvement in the treatment group was better than that in the control group （P 〈 0. 05 ）. The clinical curative effect distribution of the two groups was obviously statistically significant （P = 0. 029） . Conclusion ： Antagonistic muscle pair - acupoint penetration needling has a better effect for the treatment of spastic paralysis of upper extremity after stroke.

关 键 词：拮抗肌 纽穴透刺 上肢痉挛性瘫痪 中风 

分 类 号：R255.2[医药卫生—中医内科学]