温针灸联合反射性抑制模式治疗脑卒中痉挛性偏瘫临床研究  

Clinical Study on Warming Acupuncture and Moxibustion Combined with Reflex Inhibition Model for Spastic Hemiplegia Caused by Stroke

作　　者：胡彩虹[1] 李小军[1] 周彩莲[1] 刘莹莹[1] 唐杰 周苗 HU Caihong;LI Xiaojun;ZHOU Cailian;LIU Yingying;TANG Jie;ZHOU Miao

机构地区：[1]浙江省台州医院,浙江临海317000

出　　处：《新中医》2018年第9期202-205,共4页New Chinese Medicine

摘　　要：目的:观察温针灸联合反射性抑制模式治疗脑卒中痉挛性偏瘫的临床疗效。方法:将脑卒中痉挛性偏瘫患者226例随机分为观察组7 6例、对照1组7 6例和对照2组7 4例。观察组予温针灸联合反射性抑制模式治疗,对照1组予温针灸治疗,对照2组予反射性抑制模式治疗。每天1次,每周5次,2周为1疗程,3组均连续治疗2疗程。比较治疗前后改良Ashworth等级、Berg平衡评分(BBS)、Barthel指数(BI)、Fugl-Meyer运动量表(FMA)评分、神经功能缺损(NIHSS)评分。结果:治疗后,观察组改良Ashworth等级均较对照1组、对照2组下降(P<0.0 5);3组BBS、BI、FMA评分均较治疗前升高(P<0.05),NIHSS评分较治疗前下降(P<0.05);观察组BBS、BI、FMA评分均较对照1组、对照2组升高更明显(P<0.05),观察组NIHSS评分均较对照1组、对照2组下降更明显(P<0.05)。结论:温针灸联合反射性抑制模式治疗脑卒中痉挛性偏瘫患者,能显著降低患侧肢体的肌张力,促进日常生活能力和肢体运动功能的恢复,有效改善痉挛性偏瘫患者神经功能受损情况,提高患者的生活质量,改善预后。Objective： To observe the clinical effect of warming acupuncture and moxibustion combined with reflex inhibition model for spastic hemiplegia caused by stroke. Methods： Randomly divided 226 cases of patients with spastic hemiplegia caused by stroke into the observation group,the control group one and the control group two,76,76 and 74 cases in each group respectively.The observation group was treated with warming acupuncture and moxibustion combined with reflex inhibition model for spastic hemiplegia caused by stroke. The control group one was treated with warming acupuncture and moxibustion,and the control group two was treated with reflex inhibition model. The three groups were treated two consecutive courses of treatment, two weeks being one course in which once a day for five days in a week. Compared the modified Ashworth grades,Berg balance scores（BBS）,the Barthel index（BI）,scores of fugl-meyer assessment scale（FMA） and scores of NIH stroke scale（NIHSS） before and after treatment. Results：After treatment,the modified Ashworth grade in the observation group was decreased when compared with those in the control group one and the control group two（P〈0.05）. Scores of BBS,BI and FMA in the three groups were increased when compared with those before treatment（P〈0.05）,while scores of NIHSS were decreased（P〈0.05）. Scores of BBS,BI and FMA in the observation group were increased more significantly than those in the control group one and the control group two（P〈0.05）. The score of NIHSS in the observation group was decreased more significantly than those in the control group one and the control group two（P〈0.05）.Conclusion： The therapy of warming acupuncture and moxibustion combined with reflex inhibition model for patients with spastic hemiplegia caused by stroke can significantly reduce the muscle tension of the affected-side limb, promote the recovery of daily life ability and limb movement function, effectively improve the neurological damage of patients with s

关 键 词：脑卒中 痉挛性偏瘫 温针灸 反射性抑制模式 改良Ashworth分级 Fugl-Meyer运动量表(FMA) 神经功能缺损评分(NIHSS) 

分 类 号：R246.6[医药卫生—针灸推拿学]