针刺联合康复训练治疗脑卒中后下肢痉挛50例  

Acupuncture Combined with Rehabilitation Training in Treating Lower Extremity Spasm after Stroke for 50 Cases

作　　者：郑君[1] 宋林萱 曲芳[1] ZHENG Jun;SONG Linyi;QU Fang(Department of Neurology,Dalian Second People's Hospital,Liaoning Province,Dalian 116011,China;Department of Rheumatology and Immunology,the Second Affiliated Hospital of Dalian Medical University,Liaoning Province,Dalian 116021,China)

机构地区：[1]大连市第二人民医院神经内科,辽宁大连116011 [2]大连医科大学附属第二医院风湿免疫科,辽宁大连116021

出　　处：《中国中医药现代远程教育》2019年第13期104-106,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨针刺联合康复训练治疗脑卒中后下肢痉挛的疗效。方法选取门诊或住院部接受康复治疗的脑卒中患者100例,按初次就诊顺序排号后随机分为2组,每组50例。2组对中风患者的基础性治疗建议进行有针对性的治疗。对照组在基础治疗基础上加以常规针刺疗法,采用平补平泻手法,留针20min,捻转频率1次/5min。1次/d,6次/周,连续治疗4周。治疗组在对照组基础上进行下肢康复训练,康复联合针刺治疗1次/d,6次/周,连续治疗4周。治疗结束后比较2组改良肢体运动功能的评估量表(FMA)评分、改良Ashworth痉挛评分、平衡功能的测评(BBS)、生活质量评分(SF-36)变化。结果2组治疗前的FMA评分、改良Ashworth痉挛评分、BBS评分及SF-36评分无统计学差异(P>0.05);疗程结束后2组的FMA评分、BBS评分较治疗前均有所升高,改良Ashworth评分较治疗前均有所降低、治疗后治疗组明显优于对照组(P<0.05),2组SF-36评分各指标(生理功能、生理职能、躯体疼痛、总体健康、精力、情感职能、社会职能、精神健康)较治疗前均有所升高,且治疗后治疗组明显优于对照组(P<0.05)。结论针刺联合康复训练能疏通全身气血、增加肌力,降低肌张力,缓解下肢痉挛从而改善肢体功能。Objective To investigate the effect of acupuncture combined with rehabilitation training on lower limb paralysis after stroke.Methods 100 stroke patients who underwent rehabilitation treatment in our outpatient department or inpatient department were randomly divided into two groups according to the initial order of treatment, with 50 cases in each group.Two groups of targeted treatments for stroke patients were recommended for targeted treatment.The control group received conventional acupuncture therapy on the basic treatment, and the method of flat-filling and diarrhea was used.The needle was kept for 20 minutes, and the frequency of sputum rotation was 1 time/5 minutes.Once a day, 6 times a week for 4 weeks.In the treatment group, the upper and lower limb rehabilitation training in the control group, rehabilitation combined with acupuncture treatment once a day, 6 times a week, continuous treatment for 4 weeks.After the end of treatment, the evaluation scores (FMA), modified Ashworth spasm score, balance function assessment (BBS), and quality of life score (SF-36) of the improved limb motor function were compared.Results There were no significant differences in FMA scores, modified Ashworth spasm scores, BBS scores and SF-36 scores between the two groups (P>0.05).The FMA scores and BBS scores of the two groups were higher than those before treatment.The modified Ashworth score was lower than that before treatment, and the treatment group was significantly better than the control group (P<0.05).The SF-36 scores of the two groups (physiological function, physiological function, physical pain, overall health, energy, Emotional function, social function, mental health) were higher than before treatment, and the treatment group was significantly better than the control group after treatment (P<0.05).Conclusion Acupuncture combined with rehabilitation training can clear the body's blood, increase muscle strength, reduce muscle tone, relieve lower extremity spasm and improve limb function.

关 键 词：针刺疗法 脑卒中 康复训练 临床疗效 中风 

分 类 号：R246.6[医药卫生—针灸推拿学]