针刺运动疗法治疗中风后肘痉挛随机平行对照研究  

Randomized Parallel Controlled Study on the Treatment of Elbow Spasm after Apoplexy by Acupuncture and Exercise Therapy

作　　者：秦小红 袁仕国[2] QIN Xiaohong;YUAN Shiguo(Department of Acupuncture and Moxibustion Rehabilitation,Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510405,China;Hainan Provincial Hospital of Traditional Chinese Medicine,Haikou 570203,China)

机构地区：[1]广东省第二中医院针灸康复科,广州510405 [2]海南省中医院,海口570203

出　　处：《实用中医内科杂志》2019年第5期53-55,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察针刺运动疗法治疗中风后肘痉挛疗效。[方法]使用随机平行对照方法,将60例住院患者按随机数字表随机分为两组。对照组30例常规针刺。患侧局部取穴:曲池、手三里、肘髎、手五里、天井、清冷渊、尺泽、曲泽、少海、青灵,交替使用,4~6穴/次,穴位处常规皮肤消毒后,选用0.30mm×40mm毫针,行提插捻转相结合泻法,以局部有酸胀感为度,留针30min,每10min行针1次,1次/d,连续治疗6d,休息1d。治疗组30例针刺治疗同对照组。留针期间做肘关节被动屈伸及前臂旋前、旋后运动,活动力度及运动幅度以患者能耐受为度,2min/次,每隔1分钟活动1次,1次/d,连续治疗6d,休息1d。连续治疗12d为1疗程。观测临床表现、改良Ashworth量表、不良反应。连续治疗2疗程(24d),判定疗效。[结果]治疗组显效21例,有效7例,无效2例,总有效率93.33%;对照组显效11例,有效9例,无效10例,总有效率66.67%;治疗组疗效优于对照组(P<0.05)。痉挛评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]针刺运动疗法治疗中风后肘痉挛,疗效满意,无严重不良反应,值得推广。[Objective] To observe the therapeutic effect of acupuncture kinesiotherapy on elbow spasm after stroke in Hainan Hospital of Traditional Chinese Medicine.[Method] Sixty hospitalized patients were randomly divided into two groups by random number table method. The control group was treated with routine acupuncture in 30 cases. Local acupoints on affected side: Quchi, Sanli of hand, Cubital, Wuli of hand, Tianjing, Qinglengyuan, Chize, Quze, Shaohai and Qingling were used alternately. After routine skin disinfection at acupoints at 4 to 6 points per time, 0.30 mm×40 mm needle was selected, lifting, inserting and twisting combined with purgative method. With local acid swelling as the degree, the needle was retained for30 minutes, once every 10 minutes, once a day for 6 consecutive days, rest for 1 day. The treatment group(30 cases) was treated with acupuncture and the control group(30 cases). During needle retention, passive elbow flexion and extension, forearm pronation and supination exercises were performed. The degree of motion and range of motion were tolerated by the patient, 2 minutes per time, once every minute, once a day,for 6 consecutive days, and rest for 1 day. Continuous treatment for 12 days is a course of treatment. Clinical manifestations, modified Ashworth scale and adverse reactions were observed. Continuous treatment for 2 courses(24 days) to determine the efficacy.[Result] In the treatment group, 21 cases were markedly effective,7 cases were effective, 2 cases were ineffective, and the total effective rate was 93.33%. In the control group,11 cases were markedly effective, 9 cases were effective and 10 cases were ineffective, the total effective rate was 66.67%. The curative effect of the treatment group was better than that of the control group(P<0.05).The spasm score was improved in both groups(P<0.01), and the improvement in the treatment group was better than that in the control group(P<0.01).[Conclusion] Acupuncture kinesiotherapy is effective in the treatment of elbow spasm after apoplex

关 键 词：中风 肘痉挛 痹症 偏枯 经筋病 针刺 运动疗法 改良Ashworth量表 随机平行对照研究 

分 类 号：R743.3[医药卫生—神经病学与精神病学]