电针傍刺经筋结点治疗缺血性脑卒中急性期上肢偏瘫的临床研究  

Clinical Observation on the Effect of Electroacupuncture on Hemiplegia of Upper Extremity in the Acute Stage of Ischemic Stroke

作　　者：刘刚[1] 刘再然 刘佳[1] 李明秀 师帅[1] 盛国滨[1] 张宏伟 Liu Gang;Liu Zairan;Liu Jia;Li Mingxiu;Shi Shuai;Sheng Guobin;Zhang Hong⁃wei(Heilongjiang University of Traditional Chinese Medicine,Heilongjiang,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150001 [2]黑龙江省院体育局运动创伤医院,黑龙江哈尔滨150000

出　　处：《中国中医急症》2020年第2期249-252,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：黑龙江省科学基金项目(QC2018114);黑龙江中医药大学校科研基金(201416)

摘　　要：目的通过观察电针傍次上肢经筋结点治疗缺血性脑卒中急性期上肢偏瘫的临床疗效,探讨电针傍次经筋结点治疗缺血性卒中急性期肢体瘫痪的作用机制。方法60例缺血性卒中急性期偏瘫的患者采用SPSS软件随机数字生成器分为治疗组与对照组各30例。治疗组采用电针傍刺上肢经筋结点治疗,对照组采用电针上肢常规经穴治疗。分别于治疗前后观察评价两组上肢的肌力(MMT徒手肌力评定法)、关节活动度(ROM关节活动度评定法)、运动功能(Fugl-Meyer运动功能评分量表、ARAT上肢动作研究量表)、临床神经功能缺损程度(NIHSS量表)确定疗效。结果两组患者治疗后ROM评分下降,Barthel指数、Fugl-Meyer评分、ARAT评分均上升。治疗组较对照组ROM评分、Barthel指数、Fugl-Meyer评分、ARAT评分改善更优(P<0.05);疗程结束后治疗组肌力经MMT评定后有效率为90%,高于对照组的76.67%(P<0.05);治疗组疗效经神经功能缺损程度评价有效率为93.33%,高于对照组76.67%(P<0.05)。结论电针傍刺经筋结点与常规针刺治疗都可以改善缺血性卒中急性期上肢瘫痪,但电针傍刺经筋结点治疗效果更佳。Objective:To discuss the mechanism of electroacupuncture on hemiplegia of upper extremity in the acute stage of ischemic stroke by observing the clinical effect,and provide a new idea for the treatment.Methods:60 patients were randomly divided into the treatment group(n=30)and the control group(n=30).The treatment group was treated with electroacupuncture at the upper extremity through the tendon node,and the control group was treated with electroacupuncture at the upper extremity.The muscle strength of the upper limbs(MMT hand muscle strength assessment),joint mobility(ROM joint mobility assessment),motor function(Fugl-Meyer motor function score scale,ARAT upper limb movement)and clinical neurological deficit(NIHSS scale)were used to evaluate and determine efficacy.Results:ROM scores of both groups decreased after treatment;Barthel index,Fugl-Meyer scores and ARAT scores increased.Compared with the control group,those in the treatment group improved significantly(P<0.05).The muscle strength of the treatment group was 90%after MMT assessment,better than that of the control group(76.67%)(P<0.05);the effective rate of neurological deficit in the treatment group was 93.33%,superior to that of the control group(76.67%)(P<0.05).Conclusion:Electroacupuncture and conventional acupuncture can improve the upper extremity paralysis in the acute stage of ischemic stroke,but the therapeutic effect of electroacupuncture is better,worthy of clinical application.

关 键 词：缺血性脑卒中 上肢瘫痪 电针 傍刺 经筋结点 

分 类 号：R743.9[医药卫生—神经病学与精神病学]