“交互抑制”电针法治疗卒中后上肢痉挛状态的临床观察  

Clinical Study on Effects of Electroacupuncture(EA) by Reciprocal Inhibition Method on Upper Limb Spasticity Post Stroke

作　　者：谢霜敏 李霁昕 XIE Shuang-min;LI Ji-xin(Guangdong Second Provincial General Hospital,Guangzhou,Guangdong 510317)

机构地区：[1]广东省第二人民医院

出　　处：《按摩与康复医学》2020年第3期11-12,16,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:观察“交互抑制”电针拮抗肌法对脑卒中后上肢痉挛状态的临床疗效。方法:将60例脑卒中后上肢痉挛患者分为对照组(n=30)和治疗组(n=30),两组患者均进行基础治疗及康复训练,治疗组在此基础上加用拮抗肌电针法。治疗前、治疗28天后分别采用改良Ashworth(MAS)、上肢简化Fugl-Meyer运动功能评定(FMA)、Barthel指数(BI)对患者进行评定。结果:治疗后,两组MAS、FMA和BI评分均较治疗前有改善(P<0.05、P<0.01),且治疗组优于对照组(P<0.05、P<0.01)。结论:“交互抑制”电针拮抗肌法可有效改善脑卒中患者上肢痉挛状态,提高患者运动功能,改善日常生活活动能力。Objective:To observe the efficacy of electroacupuncture(EA)by reciprocal inhibition method on upper limb spasticity post stroke.Methods:60 patients with upper limb spastic hemiplegia post stroke were randomly divided into control group(n=30)and treatment group(n=30).Both groups accepted fundamental treatment and rehabilitation training and EA on agonistic muscles were added to the treatment group.Modified Ashworth Scale(MAS),Fugl-Meyer Assessment(FMA)and Barthel Index(BI)were used to assess effects on patients before and after 28 days treatment.Results:The scores of MAS,FMA and BI improved in both groups after treatment(P<0.05,P<0.01)and improved more in the treatment group than in the control group(P<0.05,P<0.01).Conclusion:Electroacupuncture(EA)by reciprocal inhibition method can reduce the upper limb spasticity,improve movement function and ameliorate activities of daily living.

关 键 词：脑卒中 痉挛 交互抑制 电针 

分 类 号：R246[医药卫生—针灸推拿学]