Effects of pricking blood therapy at meridian sinews on upper limb spasm of post-stroke patients  

经筋刺血对脑卒中后患者上肢痉挛状态的影响

作　　者：Ling-shu WANG Guan-nan LI Xue-tong GU Yuan-yuan BI Chun-yu ZHANG 王玲姝;李冠男;顾雪彤;毕园园;张春宇(黑龙江中医药大学附属第一医院,哈尔滨150060;黑龙江中医药大学,哈尔滨150040)

机构地区：[1]The First Affiliated Hospital of Heilongjiang University of Tradirional Chinese Medicine,Harbin 150060,China [2]Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China

出　　处：《World Journal of Acupuncture-Moxibustion》2020年第1期39-44,共6页世界针灸杂志（英文版）

摘　　要：Objective:To observe effects of pricking blood therapy at meridian sinews on upper limb spasm of poststroke patients.Methods:A total of 72 patients with post-stroke upper limb spasm were randomly divided into a comprehensive group of pricking blood therapy at meridian sinews with rehabilitation training(comprehensive group)and the simple rehabilitation training group(rehabilitation group),and there were 36 patients in each group.On the basis of routine therapy,the patients of the two groups received rehabilitation therapy for 6 consecutive days and 1-day rest,for 4 weeks in total.On the above basis,the patients in the comprehensive group received pricking blood therapy at meridian sinews,once every other day,3 times per week,for 4 weeks in total.Before treatment,after the first treatment,and after 4-week treatment,the patients were observed for changes of upper limb spasticity(Modified Ashworth Scale,MAS),upper limb movement function(Fugl-Meyer Assessment,FMA),activity of daily living(Modified Barthel Index,MBI),and biceps and triceps integrated electromyogram(IEMG)values were observed as well as the therapeutic effects.Results:(1)After the first treatment,there were statistically significant differences of the MAS scale grades in patients of the two groups(P<0.05).The FMA scores in the comprehensive group were increased than that before treatment(P<0.05),and the MBI scores of the two groups were increased than those before treatment(both P<0.05).The FMA and MBI scores in the comprehensive group were higher than those of the rehabilitation group(both P<0.05).The biceps and triceps IEMG values were not improved than those before treatment(all P>0.05).(2)After 4-week treatment,there were statistically significant differences of MAS grades in patients of the two groups(P<0.05).The FMA and MBI scores in the two groups were increased than those before treatment(all P<0.05),and the FMA and MBI scores in the comprehensive group were higher than those in the rehabilitation group(both P<0.05).Through comparison of the dif

关 键 词：Stroke UPPER limb SPASM MERIDIAN sinews Pricking blood therapy Integrated electromyogram(IEMG) 

分 类 号：R246.6[医药卫生—针灸推拿学]