针刺经筋结点对痉挛型偏瘫患者踝关节痉挛的影响  

Effect of Acupuncture at Meridian Sinew Node on Spastic Ankle Joint in Patients with Spastic Hemiplegia

作　　者：罗伟[1] 刘春雷[1] 熊英[1] 刘志雄[1] 王跑球[1] LUO Wei;LIU Chun-lei;XIONG Ying;LIU Zhi-xiong;WANG Pao-qiu(Hunan Children’s Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院,长沙410007

出　　处：《上海针灸杂志》2021年第3期319-323,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖南省卫生健康委科研计划课题(C2019017);湖南省中医药科研重点计划项目(202029)。

摘　　要：目的观察针刺经筋结点(屈踝结点)对痉挛型偏瘫患者踝关节痉挛的影响。方法将40例痉挛型偏瘫患者,随机分为治疗组和对照组,每组20例。对照组接受综合康复治疗,治疗组在对照组治疗的基础上加针刺患侧屈踝结点。观察两组治疗前后腓肠肌肌电积分值(IEMG)、综合痉挛量表(CSS)及功能性步行量表(FAC)评分变化。结果治疗前,两组腓肠肌IEMG、CSS及FAC评分比较,差异无统计学意义(P>0.05)。治疗后,两组腓肠肌IEMG、CSS评分低于治疗前,FAC评分高于治疗前,差异有统计学意义(P<0.05);治疗组腓肠肌IEMG、CSS评分低于对照组,FAC评分高于对照组,差异有统计学意义(P<0.05)。结论在综合康复治疗的基础上加针刺屈踝结点,能够更好地改善痉挛型偏瘫患者踝关节的痉挛状态。Objective To observe the effect of acupuncture at meridian sinew node(the node in ankle flexion)on spastic ankle joint in patients with spastic hemiplegia.Method Forty patients with spastic hemiplegia were randomized into a treatment group and a control group,with 20 cases in each group.The control group received comprehensive rehabilitation treatment,while the treatment group was given additional acupuncture at the ankle flexion node of the affected side.The integrated electromyography(IEMG)of gastrocnemius and Composite Spasticity Scale(CSS)and Functional Ambulation Category(FAC)scale scores were observed before and after treatment in the two groups.Result There were no significant between-group differences in the IEMG of gastrocnemius and CSS and FAC scores before intervention(P>0.05).After treatment,the IEMG of gastrocnemius and CSS score declined and FAC score increased in both groups,all presenting statistical significance(P<0.05);the IEMG of gastrocnemius and CSS score were lower and the FAC score was higher in the treatment group than in the control group,and the differences were statistically significant(P<0.05).Conclusion Acupuncture at the ankle flexion node based on comprehensive rehabilitation treatment can better improve the spasticity of ankle joint in patients with spastic hemiplegia.

关 键 词：针刺疗法 经筋结点 综合痉挛量表 功能性步行量表 

分 类 号：R246.4[医药卫生—针灸推拿学]