关刺温针法治疗脑卒中后手指屈曲拘挛临床研究  

Clinical Study of Joint Needling Combied with Warm Needling for Finger Spasticity after Stroke

作　　者：林道冠 孙恒聪 王学文[2] 谭峰[2] LIN Daoguan;SUN Hengcong;WANG Xuewen(Department of Rehabilitation Medicine,the People’s Hospital of Sanya City,SanyaHainan 572100,China;Department of Neurology,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China)

机构地区：[1]三亚市人民医院康复医学科,海南三亚572100 [2]佛山市中医院神经内科,广东佛山528000

出　　处：《四川中医》2021年第2期194-196,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家自然科学基金(NO.81774423);广东省中医药管理局课题(课题编号20191310)。

摘　　要：目的:观察关刺温针法治疗脑卒中后手指屈曲拘挛的临床效果。方法:将2017年3月-2019年9月80例符合纳入标准的脑卒中后手指屈曲拘挛的患者随机分为观察组与对照组,各40例,对照组予基础治疗+常规康复训练,观察组在对照组上加用关刺温针法治疗,两组均治疗2个疗程。治疗前、后分别用Fugl-meyer量表的手指评分、改良Ashworth量表及改良Barthel指数(MBI)日常生活能力评分评价两组患者的临床疗效。结果:治疗后,观察组FMA-f评分(10.93±1.64)分高于对照组(8.77±1.58)分,差异有统计学意义(P<0.05);观察组治疗后手指Ashworth痉挛分级改善优于对照组,差异有统计学意义(P<0.05);观察组治疗后MBI评分(62.17±8.84)分优于对照组(50.14±8.22)分,差异有统计学意义(P<0.05)。结论:关刺温针四缝穴能有效提高脑卒中后手指屈曲拘挛患者手指运动功能,改善手指痉挛状态,提高患者日常生活活动能力。Objective:To investigate the clinical effect of joint needling combied with warm needling for finger spasticity after stroke.Methods:80 patients with finger flexion after stroke from March 2017 to September 2019 who met the inclusion criteria were randomly divided into an observation group and a controlled group,each with 40 cases.The controlled group was given basic treatment and conventional rehabilitation training.The controlled group was treated with joint needling combied with warm needling on the basis of the controlled group,and both groups were treated for 2 courses.Before and after treatment,the clinical efficacy of the two groups was evaluated using the finger score of the Fugl-meyer scale,the modified Ashworth scale,and the modified Barthel index(MBI)daily life ability score.Results:After treatment,the FMA-f score of the observation group was(10.93±1.64)which higher than that of the controlled group(8.77±1.58),and the difference was statistically significant(P<0.05).The improvement of Ashworth’s spasm grade in the observation group after treatment was better than that in the controlled group,and the difference was statistically significant(P<0.05).The MBI score in the observation group was(62.17±8.84)which was better than that in the controlled group which was(50.14±8.22),the difference was statistically significant(P<0.05).Conclusion:Joint needling combied with warm needling puncture at Sifeng(EX-UE10)can effectively improve the finger movement function,improve the state of finger spasm,and improve the daily activities of patients.

关 键 词：脑卒中 四缝穴 关刺 温针 手指屈曲拘挛 

分 类 号：R246.6[医药卫生—针灸推拿学]