平补平泻针刺法治疗脑卒中后痉挛性偏瘫的临床效果  

Clinical efficacy of mild reinforcing-reducing acupuncture method on spastic hemiplegia after stroke

作　　者：秦会超 Qin Huichao(Department of Rehabilitation,Xinmi Hospital of Traditional Chinese Medicine,Zhengzhou 452370,China)

机构地区：[1]河南省新密市中医院康复科,452370

出　　处：《中国实用医刊》2021年第17期120-122,F0003,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨平补平泻针刺法治疗脑卒中后痉挛性偏瘫的临床效果。方法前瞻性抽取2019年1月至2020年12月于新密市中医院就诊的脑卒中后痉挛性偏瘫患者70例,按随机数字表法分为对照组和观察组,每组35例。对照组给予常规西医治疗,观察组在对照组基础上加用平补平泻针刺法治疗。治疗4周时,比较两组患者的运动功能、生活自理能力、平衡功能和肢体痉挛程度;比较两组患者的步速、患侧步长及健侧步长等步态参数变化。结果治疗4周时,两组Fugl-Meyer运动功能评分、改良Barthel指数评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组Berg平衡量表评分均较治疗前升高,综合痉挛量表(CSS)评分均较治疗前降低,且观察组Berg平衡量表评分高于对照组,CSS评分低于对照组(P<0.05);两组步速、患侧步长及健侧步长均较治疗前升高,且观察组高于对照组(P<0.05)。结论平补平泻针刺法治疗脑卒中后痉挛性偏瘫患者可进一步改善患者的运动功能和平衡功能,提高生活自理能力,改善患者的痉挛程度和步态参数。Objective To investigate the clinical efficacy of mild reinforcing-reducing acupuncture method in the treatment of spastic hemiplegia after stroke.Methods A total of 70 patients with spastic hemiplegia after stroke admitted to the Xinmi Hospital of Traditional Chinese Medicine from January 2019 to December 2020 were prospectively selected.And they were divided into control group and observation group by a random number table method,with 35 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated by mild reinforcing-reducing acupuncture method based on the treatment of the control group.At 4 weeks after treatment,the motor function,self-care ability,balance function and limb spasm degree of the two groups were compared;the changes of gait parameters such as gait speed,step length of affected side and step length of healthy side of the two groups were compared.Results After 4 weeks of treatment,the Fugl-Meyer assessment and modified Barthel index scores of both groups were higher than those before treatment,and those of the observation group were higher than those of the control group(P<0.05);the Berg Balance Scale score of both groups were higher than those before treatment,the composite spasticity scale(CSS)score of both groups were lower than those before treatment,and the Berg balance scale score of the observation group was higher than that of the control group,the CSS score was lower than that of the control group(P<0.05).The step speed,step length of affected side,and step length of healthy side of both groups increased,compared with those before treatment,and those indexes of the observation group were higher than those of the control group(P<0.05).Conclusions Mild reinforcing-reducing acupuncture method can further improve the motor function and balance function of patients with spastic hemiplegia after stroke,improve the ability of self-care,degree of spasm,and gait parameters.

关 键 词：脑卒中 痉挛性偏瘫 平补平泻针刺法 运动功能 生活自理能力 平衡功能 肢体痉挛程度 步态参数变化 

分 类 号：R246.6[医药卫生—针灸推拿学]