头穴丛刺联合运动疗法治疗中风后肢体痉挛疗效观察  

Clinical observation on cluster acupuncture at scalp points combined with exercise therapy in treatment of limb spasm after stroke

作　　者：张琼帅 张钰 汲广成 徐晓红[2] 王宇峰 宋柏林[2] ZHANG Qiong-shuai;ZHANG Yu;JI Guang-cheng;XU Xiao-hong;WANG Yu-feng;SONG Bai-lin(Department of Rehabilitation Medicine,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China;College of Acupuncture-Moxibustion and Tuina,Changchun University of CM,Changchun 130000,Jilin Province)

机构地区：[1]郑州大学第一附属医院康复医学科,河南郑州450052 [2]长春中医药大学针灸推拿学院,吉林长春130000

出　　处：《中国针灸》2022年第4期377-380,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点研发计划项目:2018YFC1706002。

摘　　要：目的:在常规运动疗法基础上,观察头穴丛刺治疗中风后肢体痉挛的临床疗效。方法:将72例中风后肢体痉挛患者随机分为观察组(36例,脱落5例)和对照组(36例,脱落6例)。对照组采用运动疗法治疗,观察组在对照组基础上选取前顶向百会、囟会向前顶等穴线透刺,每日1次,每周连续治疗5 d,共治疗4周。治疗前后观察两组患者改良Ashworth评分表(MAS)、简化Fugl-Meyer运动功能评定表(FMA)、改良Barthel指数(MBI)评分变化。结果:治疗后,两组患者上肢及下肢MAS评分较治疗前降低(P<0.05),观察组上肢及下肢MAS评分低于对照组(P<0.05)。治疗后,两组患者FMA、MBI评分较治疗前升高(P<0.05),观察组MBI评分高于对照组(P<0.05)。结论:在常规运动疗法基础上,头穴丛刺可降低中风后肢体痉挛患者痉挛程度,提升其运动功能及日常生活能力。Objective To observe the clinical effect of cluster acupuncture at scalp points in treating limb spasm after stroke on the basis of conventional exercise therapy.Methods A total of 72 patients with limb spasm after stroke were randomly divided into an observation group(36 cases,5 cases dropped off)and a control group(36 cases,6 cases dropped off).The control group was treated with exercise therapy.In the observation group,on the basis of the control group,penetrating technique of acupuncture was exerted at Qianding(GV 21)to Baihui(GV 20),Xinhui(GV 22)to Qianding(GV 21),etc.once a day,5 days a week for 4 weeks.Before and after treatment,the changes of the modified Ashworth scale(MAS),simplified Fugl-Meyer motor assessment(FMA),and modified Barthel index(MBI)scores of the two groups were compared.Results After treatment,the MAS scores of upper and lower limbs in the two groups were lower than before treatment(P<0.05),and those in the observation group were lower than the control group(P<0.05).After treatment,the scores of FMA and BMI in the two groups were higher than before treatment(P<0.05),and the score of MBI in the observation group was higher than the control group(P<0.05).Conclusion On the basis of conventional exercise therapy,cluster acupuncture at scalp points can reduce the spasm,improve motor function and activities of daily living in patients with limb spasm after stroke.

关 键 词：中风后肢体痉挛 头穴丛刺 改良Ashworth评分表 简化Fugl-Meyer运动功能评定表 改良BARTHEL指数 

分 类 号：R246.6[医药卫生—针灸推拿学]