针刀治疗脑卒中后痉挛性瘫痪的效果及对脑血流图的影响  

Clinical efficacy of acupotomy in the treatment of patients with spastic paralysis and its influence on rheoencephalogram

作　　者：文辉[1] 聂容荣[1] 苏涵[1] 胡小慧 杨华[1] WEN Hui;NIE Rongrong;SU Han;HU Xiaohui;YANG Hua(The Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院,广西桂林541001

出　　处：《华夏医学》2022年第2期142-145,共4页Acta Medicinae Sinica

基　　金：2020年广西中医药适宜技术开发与推广项目(GZSY20-49)。

摘　　要：目的:探讨针刀治疗脑卒中后痉挛性瘫痪的临床效果及对脑血流图的影响。方法:选取120例脑卒中患者,按照随机数字表法分为两组,每组各60例。针刀组给予针刀治疗,针刺组给予针刺治疗。比较两组临床疗效、治疗前后Ashworth肌张力分级及脑血流图变化情况。结果:针刀组总有效率86.67%高于针刺组65.00%(P<0.05);两组Ashworth肌张力分级均降低,且针刀组低于针刺组(P<0.05);两组大脑中动脉血流速度、大脑前动脉血流速度均变慢,且针刀组低于针刺组(P<0.05);两组大脑后动脉血流速度比较,差异无统计学意义(P>0.05)。结论:针刀治疗脑卒中后痉挛性瘫痪患者效果显著,安全性高,能有效改善脑卒中患者脑血流情况。Objective:To discuss the clinical efficacy of acupotomy in the treatment of patients with spastic paralysis and its influence in rheoencephalogram(REG).Methods:120 patients with stroke were randomized into two groups,each with 60 cases.The acupotomy group were treated with acupotomy,while the acupuncture group were treated by acupuncture.The clinical efficacy,Ashworth muscle tension grading and cerebral blood flow diagram changes before and after treatment in patients were compared between the two groups.Results:The total effective rate of the acupotomy group was up to 86.67%,higher than 65.00%in the acupuncture group(P<0.05);Ashworth muscle tension grading in both groups decreased significantly,and the acupotomy group decreased more than the acupuncture group(P<0.05);the blood flow velocity of middle cerebral artery and anterior cerebral artery was slower in both groups,and the blood flow velocity of acupotomy group was lower than that of acupuncture group(P<0.05);and there was no statistical difference of velocity of blood flow in the posterior cerebral artery(P>0.05).Conclusion:Acupotomy is effective and safe in treating patients with spastic paralysis,which can effectively improve the cerebral blood flow.

关 键 词：脑卒中 痉挛性瘫痪 针刀 脑血流图 

分 类 号：R742[医药卫生—神经病学与精神病学]