解痉纠偏针法联合Bobath疗法治疗脑卒中后痉挛性瘫痪的临床研究  

Clinical Study of Jiejing Jiupian Acupuncture Combined with Bobath Therapy in Treatment of Post-Stroke Spastic Paralysis

作　　者：常雪利 许长锋 张智芳[1] 于东歌[1] CHANG Xueli;XU Changfeng;ZHANG Zhifang;YU Dongge(Zhengzhou People's Hospital,Zhengzhou 450053,China)

机构地区：[1]郑州人民医院,河南郑州450053

出　　处：《针灸临床杂志》2022年第5期5-9,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：河南省中医药科学研究项目,编号:20-21ZY2281。

摘　　要：目的:探讨解痉纠偏针法联合Bobath疗法治疗脑卒中后痉挛性瘫痪的疗效。方法:选取本院收治的卒中后痉挛性瘫痪患者82例,随机分为对照组(42例,Bobath疗法)和治疗组(40例,解痉纠偏针法联合Bobath疗法),对比治疗后的临床疗效、中医症候积分、Fugl-Meyer评分、MBI评分和BBS评分及血清NSE和TGF-β1水平变化。结果:治疗后对照组总有效率为78.57%(33/42),治疗组总有效率为95.00%(38/40),治疗组总有效率显著较高,差异具有统计学意义(P<0.05)。治疗后两组口眼歪斜、失语或舌强语謇、肢体麻木和半身不遂评分较治疗前明显降低,差异具有统计学意义(P<0.05);且治疗组口眼歪斜、失语或舌强语謇、肢体麻木、半身不遂评分较对照组明显降低,差异具有统计学意义(P<0.05)。治疗前两组Fugl-Meyer评分、MBI评分和BBS评分差异无统计学意义(P>0.05);治疗后两组Fugl-Meyer评分、MBI评分和BBS评分较治疗前显著升高,差异具有统计学意义(P<0.05);并且治疗组Fugl-Meyer评分、MBI评分和BBS评分较对照组明显较高,差异具有统计学意义(P<0.05)。治疗前两组血清NSE和TGF-β1水平差异无统计学意义(P>0.05);治疗后两组血清NSE和TGF-β1水平较治疗前显著改善,差异具有统计学意义(P<0.05);并且治疗组血清NSE和TGF-β1水平较对照组改善更明显,差异具有统计学意义(P<0.05)。结论:脑卒中后痉挛性瘫痪采用解痉纠偏针法联合Bobath疗法治疗具有较好的疗效,可改善肢体运动功能。Objective: To investigate the effect of Jiejing Jiupian acupuncture combined with Bobath therapy in the treatment of post-stroke spastic paralysis. Methods: 82 patients with post-stroke spastic paralysis were randomly divided into the control group(n=42) and the treatment group(n=40). The control group was treated with Bobath group;on which basis, the treatment group was also treated with Jiejing Jiupian acupuncture. Clinical efficacy, TCM syndrome score, Fugl-Meyer score, MBI score, BBS score and serum levels of NSE and TGF-β1 were compared between the two groups after the treatment. Results: A total effective rate of 78.57%(33/42) in the control group;a total effective rate of 95.00%(38/40) in the treatment group. The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05). The scores of facial palsy, aphasia or stiff tongue, limb numbness and hemiplegia were significantly lower after the treatment than those before the treatment in both groups(P<0.05);of which the improvements were more significant in the treatment group than those in the control group(P<0.05). There were no differences in the scores of Fugl-Meyer, MBI and BBS between the two groups before the treatment(P>0.05);which were significantly increased after the treatment in the two groups(P<0.05), and the improvements were more significant in the treatment group(P<0.05). There were no statistical differences in the serum levels of NSE and TGF-β1 between the two groups before the treatment(P>0.05);which were significantly improved after the treatment in the two groups(P<0.05), and the improvements were more significant in the treatment group(P<0.05). Conclusion: Jiejing Jiupian acupuncture combined with Bobath therapy has a significant clinical effect and it can improve the motor function of limbs in the treatment of post-stroke spasmodic paralysis.

关 键 词：解痉纠偏针法 BOBATH疗法 脑卒中 痉挛性瘫痪 

分 类 号：R246.6[医药卫生—针灸推拿学]