毫火针经筋刺法治疗卒中后肌张力障碍临床观察  

Clinical observation on the treatment of post-stroke dystonia withfiliform-fire needling acupuncture at the meridian sinew

作　　者：段权 梁美爱[2] 钟平 赵蒨琦 古志林 朱杰彬 谢煜 DUAN Quan;LIANG Meiai;ZHONG Ping(The Second Affiliated Hospital of Guangzhou University of traditional Chinese medicine,Guangzhou Guangdong510120,China;The First Affiliated Hospital of Guangzhou University of traditional Chinese medicine,Guangzhou Guangdong510000,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510120 [2]广州中医药大学第一附属医院,广东广州510000

出　　处：《四川中医》2023年第3期193-196,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:20202081)。

摘　　要：目的:研究毫火针经筋刺法治疗卒中后肌张力障碍的临床价值。方法:收集2020年11月至2022年3月本院72例脑卒中后肌张力障碍患者作为研究对象,根据随机对照原则,按1∶1比例将患者分为观察组和对照组,每组36例。观察组行毫火针经筋刺法,对照组行常规针刺。记录两组治疗效果,分别在治疗前后及治疗后1月随访三个时点,采用改良Ashworth评级、改良Barthel指数评定量表(MBI)和简化Fugl-Meyer运动功能评分(FMA)评估两组患者运动功能,同时在三个时点检测患者局部软组织位移值(D0.5kg)和局部软组织香蕉升指数(S)值,分析两组患者肌张力变化情况。结果:与治疗前比较,两组患者在治疗后及随访时改良Asheorth评级均有改善,Barthel指数、简化Fugl-Meyer运动功能评分比较均有升高,两组之间差值比较,观察组优于对照组,差异均有统计学意义(P<0.05);与治疗前比较,观察组在治疗后及随访时软组织位移均有升高、香蕉升指数均有下降(P<0.05),两组之间差值比较,观察组优于对照组,差异均有统计学意义(P<0.05)。结论:毫火针经筋针刺治疗卒中后肌张力障碍疗效显著,有助于改善肢体运动功能,检测局部软组织位移及香蕉升指数可为卒中后肌张力障碍提供客观评价证据。Objective To study the clinical value of the treatment of post-stroke dystonia with filiform-fire needling at the meridian sinew.Methods From November 2020to March 2022,72patients with post-stroke dystonia in our hospital were collected as the research objects.According to the principle of random control,the patients were divided into observation group and control group according to the ratio of 1:1,with 36cases in each group.The observation group was treated with filiform-fire needling at the muscle-tendon region,while the control group was treated with routine acupuncture.The therapeutic effects of the two groups were recorded.The motor function of the two groups were evaluated by modified Ashworth rating,modified Barthel index rating scale(MBI)and simplified Fugl-Meyer assessment(FMA)before and after treatment and one month after treatment.The local soft tissue displacement(D0.5kg)and local soft tissue banana index(S)values were measured before and after treatment,the changes of muscle tension in the two groups were analyzed.Results Compared with the group before treatment,modified Ashworth rating,modified Barthel index rating scale(MBI)and simplified Fugl-Meyer motor function score(FMA)of the two groups were significant improved(P<0.05)after treatment and follow-up,the difference between the two groups was better in the observation group than in the control group,(P<0.05).Compared with the group before treatment,the local soft tissue displacement score of the observation group was significant increased(P<0.05)while banana index was decreased(P<0.05)after treatment and follow-up,and the difference between the two groups was better than that of the control group,all differences were statistically significant(P<0.05).Conclusion The effect of post-stroke dystonia with filiform-fire needling acupuncture at the meridian sinew is effective and helps to improve the motor function of the limbs,Detection of local soft tissue displacement and banana index can provide objective evaluation evidence for dystonia after stro

关 键 词：毫火针经筋刺法 脑卒中 肌张力障碍 临床价值 

分 类 号：R246.6[医药卫生—针灸推拿学]