基于经筋理论对电针刺激高尔基腱器官控制中风后痉挛状态的临床研究  

The clinical research on controlling spastic state after stroke by electroacupuncture stimulating golgi tendon organs based on the meridian theory

作　　者：曾超[1] 刘文兵[1] 蔡运火[1] 张优媚 谢航凯 陈静 Zeng Chao

机构地区：[1]浙江中医药大学附属第三医院,310056

出　　处：《浙江临床医学》2023年第8期1151-1152,1155,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2020ZB131)。

摘　　要：目的探讨基于经筋理论对电针刺激高尔基腱器官(GTO)控制中风后痉挛状态临床研究。方法选择本院于2020年1月至2022年12月收治的中风后痉挛状态患者150例,依据随机数字表法分为观察组(75例)和对照组(75例)。对照组采取基础治疗且配合康复训练,观察组在对照组基础上电针刺激GTO,两组疗程均为30 d。比较两组治疗疗效、治疗前后肌张力评定(MAS)、运动功能评分(FMA)、肌痉挛指数(CSI)和日常生活活动能力(BI)变化。结果剔除脱落、退出及变异病例数,最终观察组60例中风后痉挛患者,总有效率91.67%,对照组58例中风后痉挛患者,总有效率75.00%(P<0.05)。治疗后两组MAS评分高的患者比例均低于治疗前,且治疗后观察组MAS评分高的患者比例低于对照组(P<0.05)。治疗后两组FMA量表评分、BI评分均高于治疗前(P<0.05);治疗后观察组FMA量表评分、BI评分均高于对照组(P<0.05)。治疗后两组肌痉挛轻度患者多于治疗前(P<0.05),重度患者少于治疗前(P<0.05);治疗后观察组肌痉挛轻度患者多于对照组(P<0.05)。结论基于经筋理论对电针刺激GTO控制中风后痉挛状态临床疗效良好,可改善患者肌张力、运动功能、肌痉挛程度和日常生活活动能力。Objective To investigate the clinical research on the control of spasticity after stroke by electro-acupuncture stimulation of the Golgi tendon organ(GTO)based on the theory of meridians.Methods A total of 150 patients with post-stroke spasticity who were admitted to our hospital from March 2020 to December 2022 were selected and randomly divided into 75 cases in the observation group and 75 cases in the control group according to the random number table method.Patients in the control group took basic treatment and cooperated with rehabilitation training.GTO in the observation group was stimulated by electro-acupuncture on the basis of the control group.The course of treatment for both groups was 30 days.The therapeutic effects of the two groups were compared,and the changes in muscle tension,motor function,degree of muscle spasm and activities of daily living before and after the treatment were compared.Results Excluding the number of cases of dropout,withdrawal,and mutation,the final observation group had 60 patients with post stroke spasticity,with a total effective rate of 91.67%.The control group had 58 patients with post stroke spasticity,with a total effective rate of 75.00%,with statistical significance(P<0.05).After the treatment,the proportion of patients with high MAS scores in both groups was lower than before the treatment,and the proportion of patients with high MAS scores in the observation group was lower than that in the control group after treatment,with statistical significance(P<0.05).After the treatment,the scores of FMA and BI in both groups were higher than those before treatment(P<0.05).After the treatment,the scores of FMA and BI in the observation group were significantly higher than those in the control group(P<0.05).After the treatment,patients with mild muscle spasm in both groups were more than those the before treatment(P<0.05),and patients with severe muscle spasm were less than those before the treatment(P<0.05).After the treatment,there were more patients with mild muscle spasm i

关 键 词：经筋理论 电针 高尔基腱器官 中风 痉挛状态 

分 类 号：R743.3[医药卫生—神经病学与精神病学]