梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫疗效观察  

Clinical Observation on the Treatment of Spastic Hemiplegia after Stroke with Plum Blossom Needle Tapping Along the Meridian Combined with Acupuncture

作　　者：尹蓁枝 韩为 张国庆[3] 童文倩 李岳楠 YIN Zhenzhi;HAN Wei;ZHANG Guoqing;TONG Wenqian;LI Yuenan(Anhui University of Chinese Medicine,Anhui Hefei 230000,China;Brain Hospital Affiliated of Guangzhou Medical University,Guangdong Guangzhou 510370,China;The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Anhui Hefei 230000,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230000 [2]广州医科大学附属脑科医院,广东广州510370 [3]安徽中医药大学第二附属医院,安徽合肥230000

出　　处：《中医药临床杂志》2024年第1期143-147,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81973933);安徽省第十三批115产业创新团队项目(皖人才办[2020]4号)。

摘　　要：目的:观察梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的临床疗效。方法:将符合标准的72例脑卒中后痉挛性偏瘫患者随机分为观察组和对照组,每组各36例。对照组予脑卒中基础治疗联合针刺治疗,每周5次,2周为一疗程,共治疗4个疗程。观察组在对照组的治疗基础上采用梅花针叩刺阳明经,上肢叩刺手阳明大肠经,下肢叩刺足阳明胃经,每周3次,2周为一疗程,共治疗4个疗程。观察2组患者治疗前后Fugl-Meyer运动功能(FMA)评分、日常生活活动能力Barthel指数(BI)评分和改良Ashworth痉挛量表(MAS)分级变化,并比较2组间的临床疗效。结果:治疗后2组患者FMA评分、BI评分和上下肢MAS分级均优于治疗前(P<0.05),且观察组以上3项指标的改善程度均优于对照组(P<0.05)。治疗组总有效率为97.2%,高于对照组的77.8%,差异有统计学意义(P<0.05)。结论:梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的疗效较单纯的针刺治疗更为显著,能够明显改善脑卒中后痉挛性偏瘫患者肢体运动功能和痉挛状态,提高临床疗效,改善患者的生活质量。Objective:To observe the clinical efficacy of plum blossom percussion along the meridian combined with acupuncture in the treatment of spastic hemiplegia after stroke.Methods:72 patients with post-stroke spastic hemiplegia who met the criteria were randomly divided into an observation group and a control group,with 36 cases in each group.The control group received basic stroke treatment combined with acupuncture,5 times a week,2 weeks as one course of treatment,for a total of 4 courses.On the basis of the treatment of the control group,the observation group used plum blossom needles to tap the Yangming meridian,the upper limbs to tap the hand Yangming large intestine meridian,and the lower limbs to tap the foot Yangming stomach meridian,3 times a week,2 weeks as a course of treatment,and a total of 4 patients were treated.Treatment course.The changes in Fugl-Meyer motor function(FMA)score,daily living activity ability Barthel index(BI)score and modified Ashworth spasticity scale(MAS)grading of the patients in the 2 groups before and after treatment were observed,and the clinical efficacy between the 2 groups was compared.Results:After treatment,the FMA score,BI score and upper and lower limb MAS grading of the two groups of patients were all better than before treatment(P<0.05),and the improvement degree of the above three indicators in the observation group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 97.2%,which was higher than the 77.8% of the control group,and the difference was statistically significant(P<0.05).Conclusion:Plum-blossom needle percussion along the meridian combined with acupuncture is more effective in treating post-stroke spastic hemiplegia than acupuncture alone.It can significantly improve the limb motor function and spasticity of patients with post-stroke spastic hemiplegia,and improve clinical efficacy.Improve patients’quality of life.

关 键 词：痉挛性偏瘫 梅花针 脑卒中 手足阳明经 疗效 

分 类 号：R255.2[医药卫生—中医内科学]