眼针联合基础西医疗法治疗中风痉挛性瘫痪临床观察  

Clinical observation of eye acupuncture combined with basic Western therapy on stroke spastic paralysis

作　　者：张蕊 田维柱[2] 曲芳[1] 王媛媛[1] 张威[2] ZHANG Rui;TIAN Wei-zhu;QU Fang;WANG Yuan-yuan;ZHANG Wei(Dalian Second People's Hospital,Dalian 116000;Affiliated Hospital of Liaoning University of Chinese Medicine,Shenyang 110032)

机构地区：[1]辽宁省大连市第二人民医院,辽宁大连116000 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《湖北中医药大学学报》2024年第2期103-106,共4页Journal of Hubei University of Chinese Medicine

基　　金：辽宁省教育厅项目(项目编号:L202066);辽宁省应用基础研究计划项目(项目编号:2023JH2/10130051)。

摘　　要：目的 观察眼针联合基础西医疗法治疗中风痉挛性瘫痪(SSP)的疗效。方法 将我院80例SSP患者随机分为治疗组与对照组各40例。对照组予以基础西医疗法,治疗组予以眼针联合基础西医疗法。比较两组临床疗效、下肢改良Ashworth(MAS)量表分级、下肢Fugl-Meyel运动功能(FMA)量表、改良Barthel指数(MBI)量表、综合痉挛(CSS)量表、被动关节活动范围(PROM)、踝背屈角度(ADA)及超敏C-反应蛋白(hs-CRP)、血同型半胱氨酸(HCY)水平。结果 治疗后,治疗组总有效率高于对照组(P<0.05)。两组下肢MAS分级均轻于治疗前,治疗组下肢MAS分级均轻于对照组(P<0.05)。两组下肢FMA、MBI评分均高于治疗前,治疗组下肢FMA、MBI评分均高于对照组(P<0.05)。两组CSS评分均低于治疗前,PROM、ADA均高于治疗前;治疗组CSS评分均低于对照组,PROM、ADA均高于对照组(P<0.05)。两组hs-CRP、HCY均低于治疗前,治疗组hs-CRP、HCY均低于对照组(P<0.05)。结论 眼针联合基础西医疗法治疗SSP能更好地改善神经功能疗效和下肢痉挛,提高下肢关节活动度和日常生活能力,下调hs-CRP、HCY水平。Objective To observe the efficacy of eye acupuncture combined with basic Western therapy in treatment of stroke spastic paralysis(SSP).Methods Eighty patients with SSP were randomly divided into treatment group and control group,40 cases each.Control group was treated with basic Western therapy,while treatment group was treated with eye acupuncture on the basis of control group.The efficacy,the scores of Lower Limb Modified Ashworth(MAS)Scale,Lower limb Fugl-Meyel motor Function(FMA)Scale,Modified Barthel Index(MBI)Scale,Comprehensive Spasticity(CSS)Scale,passive range of motion(PROM)and ankle dorsiflexion angle(ADA)were compared between the two groups.Results After treatment,the total effective rate in treatment group was higher than control group(P<0.05),the lower limb MAS grade in both groups was lighter than before treatment,which was lighter in treatment group than control group(P<0.05);the lower limb FMA and MBI scores in both groups were higher than those before treatment,which were higher in treatment group than control group(P<0.05);the CSS scores in both groups were lower than those before treatment,which were lower in treatment group than control group;the PROM and ADA scores in both groups were higher than those before treatment,which were higher in treatment group than control group(P<0.05);the hs-CRP and Hcy in both groups were lower than those before treatment,which were lower in treatment group than control group(P<0.05).Conclusion Eye acupuncture combined with basic Western therapy can better improve the efficacy of neurological function and lower limb spasticity,improve the range of motion and daily living ability of lower limbs,and down-regulate the levels of hs-CRP and Hcy in treatment of SSP.

关 键 词：中风 痉挛性瘫痪 眼针 基础西医 

分 类 号：R277.7[医药卫生—中医学]