运动针刺经筋结点联合筋膜松解手法治疗脑卒中后痉挛性瘫痪的临床研究  

Clinical Study on Motion Needling Meridian Sinew Node Combined with Fascia Release Manipulation in Treatment of Post-Stroke Spastic Paralysis

作　　者：郑婷婷 张少武 李娜[1] 谢耕耕 ZHENG Tingting;ZHANG Shaowu;LI Na;XIE Genggeng(Shiyan Taihe Hospital,Shiyan 442099,China)

机构地区：[1]十堰市太和医院,湖北十堰442099

出　　处：《针灸临床杂志》2024年第12期10-14,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖北省科学技术厅项目,编号:2022BCE035。

摘　　要：目的:探讨运动针刺经筋结点联合筋膜松解手法治疗脑卒中后痉挛性瘫痪的疗效。方法:将符合标准的痉挛性瘫痪(脑卒中后)患者共116例,随机分成两组,对照组60例给予筋膜松解手法,观察组56例联合运动针刺经筋结点,治疗后对比两组临床疗效、MBI评分、SS-QOL评分、NIHSS评分、Fugl-Meyer评分和BBS评分、中医症候积分及血清BDNF和NGF水平变化。结果:观察组临床疗效明显高于对照组,差异具有统计学意义(P<0.05);与治疗前比较,两组治疗后NIHSS评分、Fugl-Meyer评分和BBS评分,改善较明显,差异具有统计学意义(P<0.05);并且观察组优于对照组,差异具有统计学意义(P<0.05);两组治疗后MBI评分、中医症候积分和SS-QOL评分与治疗前比较,均明显改善,差异具有统计学意义(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.05);治疗后两组血清BDNF和NGF浓度水平与治疗前比较,差异具有统计学意义(P<0.05),且观察组优于对照组,差异具有统计学意义(P<0.05)。结论:采用筋膜松解手法结合运动针刺经筋结点治疗痉挛性瘫痪(脑卒中后)具有较好的疗效。Objective:To explore the therapeutic effect of motion needling meridian sinew node combined with fascia release manipulation in treatment of post-stroke spastic paralysis.Methods:116 patients with post-stroke spastic paralysis,who met the inctusion criteria,were randomly divided into the control group(n=60)and the observation group(n=56).The control group was treated with fascia release manipulation;on which basis,the observation group was also treated with motion needling meridian sinew node.The therapeutic effect,the scores of MBI,SS-QOL,NIHSS,Fugl-Meyer,BBS and TCM symptoms,as well as the serum levels of BDNF and NGF were compared between the two groups after the treatment.Results:The therapeatic effect was higher in the observation group than that in the control group(P<0.05).The scores of NIHSS,Fugl-Meyer and BBS were significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.05).The scores of MBI,TCM symptoms and SS-QOL were also significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.05).The serum levels of BDNF and NGF were improved after the treatment compared to those before the treatment in the two groups(P<0.05),and the improvements were more significant in the observation group than those in the control group(P<0.05).Conclusion:Motion needling meridian sinew node combined with fascia release manipulation has a good therapeutic effect in treatment of post-stroke spastic paralysis.

关 键 词：痉挛性瘫痪 脑卒中 筋膜松解手法 运动针刺经筋结点 

分 类 号：R246.6[医药卫生—针灸推拿学]