针刺联合絮刺火罐疗法对缺血性中风后肌张力增高的影响  

Effect of acupuncture combined with Yang's pricking-cupping therapy on muscle hypertonia after ischemic stroke

作　　者：杨子越 魏翔宇 高垣[1] 陈梓訸 沈卫东[1] YANG Ziyue;WEI Xiangyu;GAO Yuan;CHEN Zihe;SHEN Weidong(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201210,China;Shanghai Ruijin Rehabilitation Hospital,Shanghai 200023,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201210 [2]上海市瑞金康复医院,上海200023

出　　处：《上海针灸杂志》2025年第4期424-428,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市卫生健康委员会海派中医流派传承创新团队项目(2021LPTD-004)。

摘　　要：目的 观察针刺联合杨氏絮刺火罐疗法对缺血性中风后肌张力增高的影响。方法 将72例缺血性中风后肌张力增高患者随机分为干预组和对照组,每组36例。对照组接受常规针刺治疗,干预组在对照组基础上联合杨氏絮刺火罐治疗。观察两组治疗前后改良Ashworth量表(modified Ashworth scale,MAS)、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale, NIHSS)和Fugl-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)评分的变化。结果 治疗后,两组MAS和NIHSS评分均低于治疗前(P<0.05),FMA评分均高于治疗前(P<0.05)。干预组治疗后MAS和NIHSS评分均低于对照组(P<0.05),FMA评分高于对照组(P<0.05)。结论 针刺联合杨氏絮刺火罐疗法治疗缺血性中风后肌张力增高的疗效优于单纯针刺治疗,更有效地改善临床症状,提高患者运动功能和生活质量。Objective To observe the effect of acupuncture combined with Yang's pricking-cupping therapy on muscle hypertonia after ischemic stroke.Method Seventy-two patients with post-stroke muscle hypertonia were randomly divided into an intervention group and a control group,with 36 cases in each group.The control group received conventional acupuncture treatment,while the intervention group received Yang's pricking-cupping therapy in addition to the conventional acupuncture.The changes in the modified Ashworth scale(MAS),National Institutes of Health stroke scale(NIHSS),and Fugl-Meyer assessment scale(FMA)scores were observed before and after treatment in both groups.Result After treatment,both groups showed significant reductions in MAS and NIHSS scores(P<0.05),and significant improvements in FMA scores(P<0.05)compared to those before treatment.The intervention group demonstrated significantly lower MAS and NIHSS scores(P<0.05)and higher FMA scores(P<0.05)than the control group after treatment.Conclusion Acupuncture combined with Yang's pricking-cupping therapy is more effective than conventional acupuncture alone in treating post-stroke muscle hypertonia,better in improving clinical symptoms and enhancing motor function and quality of life in patients.

关 键 词：针刺疗法 刺络拔罐疗法 杨氏絮刺火罐疗法 中风后遗症 运动功能 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学]