摘要
目的观察腹针疗法治疗缺血性脑卒中恢复期痉挛状态腕手功能障碍的临床疗效及其安全性。方法将60例受试者按1:1随机分为治疗组与对照组,治疗组予腹针疗法,对照组予常规针刺,每周治疗5次,共治疗3周。观察两组治疗前后的简化Fugl-Meyer运动功能量表(FMA)腕手功能评分、改良Ashworth量表(MAS)分级,随访3个月后的Barthel指数评定量表分级,并记录是否有不良反应事件发生。结果治疗后两组FMA腕手功能评分均较治疗前升高(P<0.05),且治疗组优于对照组(P<0.05);治疗后两组MAS分级均较治疗前改善(P<0.05),但两组间差异无统计学意义(P>0.05);随访时两组Barthel分级无差异(P>0.05)。两组均未发生不良反应事件。结论腹针疗法能改善缺血性脑卒中恢复期患者的腕手功能,缓解痉挛状态,但对患者远期致残率的影响并不优于常规针刺。
Objective:To evaluate the clinical efficacy and safety of abdominal acupuncture on spasticity and wrist-hand dysfunction in recovery period of ischemic stroke.Methods:A total of 60 patients were randomized divided into the experimental group and control group at the rate of 1:The experimental group was treated by abdominal acupuncture,while the control group was treated with routine acupuncture,5 times per week for 3 weeks.Simplified Fugl-Meyer Motor Function Scale(FMA)wrist-hand function score and modified Ashworth Scale(MAS)were observed in both groups before and after treatment.After 3 months of follow-up,the Barthel Index Scale was graded.Adverse events were recorded if occurred.Results:After treatment,the FMA wrist-hand function scores of the two groups were higher than those before treatment(P<0.05),and the experimental group showed better efficacy than the control group(P<0.05);after treatment,the MAS grades of the two groups were improved compared with before treatment(P<0.05),but there was no significant difference between the two groups(P>0.05);at the follow-ups,there was no significant difference in Barthel grades between the two groups(P>0.05).No adverse events occurred in both groups.Conclusion:Abdominal acupuncture can improve wrist-hand function and alleviate spasticity among patients in recovery period of ischemic stroke,but its efficacy on long-term disability rate is not superior to routine acupuncture.
作者
刘海漩
刘琪
苏鑫童
孟祥梅
李春颖
王丽平
Liu Haixuan;Liu Qi;Su Xintong;Meng Xiangmei;Li Chunying;Wang Liping(Huguosi.Hospital of Traditional Chinese Medicine Affiliated to Bejing University of Chinese Medicine,Bejing 100035,China.)
出处
《中国中医急症》
2021年第2期303-305,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
北京中医药大学附属护国寺中医医院院级课题(2017-10)。
关键词
缺血性脑卒中
上肢痉挛
腕手功能障碍
腹针
随机对照试验
Ischemic stroke
Spasticity of upper limbs
Wrist-hand dysfunction
Abdominal acupuncture
Randomized controlled trial
