摘要
目的观察应用毫火针针刺夹脊穴治疗中风后痉挛性瘫痪的临床疗效。方法将纳入观察的72例中风后痉挛性瘫痪患者随机分为毫火针组(36例)和普通针刺组(36例),毫火针组采用毫火针针刺相应夹脊穴进行治疗,隔日治疗1次,连续治疗28 d,14次为1个疗程;普通针刺组针刺中风后痉挛侧肩髃、肩髎、曲池、手三里、外关、合谷、环跳、阳陵泉、足三里、解溪、昆仑、太冲、太溪等穴,每周治疗5 d,休息2 d,连续干预4周,20次为1个疗程。1个疗程治疗结束后,比较两组受试者的临床疗效及治疗前后痉挛侧肢体肌张力及其运动功能的改善情况。结果治疗1个疗程后两组患者痉挛侧上、下肢肢体的肌痉挛均有缓解,患侧肢体运动功能评分均有改善,日常生活活动能力均有加强,与治疗前相比,差异均有统计学意义(均P<0.05);治疗后,毫火针组患者痉挛侧肢体肌张力下降程度大于普通针刺组,患侧肢体运动功能优于普通针刺组,日常生活活动能力改善强于普通针刺组,差异均有统计学意义(均P<0.05);毫火针组经毫火针干预,整体有效率高达83.3%(30/36),而普通针刺组总有效率为61.1%(22/36),毫火针组临床疗效优于普通针刺组(P<0.05)。结论毫火针针刺夹脊穴治疗中风后肢体痉挛性瘫痪,疗效显著,能够有效减低中风后痉挛侧肢体肌张力,从而提升患肢运动能力,改善患者日常生活活动能力。
Objective To observe the clinical efficacy of milli-fire needle at Jiaji(EX-B2)in the treatment of limb spastic paralysis after stroke.Methods To divide 72 patients into milli-fire needle group(36cases)and routine acupuncture group(36 cases)randomly.Patients of the milli-fire needle group were treated with milli-fire needle at Jiaji(EX-B2),once every other day for 28 days(14 times);while those of the routine group were treated by acupuncture stimulation of affected side Jianyu(LI15),Jianliao(SJ14),Quchi(LI11),Shousanli(LI10),Waiguan(SJ5),Hegu(LI4),Huantiao(GB30),Yanglingquan(GB34),Zusanli(ST36),Jiexi(ST41),Kunlun(BL60),Taichong(LR3),Taixi(KI3)and etc.with filiform needles,five times a week for 28 days(20 times).The muscular tension was evaluated using modified Ashworth scale(MAS)and the limb motor function evaluated using Fugl-Meyer assessment scale(FMA).Results After the treatment,the muscular tension of affected side limbs both in the millifire needle group and routine acupuncture group were significantly reduced,exhibiting an appearance of the stroke patients with MAS grade;The FMA scores of affected side limbs were remarkably increased in both routine acupuncture and milli-fire needle groups after the treatment(all P<0.05),showing an improvement of the patients’motor function.The improvement of the muscular tension and motor function of affected side limbs in the milli-fire needle group were superior to that in the routine acupuncture group(all P<0.05).The routine acupuncture groups and milli-fire needle groups,with the total effective rates being 83.3%(30/36)and 61.1%(22/36),respectively,the milli-fire needle group was superior to the routine acupuncture group(P<0.05).Conclusion Milli-fire needle at Jiaji(EX-B2)can alleviate spasticity,reducing muscular tension and improving motor function of the affected side limbs,accelerating the recovery of motor performance in hemiplegia patients.
作者
刘峻
周鸿飞
战国策
张威
金鑫
LIU Jun;ZHOU Hongfei;ZHAN Guoce;ZHANG Wei;JIN Xin(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《辽宁中医药大学学报》
CAS
2022年第4期7-10,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
辽宁省教育厅科学技术研究项目(L201910,21101A1114)。
关键词
毫火针
夹脊穴
中风
痉挛性瘫痪
临床观察
milli-fire needle
Jiaji(EX-B2)
spastic paralyisis
stroke
observation of clinical curative effect
