摘要
目的观察头针配合体针治疗脑型肝豆状核变性痉挛性肌张力障碍的临床疗效。方法选取60例脑型肝豆状核变性痉挛性肌张力障碍患者,随机分为观察组和对照组,每组30例。两组均接受基础驱铜治疗,对照组加用口服巴氯芬片治疗,观察组在对照组基础上加用头针配合体针治疗。观察两组治疗前后改良Ashworth量表(modified Ashworth scale,MAS)、日常生活能力评定量表(activities of daily living,ADL)、简易Fugl-Meyer运动功能量表评分的变化情况。结果两组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分均较同组治疗前显著上升,差异均具有统计学意义(P<0.05)。观察组治疗后MAS、ADL及Fugl-Meyer运动功能量表评分明显高于对照组,差异均具有统计学意义(P<0.05)。结论头针配合体针是一种治疗脑型肝豆状核变性痉挛性肌张力障碍的有效方法。
Objective To investigate the clinical efficacy of scalp acupuncture plus body acupuncture for cerebral hepatolenticular degeneration with spastic dystonia.Methods Sixty patients suffering from cerebral hepatolenticular degeneration with spastic dystonia were randomized to observation and control groups,30 cases each.Both groups received basic copper displacement treatment.Besides,the control group received oral administration of baclofen tablets and the observation group,scalp acupuncture plus body acupuncture in addition.The Modified Ashworth Scale(MAS),the Activities of Daily Living(ADL)and the simplified Fugl-Meyer Motor Function Scale scores were recorded in the two groups before and after treatment.Results The MAS,ADL and Fugl-Meyer Motor Function Scale scores increased markedly in the two groups after treatment compared with before with statistically significant differences(P<0.05).After treatment,the MAS,ADL and Fugl-Meyer Motor Function Scale scores were statistically higher in the observation group than in the control group with statistically significant differences(P<0.05).Conclusion Scalp acupuncture plus body acupuncture is an effective way to treat cerebral hepatolenticular degeneration with spastic dystonia.
作者
郑晓钰
秦雨
金珊
方向
ZHENG Xiaoyu;QIN Yu;JIN Shan;FANG Xiang(Anhui University of Traditional Chinese Medicine,Hefei 230012,China;Anhui University of Traditional Chinese Medicine First Hospital,Hefei 230031,China)
出处
《上海针灸杂志》
CSCD
2024年第5期516-520,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
安徽省高校自然科学研究重点项目(KJ2019A0457)
安徽省自然科学基金面上项目(2008085MH264)
安徽省自然科学基金面上项目(2208085MH271)。
关键词
针刺疗法
头针
肝豆状核变性
肌张力障碍
针药并用
Acupuncture therapy
Scalp acupuncture
Hepatolenticular degeneration
Spastic dystonia
Combined use of acupuncture and medicine