摘要
目的:探讨针刺痉挛肢体穴位对脊髓损伤双下肢痉挛患者痉挛症状的改善是否有帮助,观察患者对针刺的接受程度。方法:对9例患者采用单病例随机对照试验方法,每例患者分别接受重手法、轻手法针刺下肢方案及物理治疗方案及其各自对照治疗方案(针刺或治疗上肢)的3个周期共计29周治疗。疗效结局以患者临床痉挛指数、每日痉挛频率及基于患者结局意愿的报告为主。结果:3种不同的治疗方案均没有使9例患者的临床痉挛指数加重(均P>0.05),3种治疗方案间比较差异也没有统计学意义(P>0.05);在每日痉挛频率的改善方面,重手法针刺方案较其他两种治疗方案有明显不足(P<0.05);结局报告提示患者不愿接受重手法的刺激。结论:针刺痉挛肢体穴位对脊髓损伤患者痉挛症状没有加重的趋势,是一种安全的痉挛症状治疗方案,但重手法的刺激是可能影响患者寻求针灸治疗的不良因素。
Objective To study whether acupuncture on the acupoints of the affected extremities was effective or not on the lower extremity spasm in spinal injury, and observe the tolerance ot patients to acupuncture. Methods The random controlled trial of single case was adopted among 9 patients. The heavy manipulation and gentle mani- pulation of acupuncture on the lower extremities, physical therapy as well as corresponding control therapy （acu- puncture or other therapy on the upper extremities） were applied to each case separately for 3 cycles of treatment, totally for 29 weeks of treatments. The therapeutic effective outcomes were determined according to the index of clinical spasm, daily spasm frequency and the patient reported outcome. Results None of the three therapies made the index of clinical spasm worse in 9 patients （all P〉0, 05）, and there was no significant statistical difference in comparison among three therapies （P〉0.05）. Concerning to the improvement in daily spasm frequency, the result of heavy manipulation therapy was inferior apparently to the other two therapies （P〈0.05）. The outcome report indicated that the patients were unwilling to accept the stimulation induced by heavy manipulation. Conclusion The spasm induced by spinal injury can not be aggravated in tendency by acupuncture on the affected extremities. Thus, acupuncture is a kind of safe therapy for spasm. But the heavy manipulation of acupuncture may be the factor to im- pact the patient for the option of acupuncture treatment.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第6期473-477,共5页
Chinese Acupuncture & Moxibustion
关键词
针刺
痉挛
脊髓损伤
随机对照试验
Acupuncture
Spasm
Spinal Cord Injuries
Randomized Controlled Trials （RCT）
作者简介
陈炜炜（1984-），女，成都中医药大学针灸推拿学院七年制针灸英语2003级硕士研究生。
通讯作者：李宁（1970-），男，副主任医师。研究方向；针灸与循证医学。E—mail：zhenjiuhuaxi@163．com
