摘要
目的观察针刺拮抗肌群对脑卒中后上肢痉挛的临床疗效。方法 120例脑卒中后上肢痉挛患者分为对照组(n=60)和治疗组(n=60),两组患者均进行基础治疗及康复训练,对照组采用传统针刺法,治疗组采用拮抗肌针刺法。在治疗前、治疗28 d后,分别采用改良Ashworth量表(MAS)、Fugl-Meyer运动功能评定(FMA)、改良Barthel指数(BI)对患者进行评定。结果治疗后,两组MAS、FMA及BI评分均较治疗前明显改善(P<0.01),且治疗组优于对照组(P<0.05)。治疗组疗效明显优于对照组(P<0.01)。结论针刺拮抗肌群可有效改善患者上肢痉挛程度,提高患者运动功能水平及日常生活活动能力。
Objective To investigate the efficacy of antagonistic muscle acupuncture on upper limb spasticity post stroke. Methods 120 patients with upper limb spastic hemiplegia post stroke were randomly divided into treatment group （n=60） and control group （n=60）. Both groups accepted routine fundamental treatment and rehabilitation training, while the the treatment group received antagonistic muscle acu-puncture and the control group received conventional acupuncture. They were assessed with modified Ashworth Scale （MAS）, Fugl-Meyer Assessment （FMA） and modified Barthel Index （BI） before and after 28-day treatment. Results The scores of MAS, FMA and BI improved in both groups after treatment （P〈0.01） and improved more in the treatment group than in the control group （P〈0.05）. The efficacy was more in the treatment group than in the control group （P〈0.01）. Conclusion Antagonistic muscle acupuncture can reduce the upper limb spasticity, and promote the recovery of motor function and activities of daily living.
出处
《中国康复理论与实践》
CSCD
北大核心
2015年第5期579-582,共4页
Chinese Journal of Rehabilitation Theory and Practice
基金
广东省科技厅项目(No.2012A030400021)
关键词
脑卒中
痉挛
偏瘫
拮抗肌
针刺
stroke
spasticity
hemiplegia
antagonistic muscle
acupuncture
作者简介
刘悦（1968-），男，汉族，广东平远县人，主任中医师，主要研究方向：神经康复。
