摘要
目的评估石学敏经筋刺法联合芍甘木瓜汤对脑卒中后下肢痉挛患者肢体功能的影响。方法采用对照研究方式,选取接受卒中后康复治疗的下肢痉挛性偏瘫患者100例,明确诊断。调查资料,按照等比例随机摸球方式分组,各50例。两组基础治疗相同。对照组予以石学敏经筋刺法;观察组予以石学敏经筋刺法联合芍甘木瓜汤。两组以使用3周为1个疗程。评价两组疗效,治疗前后评价痉挛程度和Fugl-Meyer量表(Fugl-Meyer assessment scale,FMA)、Berg平衡量表(Berg Balance Scale,BBS)和Barthel指数(the Barthel index,BI)。结果对照组的临床疗效低于观察组,差异有统计学意义(P<0.05)。与治疗前比,治疗后两组痉挛程度均有改善(P<0.05);与对照组比较,治疗后观察组的痉挛程度改善更大,差异有统计学意义(P<0.05)。与治疗前比较,治疗后两组FMA评分、BBS评分和BI指数上升(P<0.05);与对照组比较,治疗后观察组FMA评分、BBS评分和BI指数较高,差异有统计学意义(P<0.05)。两组总不良率比较,差异无统计学意义(P>0.05)。结论石学敏经筋刺法联合芍甘木瓜汤对脑卒中后下肢痉挛的效果显著,可以改善肢体功能,减轻痉挛,并且安全性高,值得大力推广。
Objective To evaluate the effect of SHI Xuemin′s meridian needling method combined with Shaogan Mugua Decoction(芍甘木瓜汤)on limb function in patients with lower limb spasms after stroke.Method A comparative study was conducted to select 100 patients with lower limb spastic hemiplegia who received post-stroke rehabilitation treatment,and a clear diagnosis was made.According to the survey data,50 cases were randomly divided into equal proportion groups by touching the ball.Both groups had the same basic treatment.The control group was treated with SHI Xuemin′s meridian needling method.The observation group was treated with SHI Xuemin′s meridian needling method combined with Shaogan Mugua Decoction.Two groups were treated with a 3-week course of treatment.The efficacy of two groups,the degree of spasticity and the Fugl Meyer assessment scale(FMA),Berg Balance Scale(BBS)and Barthel index(BI)before and after treatment were evaluated.Result The clinical efficacy of the control group was lower than that of the observation group,and the difference was statistically significant(P<0.05).Compared with that before treatment,the degree of spasticity in both groups improved after treatment(P<0.05).Compared with the control group,the observation group showed a greater improvement in spasticity after treatment,and the difference was statistically significant(P<0.05).Compared with those before treatment,the FMA score,BBS score and BI of the two groups increased after treatment(P<0.05).Compared with the control group,the observation group had higher FMA score,BBS score and BI after treatment,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total adverse rate between the two groups(P>0.05).Conclusion The combination of SHI Xuemin′s meridian needling method and Shaogan Mugua Decoction has a significant effect on lower limb spasms after stroke.It can improve limb function,reduce spasms and has high safety,which is worthy of promoting vigorously.
作者
周萍
王琳
黄碧纯
ZHOU Ping;WANG Lin;HUANG Bichun(Acupuncture and Moxibustion Department of The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300110,China)
出处
《辽宁中医杂志》
北大核心
2025年第8期159-162,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
天津市卫生计生行业高层次人才选拔培养工程项目([2017]18号)。
关键词
石学敏经筋刺法
芍甘木瓜汤
脑卒中后下肢痉挛
肢体功能
SHI Xuemin′s meridian needling method
Shaogan Mugua Decoction(芍甘木瓜汤)
lower limb spasms after stroke
limb function
作者简介
周萍(1984-)女,江苏江阴人,主治医师,硕士,研究方向:醒脑开窍针刺汉治疗卒中后神经功能损伤相关疾病;通讯作者:王琳(1984-),内蒙古呼和浩特人,主治医师,硕士,研究方向:中西医结合神经系统康复。
