针药结合对脑卒中后痉挛性偏瘫的疗效观察

目的探讨针药结合治疗脑卒中后痉挛性偏瘫的疗效。方法将90例患者随机分治疗组45例,对照组45例。对照组口服肌肉松弛剂巴氯芬片;治疗组采用补阳还五汤配合针刺患肢体的针药结合法,疗程2个月。结果两组患者治疗前改良Ashworth评定结果比较,两组之间差异无统计学意义（P〉0.05）,具有可比性;两组治疗后痉挛程度均有减轻,分别与治疗前比较,差异有统计学意义（P〈0.05）,且治疗组优于对照组（P〈0.05）。两组患者治疗前患者Fugl-Mager（FMA）和Bar-thel（MBI）评定结果比较,差异无统计学意义（P〉0.05）,具有可比性;两组治疗后偏瘫肢体运动功能和日常生活自理能力均有改善,分别与治疗前比较,差异有统计学意义（P〈0.05）,且治疗组优于对照组（P〈0.05）。结论针药结合的方法能有效降低肌张力、改善运动功能、提高日常生活活动能力。

Efficacy Observation of Post-apoplexy Spastic Hemiplegia Treated with the Integration of Acupuncture and Medicine

Objective To explore the efficacy on post-apoplexy spastic hemiplegia treated with the integration of acupuncture and medicine.Methods 90 cases were randomized into a treatment group(45 cases)and a control group(45 cases).In the control group,the muscle relaxant,baclofen tablets were prescribed for oral administration.In the treatment group,buyang huaiwu decoction and acupuncture on the affected side were applied in combination.The treatment lasted for 2 months.Results The results of the modified Ashworth assessment did not present statistical significant differences before treatment between two groups(P>0.05),indicating the comparability of two groups.After treatment,in either group,the spasm severity was alleviated as compared with that before treatment,presenting statistical significant difference(P<0.05).But the result in the treatment group was superior to that in the control group(P<0.05).The comparison of FMA and MBI assessments before treatment did not present statistical significant difference between two groups(P>0.05),indicating the comparability of two groups.After treatment,in either group,the motor function of the affected limbs and the daily life activity were all improved as compared with those before treatment,indicating statistical significant difference(P<0.05).The results in the treatment group were better than those in the control group(P<0.05).Conclusion The integration of acupuncture and medicine effectively reduces the muscular tension and improves the motor function and the daily life activity.