电针足三里应用于脑卒中后痉挛状态的可行性研究

目的探讨针灸治疗对偏瘫痉挛期患者的疗效。方法63例脑卒中偏瘫痉挛期患者随机分为电针组(31例)和对照组(32例),均予常规康复训练,电针组同时给予电针足三里。比较两组患者治疗前后的综合痉挛量表评分、H/Mmax和肌肉的顺应性。结果电针组患者治疗后的综合痉挛量表评分、H/Mmax和腓肠肌内外侧头的顺应性均优于对照组(P<0.05～0.01)。结论针灸治疗可明显降低偏瘫痉挛期患者的肌张力,提高其运动功能。

Effect of Electro-acupuncture at Zusanli (ST36) on Stroke Patients in Hemiplagic Spasm Period

Objective To explore the effect of acupuncture on stroke patients in hemiplagic spasm period.Methods63 stroke patients in hemiplagic spasm period were randomly divided into the electro-acupuncture group(n=31) and control group(n=32).All patients of two groups received routine rehabilitation training,but those of the electro-acupuncture group were added with electro-acupuncture at "Zusanli"(ST36).The composite spasticity scale(CSS) score,H/Mmax and muscular compliance of two groups before and after treatment were observed and compared.ResultsThe CSS scores and H/Mmax and grading gastrocnemius muscular compliance of the electro-acupuncture group were superior to that of the control group(P<0.05～0.01).ConclusionAcupuncture can decrease muscular tension and increase motor function of stroke patients in hemiplagic spasm period.