火针疗法治疗中风后痉挛性偏瘫的临床疗效观察

目的:观察火针治疗中风后痉挛性偏瘫的临床疗效。方法:将80名中风后痉挛性偏瘫患者随机分为火针组和常规针刺组,每组各40例。火针组以火针点刺患侧肩髃、臂臑、曲池、手三里、外关、阳池等穴,常规针刺组常规针刺患侧肩髃、极泉、曲池、手三里、外关等穴,每日治疗1次,每2d治疗1次,共治疗30d。比较两组临床疗效及治疗前后痉挛侧上下肢肌张力、肢体运动功能。结果:治疗后,两组患者上下肢肌张力均减轻,肢体运动功能均改善,与治疗前比较,差异均有统计学意义(P0.05,P0.01);治疗后,火针组上肢肌张力低于常规针刺组,肢体运动功能优于常规针刺组(P0.05,P0.01),两组下肢肌张力及肢体运动功能之间的差异无统计学意义(P0.05);临床疗效比较,火针组总有效率为87.5%(35/40),而常规针刺组为65.0%(26/40),火针组优于常规针刺组(P0.05)。结论:火针疗法在降低中风后患者偏瘫侧肢体肌张力和改善患侧肢体运动功能方面具有较好临床疗效,尤其是改善上肢肌张力和肢体运动方面疗效优于常规针刺。

Clinical Observation on Therapeutic Effect of Red-hot Needle Therapy for Spastic Hemiplegia in Stroke Patients

Objective To observe the curative effect of fire needle treatment on spastic hemiplegia in patients with stroke.Methods A total of 80 stroke patients with spastic hemiplegia who met the inclusion criteria were randomly divided into routine acupuncture(control)group and red-hot needle group(n=40cases in each group).Patients of the red-hot needle group were treated by pricking unilateral Jianyu(LI 15),Binao(LI 14),Quchi(LI 11),Shousanli(LI 10),Yinlingquan(SP 9),Xuehai(SP 10),etc.with a cauterized needle,once every other day for 30days;while those of the control group were treated by acupuncture stimulation of unilateral Jianyu(LI 15),Quchi(LI 11),Shousanli(LI 10),Huantiao(GB 30),Fengshi(GB 31),Yanglingquan(GB 34),etc.with filiform needles,once daily for 30 days.The muscular tension was evaluated using modified Ashworth Scale(MAS)and the limb motor function evaluated using Fugl-Meyer Assessment Scale(FMA).Results After the treatment,the muscular tension of both upper and lower limbs in the red-hot needle and routine acupuncture groups was significantly reduced(P<0.05),exhibiting an appearance of the stroke patients with MAS grade 0(upper and lower limbs:7and 6cases,15 and 12cases in the control and red-hot needle groups).The FMA scores of both upper and lower limbs were remarkably increased in both control and red-hot needle groups after the treatment(P<0.01,P<0.05),suggesting an improvement of the patients' motor function.The improvement of the muscular tension and motor function of upper limbs in the red-hot needle group was superior to that in the routine acupuncture group(P<0.05,P<0.01).No significant differences were found between the two groups in both MAS grades and FMA scores of lower limbs after the treatment(P>0.05).Of the two 40 cases in the control and red-hot needle groups,5and 13 were basically cured,11 and 8had marked improvement,10 and 14were improved,14 and 5ineffective,with the effective rates being 65.0% and 87.5%,respectively.Conclusion Red-hot needle therapy is effective in reducing muscular tension and improving motor function of the limbs in hemiplegia patients.