针刺配合康复训练治疗脑卒中后上肢痉挛疗效观察

目的观察针刺配合康复训练治疗脑卒中后上肢痉挛的临床疗效。方法将100例脑卒中上肢痉挛患者随机分为治疗组和对照组,每组50例。治疗组采用针刺井穴及自拟的上解痉穴,在上肢痉挛即刻缓解的基础上进行康复训练;对照组采用单纯康复训练治疗。分别在治疗前后对两组进行肌张力评分(改良Ashworth)、上肢的运动功能评定(FMA)、日常生活自理能力评定(FCA评分)。结果治疗组总有效率为90.0%,对照组为78.0%,两组比较差异具有统计学意义(P<0.05)。两组治疗后FMA评分、FCA评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后FMA评分、FCA评分与对照组比较,差异均具有统计学意义(P<0.05,P<0.01)。结论针刺配合康复训练是一种治疗脑卒中后上肢痉挛的有效方法。

Therapeutic Observation on Acupuncture plus Rehabilitation for Upper-limb Spasticity after Cerebral Apoplexy

Objective To observe the clinical efficacy of acupuncture plus rehabilitation in treating upper-limb spasticity after cerebral apoplexy. Method A hundred patients with upper-limb spasticity after cerebral apoplexy were randomized into a treatment group and a control group, 50 in each. The treatment group received acupuncture at Jing-well points and points on upper limb for anti-spasticity to achieve a real-time relief, followed by rehabilitation training. The control group only received rehabilitation training Before and after treatment, Modified Ashworth Scale, Function of Motor Activity of upper limb （FMA）, and Activities of Daily Living （ADL） from Functional Comprehensive Assessment （FCA） were adopted for evaluation. Result The total effective rate was 90.0% in the treatment group versus 78.0% in the control group, and the difference was statistically significant （P〈0.05）. Both groups had significant changes in FMA and FCA scores after treatment （P〈0.01）. In comparing FMA and FCA scores after treatment, the treatment group was markedly different from the control group （P〈0.05,P〈0.01）. Conclusion Integrated use of acupuncture and rehabilitation is an effective approach in treating upper-limb spasticity after cerebral apoplexy.