针刺配合康复训练治疗脑卒中后上肢痉挛临床观察

目的观察针刺结合康复训练治疗脑卒中后上肢痉挛的临床疗效。方法将30例脑卒中上肢痉挛患者随机分为两组,每组15例,治疗组给予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,对照组单纯给予康复训练治疗。两组分别于治疗前、1个月后采用肌张力评分法（改良Ashworth）、上肢的Fugl-Meyer评定法评定。结果治疗组在改善上肢肌张力水平及上肢运动功能方面优于对照组,差异具有统计学意义（P〈0.01）。结论针刺井穴及自拟的上解痉穴对于脑卒中后上肢痉挛有即刻解痉作用,在此基础上进行康复训练,提高了康复训练的疗效。

Clinical Observation on the Treatment of Post-stroke Upper Limb Spasticity by Acupuncture plus Rehabilitation

Objective To study the therapeutic effect of acupuncture plus rehabilitation training in the treatment of post-stroke upper limb spasticity.Method Thirty patients with post-stroke upper limb spasticity were randomized into a treatment group and a control group,15 in each.The treatment group was given acupuncture to Jing-well points as well as upper anti-spasm points（original）,and the rehabilitation training would begin afterwards when the upper limb achieved real-time relief.The control group only received rehabilitation training.Both of the two groups were evaluated by using the Modified Ashworth Scale（MAS） and Fugl-Meyer Assessment（FMA） for the upper limb before intervention and a month after intervention.Results Compared to the control group,the treatment group had advantage in regulating muscular tension and improving the motor function of upper limb,and the differences were statistically significant（P0.01）.Conclusion Puncturing Jing-well points and the upper anti-spasm points has a real-time relieving effect for post-stroke upper limb spasticity.It can also enhance the effect of the rehabilitation training.