项针加腹针治疗中风痉挛性偏瘫疗效观察

目的:探讨项针加腹针治疗对中风痉挛性偏瘫的影响及作用机制.方法:将60例患者随机分为观察组和对照组,每组30例.观察组采用项针、腹针,穴取风府、风池、天柱、中脘、关元等;对照组穴取臂臑、曲池、环跳、伏兔等,均予针刺治疗.观察两组患者治疗前后痉挛侧上下肢Ashworth分级、Fugel-Meyer评分和痉挛侧上肢肌电F波的变化.结果:观察组患者上下肢Ashworth分级和Fugel-Meyer评分明显改善,痉挛侧上肢肌电F波波幅下降、时限缩短、阈值增高(均P＜0.01).在改善患者上下肢Fugel-Meyer评分、下肢Ashworth分级、痉挛侧上肢肌电F波波幅、时限及阈值方面,观察组优于对照组(均P＜0.01).观察组总有效率为90.0%,优于对照组的50.0%(P＜0.01).结论:项针加腹针能降低中风痉挛性偏瘫患者的肌张力,缓解肌肉痉挛.

Observation on therapeutic effect of nuchal acupuncture and abdominal acupuncture for treatment of stroke patients with spastic hemiplegia

Objective To probe the effect and mechanism of the nuchal acupuncture and abdominal acupuncture for treatment of stroke patients with spastic hemiplegia.Methods Sixty cases were randomly divided into an observation group and a control group,30 cases in each group.Nuchal acupuncture and abdominal acupuncture treatment was used and Fengfu(GV 16),Fengchi(GB 20),Tianzhu(BL 10),Zhongwan(CV 12)and Guanyuan(CV 4)ere.were selected in observation group,routine acupuncture was applied on Binao(LI 14),Quchi(LI 11),Huantiao(GB 30)and Futu(ST 32)etc.in control group.The scale of Ashworth and score of Fugel-Meyer of the spastic lateral upper and lower limbs and the changes of the EMG F-wave in spastic upper limb of patients in two groups were observed before and after treatment.Results The Ashworth scale and Fugel-Meyer score of the upper and lower limbs were obviously improved,the amplitude was decreased,the duration was shorten and the threshold of the EMG F-wave of the spastic upper limb was increased(all P＜0.01)in the observation group.The observation group was superior to the control group in Fugel-Meyer score of the upper and lower limbs of the patients the Ashworth scale of the lower limb,and the amplitude,duration and threshold of the EMG F-wave of the spastic upper limb(all P＜0.01).The total effective rate of 90.0%in observation group was superior to that of 50.0%in control group(P＜0.01).Conclusion The nuchal acupuncture and abdominal acupuncture treatment can decrease the musele tension of the stroke patients with spastic hemiplegia.