经筋论治脑卒中后痉挛状态及对脑脊液Glu、GABA的影响

目的:探讨针灸治疗脑卒中后肢体痉挛状态有效方法.方法:将112例患者随机分为治疗组和对照组各56例,治疗组采用经筋刺法,对照组采用阳明刺法,运用高效液相检测治疗前后脑脊液谷氨酸(Glu)、γ-氨基丁酸(GABA)的含量.结果:根据康复医学评定结果及脑脊液Glu、GABA含量的差异表明,治疗组的疗效明显高于对照组(P＜0.01,P＜0.05).结论:经筋刺法能有效地缓解脑卒中肢体痉挛状态且与调节脑脊液中Glu、GABA的含量密切相关.

Muscle-tendon needling method for treatment of poststroke spasticity and effects on GLU and GABA contents in spinal fluid

Objective To probe an effective method for treatment of poststroke limb spasticity and effects on glutamic acid (Glu) and aminobutyric acid (GABA) contents in spinal fluid (CSF). Methods One hundred and twelve cases were randomly divided into treatment group and control group,56 cases in each group. The treatment group were treated by muscle-tendon needling method and the control group by Yangming needling method. Glu and GABA contents in CSF before and after treatment were determined by high performance liquid chromatography. Results According to rehabilitation medicine assessment and Glu and GABA contents in CSF,the therapeutic effect in the treatment group was superior to that in the control group ( P <0.05). Conclusion Muscle-tendon need-ling method can effectively alleviate poststroke limb spasticity,which is closely related with the regulation of Glu and GABA contents in CSF.