运动针刺法对中风后痉挛性瘫痪行走功能改善疗效观察

目的 :比较运动针刺法与常规针刺法对中风后痉挛性瘫痪行走功能的疗效。方法 :纳入2012年4月至2013年5月至我院住院治疗的中风患者86例。随机分为对照组和治疗组各43例,观察治疗前和治疗3个月后的日常生活活动能力、下肢功能和痉挛情况。结果:治疗后两组患者Barthel指数、简化Fugl-Meyer功能评分表(FMA)、临床痉挛指数(CSI)均较治疗前有改善,差异具有统计学意义(P0.05);治疗组Barthel指数为68.2分高于对照组的59.5分,下肢FMA为33.1分高于对照组的26.7分,CSI为8.1分低于对照组的8.9分,差异均具有统计学意义(P0.05)。结论:运动针刺法能够有效改善中风后痉挛性瘫痪下肢的运动功能,缓解下肢肌肉痉挛。

Therapeutic Effects of Motor Acupuncture on Improving Walking Functions of Spastic Paralysis after Stroke

Objective:To compare the therapeutic effects of motor acupuncture and conventional acupuncture on walking functions of spastic paralysis after stroke. Methods:Total 86 patients with stroke were randomized into the control group and treatment group from April 2012 to May 2013. The daily living activities,lower limb functions and spastic conditions were observed before treatment and 3 months after treatment. Results:The Barthel index,lower limb FMA and CSI were improved after treatment in the both groups(P< 0.05).Barthel index(68.2) in the treatment group was higher than that(59.5) in the control group,lower limb FMA(33.1) in the treatment group was higher than that(26.7) in the control group,CSI(8.1) in the treatment group was lower than that(8.9) in the control group(P< 0.05). Conclusion:The motor acupuncture could effectively improve muscle spasm and motor functions of the lower limbs after stroke.