火针与电针配合康复训练治疗脑卒中后偏瘫痉挛临床研究

目的:比较康复训练分别联合火针与电针治疗脑卒中后偏瘫痉挛的效果。方法:选取82例脑卒中后偏瘫痉挛患者为研究对象,采用随机数字表法分成火针组与电针组各41例,火针组采用康复训练加火针疗法,电针组采用康复训练加电针疗法,连续治疗8周,评价患者治疗前后痉挛分级,并根据痉挛分级情况判定疗效,同时评价患者运动功能及综合功能。结果:治疗后,两组MAS分级均优于治疗前(P<0.05),火针组肌张力改善总有效率97.56%,电针组为92.68%,但两组MAS分级、疗效比较,差异无统计学意义(P>0.05); 两组FMA评分中上肢、下肢运动功能评分均较治疗前明显升高(P<0.05),且火针组上肢、下肢运动功能评分显著高于电针组(P<0.05); 两组躯体功能、认知功能评分均较治疗前明显升高(P<0.05),且火针组躯体功能评分显著高于电针组(P<0.05)。结论:火针疗法与电针疗法配合康复训练用于脑卒中后偏瘫痉挛治疗,对改善患者肌张力、运动功能及综合功能均有积极意义,但火针疗法在促进患者运动功能、躯体功能恢复上效果优于电针疗法。

Fire-needle acupuncture or electroacupuncture combined with rehabilitation training on hemiplegia spasm after stroke

Objective:To compare the effects of rehabilitation training combined with fire-needle acupuncture or electroacupuncture on hemiplegia spasm after stroke.Methods:Eighty-two patients with hemiplegia spasm after stroke were selected as the study subjects,and they were divided into fire-needle acupuncture group and electroacupuncture group by random number table method,with 41 cases in each group.Fire-needle acupuncture group was given rehabilitation training with fire-needle acupuncture,and electroacupuncture group was treated with rehabilitation training with electroacupuncture,and they were continuously treated for 8 weeks.Results: After treatment,the MAS grading in the two groups was better than that before treatment(P<0.05),and the total effective rate of improvement of muscle tension was 97.56% in fire-needle acupuncture group and 92.68% in electroacupuncture group,and there were no significant differences in the MAS grading and efficacy between the two groups(P>0.05).The scores of upper limb and lower limb motor function of FMA scale in the two groups were significantly increased compared with those before treatment(P<0.05),and the scores of upper limb and lower limb motor function in fire-needle acupuncture group were significantly higher than those in electroacupuncture group(P<0.05).The scores of physical function and cognitive function in the two groups were significantly increased compared with those before treatment(P<0.05),and the physical function score in fire-needle acupuncture group was significantly higher than that in electroacupuncture group(P<0.05).Conclusion:Fire-needle acupuncture and electroacupuncture combined with rehabilitation training for hemiplegia spasm after stroke have positive effects on improving muscle tension,motor function and comprehensive function,but fire-needle acupuncture is more effective than electroacupuncture in promoting the recovery of motor function and physical function.