温针灸治疗脑卒中痉挛性偏瘫80例疗效观察

目的观察温针灸治疗脑卒中肢体痉挛性偏瘫的临床疗效。方法将160例脑卒中肢体痉挛性偏瘫患者随机分为治疗组和对照组各80例，治疗组采用温针灸治疗，对照组单纯采用电针治疗，2组患者同时配合康复运动疗法。分别于治疗前、治疗15d、治疗30d采用Ashworth量表评定肢体痉挛状态，采用简化Fugl—Meyer评价法和改良Barthel指数评定肢体运动功能水平、日常生活能力。结果治疗15d后2组上肢Ashworth评分比较无显著差异（P〉0．05），治疗30d后2组Ashworth评分比较则有显著差异（P〈0．05）。治疗15、30d后2组下肢Ashworth评分均有所下降，治疗组与对照组相比差异均有统计学意义（P〈0．05）。治疗15、30d后治疗组Fugl-Meyer运动功能评分、Barthel指数评分均明显高于对照组（P〈0．01）。结论温针灸可有效地缓解中风偏瘫的痉挛状态。

Clinical Observation of 80 Cases of Spastic Hemiplegia of Stroke Treated by Warm Acupuncture-Moxibustion

Objective To observe the clinical effect of warm acupuncture-moxibusfion on spastic hemiplegia of stroke. Methods One hundred and sixty patients of limb spastic hemiplegic of stroke were randomly divided into treatment group and control group, the treatment group received warm acupuncture-moxibustion, the control group simply received electro-acupuncture. Both groups received the rehabilitation exercise therapy. Ashworth rating scale, Fugl-Meyer and Barthel index were accessed on baseline, 15 day and 30 day. Results The Ashworth scores of two groups decreased obviously after treatment. The upper limb Ashworth scores of two groups showed no significant difference （P〉0.05） on 15 day. There was a significant difference （P〈0.05） between the two groups on 30 day. The scores of Fugl-Meyer motor function and Barthel index of treatment group was significantly higher than contol group, there were significant differences （P〈0.01） between two groups. Conclusion Warm acupuncture-moxibustion can ease spastic hemiplegia of stroke effectively.