电针结合康复治疗中风痉挛性偏瘫

目的:观察电针拮抗肌结合Bobath康复技术治疗中风痉挛性偏瘫的疗效。方法:对38例中风痉挛性偏瘫肌张力增高的患者进行为期1月的电针针刺拮抗肌结合Bobath康复技术治疗,治疗前后应用改良Ashworth(M IS)痉挛评分量表对患者的肌张力进行评分,以观察肌张力、肌痉挛的改善程度。结果:电针针刺拮抗肌结合Bobath康复技术降低患者肌张力、改善肌痉挛的总有效率高于90%。结论:电针针刺拮抗肌结合Bobath康复技术对中风痉挛性偏瘫患者的肌张力增高及日常生活自理能力的改善有显著的作用。

The Treatment of Spastic Hemiplegia after Stroke by Electro-acupuncture Antagonistic Muscle Combined with Bobath Approach

Objective：To observe efficacy of electro-acupuncture antagonistic muscle combined with Bobath approach to treat spastic hemiplegia after stroke.Methods：To acupuncture antagonistic muscle using EA combined with Bobath approach to treat the stroke disease in 38 cases with muscular hypertonia and spastic hemiplegia for one month.Before and after the treatment,the modified Ashworth spasm scale is used to score the patients＇ muscular tension;the clinic spasticity index is used to score patients＇spasm;the functional independent measurement is used to score patients＇ADL.Then,observe the degree of improvement of muscle tension,muscle spasm and activities of daily life.Results：The total efficacy rate in reducing muscle tension and spasm and improve ADL with EA to acupuncture antagonistic muscle combined with Bobath approach is above 90%.Conclusion：EA antagonistic muscle combined with Bobath approach has a marked effect on reducing muscular hypertonia and improving patients＇ ADL with stroke disease.