针刺治疗中风上肢瘫痪临床分析

目的探讨针刺治疗中风后上肢瘫痪的最佳方法和介入时机。方法将符合病例纳入标准的80例患者随机分为治疗组和对照组各40例,治疗组采用头穴久留针加电针神经干法,对照组采用常规针刺阳明经穴法。同时用简化Fugl-Meyer(FMA)运动量表作为疗效评定标准进行上肢功能针刺效应评定。结果两组患者在入组时,上肢的运动功能差异没有统计学意义(P>0.05);治疗1疗程(4星期)后治疗组和对照组上肢的运动功能差异有统计学意义(P<0.01)。结论运用头穴久留针加电针神经干的方法治疗早期中风上肢瘫痪效果好。

Clinical Analysis of Acupuncture Treatment for Stroke with Upper Limb Paralysis

Objective To explore an optimal method and time for acupuncture treatment of stroke-induced upper limb paralysis.Methods Eighty patients meeting the inclusion diagnosis were randomly allocated to a treatment group of 40 cases and a control group of 40 cases.The treatment group received long-time retention of needles in scalp points plus electroacupuncture of nerve stem and the control group,conventional acupuncture of yangming meridian points.The effect of acupuncture on upper limb function was evaluated using the simplified Fugl-Meyer motor scale as the criteria.Results There was no statistically significant difference in upper limb motor function between the two groups of patients at allocation (P>0.05).There was a statistically significant difference in upper limb motor function between the treatment and control groups after one course(4 weeks) of treatment(P<0.01).Conclusion Long-time retention of needles in scalp points plus electroacupuncture of nerve stem has a good therapeutic effect on early upper limb paralysis due to stroke.