针刺肌筋膜触发点治疗缺血性脑卒中痉挛的效果

目的探讨针刺肌筋膜触发点治疗缺血性脑卒中痉挛的临床疗效。方法选取2010年2月～2012年12月来广西壮族自治区民族医院康复医学科就诊的脑卒中痉挛状态患者75例,采用单盲随机数字表法分为针刺肌筋膜触发点组（治疗组）38例及传统针刺组（对照组）37例。两组治疗前,治疗1、2个疗程后行Fugl-Meyer运动功能评分、日常生活能力Barthel指数、偏瘫肢体痉挛程度、总体痉挛状态综合疗效及临床神经功能缺损程度评分判定。数据采用SPSS 17.0统计软件进行统计、分析。结果两组均能明显改善Fugl-Meyer运动功能、日常生活能力Barthel指数、改良Ashworth量表、临床痉挛指数及神经功能缺损程度评分。治疗组治疗2个疗程后Fugl-Meyer运动功能、日常生活能力Barthel指数、改良Ashworth量表、临床痉挛指数及神经功能缺损程度评分较治疗前、治疗1个疗程及对照组治疗2个疗程均有不同程度改善（均P〈0.05）。治疗组总有效率为92.11%,显著优于对照组（75.68%）（P〈0.05）。结论针刺肌筋膜触发点治疗缺血性脑卒中痉挛疗效显著,副作用少,值得临床推广应用。

Effect of acupuncture myofascial trigger points in the treatment of cerebral arterial thrombosis spasm

Objective To study the clinical curative effect of acupuncture myofascial trigger points in the treatment of cerebral arterial thrombosis spasm.Methods 75 patients with cerebral arterial thrombosis spasm in Department of Rehabilitation Medicine,the National Hospital of Guangxi Zhuang Autonomous Region from February 2010 to Decem ber 2012 were divided into acupuncture myofascial trigger points group（treatment group,38 cases） and traditional acupuncture group（control group,37 cases） according to random number table with single-blind method.The FuglMeyer motor function score,Barthel index of daily life ability,degree of hemiplegic limb spasm,overall evaluation of spasticity comprehensive efficacy evaluation and clinical nerve function defect score of two groups before treatment and after 1,2 courses of treatment were evaluated.The dates were statistically analyzed by SPSS 17.0 statistics software.Results The Fugl-Meyer motor function score,Barthel index of daily life ability,modified Ashworth scale,clinic spas ticity index and nerve function defect score of two groups could be improved obviously.The Fugl-Meyer motor func tion score,Barthel index of daily life ability,modified Ashworth scale,clinic spasticity index and nerve function defect score after 2 courses of treatment in the treatment group were better than those before treatment,after 1 course of treat ment in the treatment group and after 2 courses of treatment in the control group（all P ＆lt; 0.05）.The total effective rate of treatment group（92.11%） was better than that of control group（75.68%）（P ＆lt; 0.05）.Conclusion Acupuncture myofascial trigger points in the treatment of cerebral arterial thrombosis spasm has good clinical curative effect,less side effects and it is worthy of clinical application.