经筋排刺法配合皮肤针疗法治疗脑卒中后上肢痉挛244例临床观察

目的 评价经筋排刺法配合皮肤针疗法治疗脑卒中后上肢痉挛的临床效果。方法 选择2007年3月~2013年3月解放军第二五二医院、望都县中医医院、河北大学附属医院、保定市第一中医院收治的488例脑卒中后上肢痉挛患者,将其随机分为治疗组和对照组,各244例。在必要康复治疗的基础上,治疗组给予经筋排刺法配合皮肤针疗法,对照组给予常规西药治疗。两组均连续治疗3周后评定临床疗效,并观察两组患者治疗前后上肢痉挛程度、运动功能、日常生活活动能力、中医证候评分。结果 治疗组总有效率为93.4%,对照组总有效率为61.5%,两组比较差异有统计学意义(P<0.05);两组患者治疗后上肢痉挛程度、上肢关节运动状况及神经功能缺损程度均较治疗前有所改善(P<0.05),其中治疗组明显优于对照组(P<0.05)。结论 经筋排刺法配合皮肤针疗法治疗脑卒中后上肢痉挛效果确切。

Clinical observation of Jingjin needling method combined with skin needle therapy in the treatment of 244 cases with upper limb spasticity after stroke

Objective To evaluate the clinical effect of Jingjin needling method combined with skin needle therapy in the treatment of upper limb spasticity after stroke. Methods 488 cases of patients with upper limb spasticity after stroke admitted to the 252nd Hospital of PLA, Wangdu County Hospital of TCM, the Affiliated Hospital of Hebei University, the First Hospital of TCM in Baoding City from March 2007 to March 2013 were chosen and randomly divided into treatment group and control group, with 244 cases in each group. On basis of necessary rehabilitation, the treatment group was given Jingjin needling method combined with skin needle therapy, the control group was given conventional west-ern medicine therapy. Both groups were treated continuously for 3 weeks to evaluate clinical efficacy, and the degree of upper limb spasticity, motor function, activities of daily living, TCM syndromes scores before and after treatment of the two groups were observed. Results The total effective rate of treatment group was 93.4%, which of control group was 61.5%, the difference was statistically significant （P〈0.05）. The degree of upper limb spasticity, motor function of upper limb, degree of neurologic impairment after treatment of the two groups were all improved compared with before treatment （P〈0.05）, and treatment group was significantly better than the control group （P〈0.05）. Conclusion Jingjin needling method combined with skin needle therapy in the treatment of upper limb spasticity after stroke has a definite effect.