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1、·364·ShanghaiJAcu-mox,Jun2010,Vol29,No6文章編號(hào):1005-0957(2010)06-0364-03·臨床研究·針刺瀉陰法治療腦卒中后痙攣性偏癱臨床觀察沈維娜(上海中醫(yī)藥大學(xué)附屬龍華醫(yī)院神經(jīng)內(nèi)科,上海200032)【摘要】目的觀察針刺瀉陰法治療腦卒中后痙攣性偏癱的療效。方法采用針刺瀉陰法治療腦卒中后痙攣性偏癱30例,并與30例傳統(tǒng)針刺法對(duì)照。結(jié)果治療組中上肢治愈7例,顯效12例,進(jìn)步8例,無(wú)效3例;下肢治愈5例,顯效10例,進(jìn)步14例,無(wú)效1例。對(duì)照組中上肢治愈3例,顯效3例,進(jìn)步16例,無(wú)效8例;下肢治愈2例,顯效5例,進(jìn)步17例,無(wú)效
2、6例。兩組比較差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。結(jié)論結(jié)果表明針刺瀉陰法在治療腦卒中后痙攣性偏癱有較好的療效,優(yōu)于傳統(tǒng)針刺法?！娟P(guān)鍵詞】針刺;刺法;中風(fēng)后遺癥;偏癱【中圖分類號(hào)】R246.6【文獻(xiàn)標(biāo)志碼】AClinicalObservationsonYin-reducingAcupuncturefortheTreatmentofPost-strokeSpasticHemiplegiaSHENWei-na.DepartmentofNeurology,LonghuaHospitalAffiliatedtoShanghaiUniversityofTraditionalChineseM
3、edicine,Shanghai200032,China[Abstract]ObjectiveToinvestigatethetherapeuticeffectofyin-reducingacupunctureonpost-strokespastichemiplegia.MethodsThirtypatientswithpost-strokespastichemiplegiaweretreatedwithyin-reducingacupuncture.Theresultswerecomparedwiththoseinanother30patientstreatedwithco
4、nventionalacupuncture.ResultsOfthetreatmentgroup,cureoccurredintheupperlimbsof7patientsandthelowerlimbsof5patients,markedeffectivenessintheupperlimbsof12patientsandthelowerlimbsof10patients,improvementintheupperlimbsof8patientsandthelowerlimbsof14patients,andineffectivenessintheupperlimbsof
5、3patientsandthelowerlimbsof1patients.Ofthecontrolgroup,cureoccurredintheupperlimbsof3patientsandthelowerlimbsof2patients,markedeffectivenessintheupperlimbsof3patientsandthelowerlimbsof5patients,improvementintheupperlimbsandthelowerlimbsof17patients,andineffectivenessintheupperlimbsof8patien
6、tsandthelowerlimbsof6patients.Therewasastatisticallysignificantdifferenceintherapeuticeffectbetweenthetwogroups(P＜0.05).ConclusionTheresultsindicatethatYin-reducingacupuncturehasabettertherapeuticeffectonpost-strokespastichemiplegia.Itissuperiortoconventionalacupuncture.[Keywords]Acupunctur
7、e;Needlingmethod;Strokesequelae;Hemiplegia[1]痙攣是指肌肉或肌群斷續(xù)或持續(xù)地不隨意收縮,中,減輕偏癱肢體痙攣,抑制異常的肌張力是很重要的,[2]表現(xiàn)為肌群的肌張力增高,協(xié)調(diào)異常的特定模式。腦有助于日后提高患者的功能活動(dòng)能力。卒中后肢體痙攣一般發(fā)生在恢復(fù)早期(亞急性期),即發(fā)病后的3～4星期,相當(dāng)于Brunnstorm分期2～3期,1臨床資料并可持續(xù)到發(fā)病后的4～12星期(恢復(fù)中期),相當(dāng)于1.1一般資料Brunnstorm分期3～4期。亞急性期患者從偏癱肢體所
