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1、·304·AcupunctureResearch,Aug.2015,Vol.40,No.4火針療法治療中風后痙攣性偏癱的臨床療效觀察王寧1,222李志峰吳海紅(1廣州中醫(yī)藥大學,廣州511400;2深圳市羅湖區(qū)中醫(yī)院康復科,深圳518000)【摘要】目的:觀察火針治療中風后痙攣性偏癱的臨床療效。方法:將80名中風后痙攣性偏癱患者隨機分為火針組和常規(guī)針刺組,每組各40例?;疳樈M以火針點刺患側肩髃、臂臑、曲池、手三里、外關、陽池等穴,常規(guī)針刺組常規(guī)針刺患側肩髃、極泉、曲池、手三里、外關等穴,每日治療1次,每2d治療
2、1次,共治療30d。比較兩組臨床療效及治療前后痙攣側上下肢肌張力、肢體運動功能。結果:治療后,兩組患者上下肢肌張力均減輕,肢體運動功能均改善,與治療前比較,差異均有統(tǒng)計學意義(P<0.05,P<0.01);治療后,火針組上肢肌張力低于常規(guī)針刺組,肢體運動功能優(yōu)于常規(guī)針刺組(P<0.05,P<0.01),兩組下肢肌張力及肢體運動功能之間的差異無統(tǒng)計學意義(P>0.05);臨床療效比較,火針組總有效率為87.5%(35/40),而常規(guī)針刺組為65.0%(26/40),火針組優(yōu)于常規(guī)針刺組(P<0.05)。結論:火針
3、療法在降低中風后患者偏癱側肢體肌張力和改善患側肢體運動功能方面具有較好臨床療效,尤其是改善上肢肌張力和肢體運動方面療效優(yōu)于常規(guī)針刺?!娟P鍵詞】火針療法中風痙攣性偏癱肌張力運動功能【中圖分類號】R245.31+6【文獻標志碼】A【DOI】10.13702/j.1000-0607.2015.04.009ClinicalObservationonTherapeuticEffectofRed-hotNeedleTherapyforSpasticHemiplegiainStrokePatients1,2,LIZhi-Fe
4、ng2,WUHai-hong2(1WANGNingGuangzhouUniversityofChineseMedicine,Guangzhou511400,China;2DepartmentofRehabilitation,LuohuZoneHospitalofChineseMedicine,Shenzhen518000)【ABSTRACT】ObjectiveToobservethecurativeeffectoffireneedletreatmentonspastichemiplegiainpatientsw
5、ithstroke.MethodsAtotalof80strokepatientswithspastichemiplegiawhomettheinclusioncriteriawererandomlydividedintoroutineacupuncture(control)groupandred-hotneedlegroup(n=40casesineachgroup).Patientsofthered-hotneedlegroupweretreatedbyprickingunilateralJianyu(LI
6、15),Binao(LI14),Quchi(LI11),Shousanli(LI10),Yinlingquan(SP9),Xuehai(SP10),etc.withacauterizedneedle,onceeveryotherdayfor30days;whilethoseofthecontrolgroupweretreatedbyacu-puncturestimulationofunilateralJianyu(LI15),Quchi(LI11),Shousanli(LI10),Huantiao(GB30),
7、Fengshi(GB31),Yan-glingquan(GB34),etc.withfiliformneedles,oncedailyfor30days.ThemusculartensionwasevaluatedusingmodifiedAsh-worthScale(MAS)andthelimbmotorfunctionevaluatedusingFugl-MeyerAssessmentScale(FMA).ResultsAfterthetreat-ment,themusculartensionofbothu
8、pperandlowerlimbsinthered-hotneedleandroutineacupuncturegroupswassignificantlyre-duced(P<0.05),exhibitinganappearanceofthestrokepatientswithMASgrade0(upperandlowerlimbs:7and6cases,15and12casesin