《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 579-582.

• 特稿 • 上一篇    下一篇

针刺拮抗肌群对脑卒中后上肢痉挛的效果

刘悦1，苏美銮2，刘雅玲2   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Effects of Antagonistic Muscle Acupuncture on Upper Limb Spasticity post Stroke

LIU Yue1, SU Mei-luan2, LIU Ya-ling2   

  1. 1. Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou, Guangdong 510095, China; 2. Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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被引次数

25

摘要： 目的观察针刺拮抗肌群对脑卒中后上肢痉挛的临床疗效。方法120 例脑卒中后上肢痉挛患者分为对照组(n=60)和治疗组(n=60)，两组患者均进行基础治疗及康复训练，对照组采用传统针刺法，治疗组采用拮抗肌针刺法。在治疗前、治疗28 d后，分别采用改良Ashworth 量表(MAS)、Fugl-Meyer 运动功能评定(FMA)、改良Barthel 指数(BI)对患者进行评定。结果治疗后，两组MAS、FMA及BI 评分均较治疗前明显改善(P<0.01)，且治疗组优于对照组(P<0.05)。治疗组疗效明显优于对照组(P<0.01)。结论针刺拮抗肌群可有效改善患者上肢痉挛程度，提高患者运动功能水平及日常生活活动能力。

关键词: 脑卒中, 痉挛, 偏瘫, 拮抗肌, 针刺

Abstract: Objective To investigate the efficacy of antagonistic muscle acupuncture on upper limb spasticity post stroke. Methods 120 patients with upper limb spastic hemiplegia post stroke were randomly divided into treatment group (n=60) and control group (n=60). Both groups accepted routine fundamental treatment and rehabilitation training, while the the treatment group received antagonistic muscle acupuncture and the control group received conventional acupuncture. They were assessed with modified Ashworth Scale (MAS), Fugl-Meyer Assessment (FMA) and modified Barthel Index (BI) before and after 28-day treatment. Results The scores of MAS, FMA and BI improved in both groups after treatment (P<0.01) and improved more in the treatment group than in the control group (P<0.05). The efficacy was more in the treatment group than in the control group (P<0.01). Conclusion Antagonistic muscle acupuncture can reduce the upper limb spasticity, and promote the recovery of motor function and activities of daily living.

Key words: stroke, spasticity, hemiplegia, antagonistic muscle, acupuncture