针刺肌肉起止点治疗痉挛性瘫痪的疗效观察
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摘要
【目的】观察针刺肌肉起止点治疗痉挛性瘫痪的疗效。【方法】将78例痉挛性瘫痪患者随机分为对照组和研究组,每组各39例。对照组采用普通针刺治疗,研究组采用针刺特定的肌肉起止点进行治疗。2组治疗均每天1次,连续7 d为1个疗程,共治疗3个疗程。观察2组患者治疗前后NIHSS神经功能缺损评分、日常生活活动能力评分、改良Rinkin量表评分、改良Ashworth痉挛状态量表评分以及临床痉挛指数的变化情况。【结果】治疗前,2组患者NIHSS评分、日常生活活动能力评分、改良Rinkin量表评分、改良Ashworth痉挛状态量表评分以及临床痉挛指数比较,差异均无统计学意义(P>0.05),具有可比性;经过3个疗程治疗后,2组患者NIHSS评分、日常生活活动能力评分、改良Rinkin量表评分、改良Ashworth痉挛状态量表评分以及临床痉挛指数均较治疗前明显改善,差异均有统计学意义(P<0.05);且研究组对各项评分的改善作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】针刺肌肉起止点疗法相较于普通针刺疗法具有疗效佳、取穴简便、重复性高等优点,易于临床推广。
Objective To observe the curative efficacy of acupuncture at muscle origin in treating spastic paralysis.Methods A total of 78 patients with spastic paralysis were randomly divided into the control group and the trial group,39 cases in each group. The control group was treated with conventional acupuncture,and the trial group was treated with acupuncture at muscle origin of specific muscles. The treatment was given once a day,and 7 days constituted one course,the treatment covering 3 courses in total. The National Institutes of Health Stroke Scale(NIHSS)scores for neurological deficit,avtivities of daily living(ADL)scores,modified Rinkin scale scores,modified Ashworth spasm status scale scores and clinical spasm index were evaluated and compared before and after treatment. Results Before treatment,there was no statistically significant difference in NIHSS scores,ADL scores, modified Rinkin scale scores, modified Ashworth spasm status scale scores and clinical spasm index between the two groups(P > 0.05). After treatment for 3 courses, the NIHSS scores, ADL scores, modified Rinkin scale scores,modified Ashworth spasm status scale scores and clinical spasm index in the two groups were improved compared with those before treatment,the difference being statistically significant(P < 0.05),and the improvement of the trial group was superior to that of the control group(P < 0.05). Conclusion Acupuncture at muscle origin has the advantages of good curative effect, easy to locate the acupoints, high repeatability in treating spastic paralysis compared with ordinary acupuncture,and it is easy to be popularized in clinic.
Objective To observe the curative efficacy of acupuncture at muscle origin in treating spastic paralysis.Methods A total of 78 patients with spastic paralysis were randomly divided into the control group and the trial group,39 cases in each group. The control group was treated with conventional acupuncture,and the trial group was treated with acupuncture at muscle origin of specific muscles. The treatment was given once a day,and 7 days constituted one course,the treatment covering 3 courses in total. The National Institutes of Health Stroke Scale(NIHSS)scores for neurological deficit,avtivities of daily living(ADL)scores,modified Rinkin scale scores,modified Ashworth spasm status scale scores and clinical spasm index were evaluated and compared before and after treatment. Results Before treatment,there was no statistically significant difference in NIHSS scores,ADL scores, modified Rinkin scale scores, modified Ashworth spasm status scale scores and clinical spasm index between the two groups(P > 0.05). After treatment for 3 courses, the NIHSS scores, ADL scores, modified Rinkin scale scores,modified Ashworth spasm status scale scores and clinical spasm index in the two groups were improved compared with those before treatment,the difference being statistically significant(P < 0.05),and the improvement of the trial group was superior to that of the control group(P < 0.05). Conclusion Acupuncture at muscle origin has the advantages of good curative effect, easy to locate the acupoints, high repeatability in treating spastic paralysis compared with ordinary acupuncture,and it is easy to be popularized in clinic.
引文
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[8]张玲,张岚.针灸配合康复训练治疗中风后上肢痉挛性瘫痪疗效观察[J].现代中西医结合杂志,2015,24(13):1406.
[9]张天民,杜艳军.人体弓弦力学解剖系统简论[J].中国医药导报,2017,14(3):164.
[2]舒丽华,蔡伟.阳陵泉透刺阴陵泉治疗脑卒中后下肢痉挛状态的临床观察[J].中医临床研究,2012,4(2):54.
[3]邹玮庚,徐远红,李海峰.巨刺阳经法治疗缺血性脑卒中后上肢痉挛的临床观察[J].天津中医药,2010,27(4):294.
[4]孙善斌,杨骏,张闻东,等.芒针治疗中风偏瘫痉挛状态临床观察[J].中医药临床杂志,2009,21(3):225.
[5]中华神经科学会.各类脑血管疾病诊断要点(1995)[J].临床和实验医学杂志,2013,12(7):559.
[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,191(1):55.
[7]王华.针灸学[M].北京:高等教育出版社,2013:124.
[8]张玲,张岚.针灸配合康复训练治疗中风后上肢痉挛性瘫痪疗效观察[J].现代中西医结合杂志,2015,24(13):1406.
[9]张天民,杜艳军.人体弓弦力学解剖系统简论[J].中国医药导报,2017,14(3):164.