关刺四缝穴对中风后手指痉挛性瘫手功能的影响
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摘要
目的:在常规治疗基础上,观察关刺四缝穴对中风后手指痉挛性瘫的改善情况。方法:将64例患者随机分为观察组和对照组,每组32例。两组均采用常规药物治疗,对照组予以常规针刺治疗,观察组在对照组治疗基础上,予关刺患侧四缝穴。每日1次,治疗6 d、休息1 d,共治疗2周。观察两组患者治疗前后Fugl-Meyer评价量表(FMA)中的手指评分、Brunnstrom运动功能评定分级、修订的Ashworth痉挛评定分级的变化。结果:治疗后,两组患者Fugl-Meyer评分均较治疗前提高(均P<0.01),观察组Fugl-Meyer评分高于对照组(P<0.01);两组治疗后Brunnstrom运动功能评定分级、修订的Ashworth痉挛评定分级均改善(P<0.01,P<0.05),且观察组优于对照组(P<0.01)。结论:关刺四缝穴能有效改善中风后患者手指痉挛性瘫的状态。
Objective To observe the improved effects of articular needling at Sifeng(EX-UE 10) on finger spastic paralysis after stroke on the basis of conventional treatment. Methods Sixty-four patients were randomly divided into an observation group and a control group, 32 cases in each group. Both groups were treated with conventional drugs, and in the control group, conventional acupuncture was treated. On the basis of the treatment in the control group, articular needling at Sifeng(EX-UE 10) was applied in the observation group. The treatment was given once everyday for 6 days with one day interval, and a total of two weeks were needed. The finger scores in the Fugl-Meyer evaluation scale(FMA), the Brunnstrom motor function rating, and the modified Ashworth spasm rating were observed before and after treatment. Results After treatment, the Fugl-Meyer scores in the two groups were higher than those before treatment(P<0.01). The Fugl-Meyer score in the observation group was higher than that in the control group(P<0.01). The results of Brunnstrom motor function rating and the modified Ashworth spasm rating were improved in the two groups(P<0.01, P<0.05), and the observation group was superior to the control group(P<0.01). Conclusion The articular needling at Sifeng(EX-UE 10) can effectively improve the condition of finger spastic paralysis.
Objective To observe the improved effects of articular needling at Sifeng(EX-UE 10) on finger spastic paralysis after stroke on the basis of conventional treatment. Methods Sixty-four patients were randomly divided into an observation group and a control group, 32 cases in each group. Both groups were treated with conventional drugs, and in the control group, conventional acupuncture was treated. On the basis of the treatment in the control group, articular needling at Sifeng(EX-UE 10) was applied in the observation group. The treatment was given once everyday for 6 days with one day interval, and a total of two weeks were needed. The finger scores in the Fugl-Meyer evaluation scale(FMA), the Brunnstrom motor function rating, and the modified Ashworth spasm rating were observed before and after treatment. Results After treatment, the Fugl-Meyer scores in the two groups were higher than those before treatment(P<0.01). The Fugl-Meyer score in the observation group was higher than that in the control group(P<0.01). The results of Brunnstrom motor function rating and the modified Ashworth spasm rating were improved in the two groups(P<0.01, P<0.05), and the observation group was superior to the control group(P<0.01). Conclusion The articular needling at Sifeng(EX-UE 10) can effectively improve the condition of finger spastic paralysis.
引文
[1]吴江,贾建平.神经病学[M].3版.北京:人民卫生出版社,2015:171.
[2]赵艳玲,李文纯,黄娟,等.经筋刺法对脑卒中恢复期偏瘫手精细动作的影响[J].中国针灸,2014,34(2):120-124.
[3]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007.
[4]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012.
[5]王玉龙.康复功能评定学[M].北京:人民卫生出版社,2008.
[6]赵吉平,李瑛.针灸学[M].3版.北京:人民卫生出版社,2016.
[7]何晓华,胡雨华,柯生海,等.恢刺和关刺法与常规针刺法治疗中风后上肢痉挛的临床研究[J].宁夏医科大学学报,2013,35(11):1247-1249.
[8]赵王芳.老年人手部精细动作控制能力研究进展[J].中国老年学,2012,32(15):3348-3349.
[9]贾杰.脑卒中后手功能康复应评价和治疗并重[J].上海医药,2014(2):6-9.
[10]方剑乔,王富春.刺法灸法学[M].北京:人民卫生出版社,2012:49-51.
[11]郭光文,王序.人体解剖彩色图谱[M].2版.北京:人民卫生出版社,2008:244-245.
[12]赵艳玲,李文纯.针灸对脑卒中偏瘫手精细动作康复的研究进展[C]//中国针灸学会临床分会全国第十九届针灸临床学术研讨会论文集,2011:343-347.
[13]陈少宗.针灸双向良性调节作用规律的3种形式[J].针灸临床杂志,2010,26(12):62-65.
[2]赵艳玲,李文纯,黄娟,等.经筋刺法对脑卒中恢复期偏瘫手精细动作的影响[J].中国针灸,2014,34(2):120-124.
[3]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007.
[4]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012.
[5]王玉龙.康复功能评定学[M].北京:人民卫生出版社,2008.
[6]赵吉平,李瑛.针灸学[M].3版.北京:人民卫生出版社,2016.
[7]何晓华,胡雨华,柯生海,等.恢刺和关刺法与常规针刺法治疗中风后上肢痉挛的临床研究[J].宁夏医科大学学报,2013,35(11):1247-1249.
[8]赵王芳.老年人手部精细动作控制能力研究进展[J].中国老年学,2012,32(15):3348-3349.
[9]贾杰.脑卒中后手功能康复应评价和治疗并重[J].上海医药,2014(2):6-9.
[10]方剑乔,王富春.刺法灸法学[M].北京:人民卫生出版社,2012:49-51.
[11]郭光文,王序.人体解剖彩色图谱[M].2版.北京:人民卫生出版社,2008:244-245.
[12]赵艳玲,李文纯.针灸对脑卒中偏瘫手精细动作康复的研究进展[C]//中国针灸学会临床分会全国第十九届针灸临床学术研讨会论文集,2011:343-347.
[13]陈少宗.针灸双向良性调节作用规律的3种形式[J].针灸临床杂志,2010,26(12):62-65.