针刺夹脊穴联合运动疗法为主治疗中风后偏瘫痉挛状态的效果观察

摘要

Objectiv e:To study the acupuncture at Jiaji point combined with exercise therapy for hemiplegia spasticity.Methods:100 cases of stroke patients with hemiplegia and spasm in our hospital during January 2010 to February 2013 were selected as the research objects.They were randomly divided into a treatment group and a control group with 50 cases in each group.The patients in the control group were given medical and conven-tional treatment, while the patients in the treatment group were given acupuncture at Jiaji point on the basis of the therapy in the control group.After 4 weeks evaluate the Ashworth muscle tone scale score and Barthel index score and observe patients'therapeutic effect in two groups and have a statistical analysis.Results:In the treat-ment group after treatment for patients with spasm degree, movement disorders, daily life activities ability were obviously improved,and the difference was statistically significant (P<0.05);in the treatment group after treat-ment for patients with spastic degree it had a statistical significance compared with that in the control group after treatment ( P<0.05);in the control group after treatment movement dysfunction and daily life activities ability were improved compared with those before treatment, which was statistically significant (P<0.05);the degree of convulsions, movement disorders and daily life activities ability were more obviously improved compared with those in the control group, and the difference was statistically significant( P<0.05).Conclusion:Acupuncture at Jiaji point with exercise therapy can alleviate limb spasm among stroke patients and the effect is remarkable.%目的：探讨针刺夹脊穴联合运动疗法为主对中风偏瘫痉挛状态的影响。方法：选择我院2010年1月～2013年2月收治入院的中风后偏瘫痉挛的患者100例，随机分为两组，对照组50例予以脑卒中内科治疗及常规康复治疗方法，治疗组50例在常规治疗基础上针刺华佗夹脊穴。4周后进行Ashworth肌张力量表评分和Barthel指数评定表评分，观察两组患者治疗效果，并进行统计学分析。结果：治疗组患者治疗后痉挛程度、运动功能障碍、日常生活活动能力与治疗前比较明显改善，差异有统计学意义（ P＜0．05）；与治疗前相比，治疗后对照组患者的日常生活活动能力、运动功能障碍均得到显著改善，且差异具有统计学意义（ P＜0．05）；治疗后，与对照组相比，治疗组患者的痉挛程度、运动功能障碍和日常生活活动能力均明显改善，两组差异具有统计学意义（ P＜0．05）。结论：针刺夹脊穴联合运动疗法为主缓解中风患者肢体痉挛效果显著。