针刺外劳宫穴强刺激治疗中风后全手肌张力增高临床观察

摘要

Objective To evaluate the clinical efficacy of intensive needling stimulation at external Laogong (EX-UE 8) in treating post-stroke hand hypermyotonia.Method Sixty patients with post-stroke hand hypermyotonia were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by ordinary acupuncture plus strong stimulation at external Laogong (EX-UE 8), while the control group was by ordinary acupuncture. After 8-week treatment, the modified Ashworth Scale (MAS) was used to assess the muscular tension of the affected limbs, Fugl-Meyer Assessment (FMA) was for assessing motor function of the affected hand, and Activities of Daily Living (ADL) was used to evaluate the activities of daily living before and after the intervention.Result The MAS, FMA, and ADL scores were significantly changed after the intervention in both groups (P<0.05). The MAS, FMA, and ADL scores of the treatment group were significantly different from that of the control group (P<0.05).Conclusion Acupuncture at external Laogong (EX-UE 8) with intensive stimulation is an effective approach in treating post-stroke hand hypermyotonia.%目的：评价针刺外劳宫穴强刺激治疗中风后全手肌张力增高的临床疗效。方法将60例中风后全手肌张力增高的患者随机分为治疗组和对照组，每组30例。治疗组采用常规针刺配合外劳宫穴强刺激治疗，对照组采用常规针刺治疗。治疗8星期后，观察两组患者治疗前后MAS(患侧肢体肌张力测定)、FMA(患侧手运动功能测定)、ADL(日常生活能力的评定)评分变化。结果两组治疗后MAS、FMA及ADL评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后MAS、FMA及ADL评分与对照组比较，差异均具有统计学意义(P＜0.05)。结论针刺外劳宫穴强刺激是一种治疗中风后全手肌张力增高的有效方法。