中医药临床杂志2024,Vol.36Issue(1) :143-147.DOI:10.16448/j.cjtcm.2024.0130

梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫疗效观察

Clinical Observation on the Treatment of Spastic Hemiplegia after Stroke with Plum Blossom Needle Tapping Along the Meridian Combined with Acupuncture

尹蓁枝 韩为 张国庆 童文倩 李岳楠
中医药临床杂志2024,Vol.36Issue(1) :143-147.DOI:10.16448/j.cjtcm.2024.0130

梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫疗效观察

Clinical Observation on the Treatment of Spastic Hemiplegia after Stroke with Plum Blossom Needle Tapping Along the Meridian Combined with Acupuncture

尹蓁枝 1韩为 2张国庆 3童文倩 1李岳楠1
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作者信息

  • 1. 安徽中医药大学研究生院 安徽合肥 230000
  • 2. 广州医科大学附属脑科医院 广东广州 510370
  • 3. 安徽中医药大学第二附属医院 安徽合肥 230000
  • 折叠

摘要

目的:观察梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的临床疗效.方法:将符合标准的 72 例脑卒中后痉挛性偏瘫患者随机分为观察组和对照组,每组各 36 例.对照组予脑卒中基础治疗联合针刺治疗,每周 5 次,2 周为一疗程,共治疗 4 个疗程.观察组在对照组的治疗基础上采用梅花针叩刺阳明经,上肢叩刺手阳明大肠经,下肢叩刺足阳明胃经,每周 3 次,2 周为一疗程,共治疗 4 个疗程.观察 2 组患者治疗前后Fugl-Meyer运动功能(FMA)评分、日常生活活动能力Barthel指数(BI)评分和改良Ashworth痉挛量表(MAS)分级变化,并比较 2 组间的临床疗效.结果:治疗后 2 组患者FMA评分、BI评分和上下肢MAS分级均优于治疗前(P<0.05),且观察组以上 3 项指标的改善程度均优于对照组(P<0.05).治疗组总有效率为 97.2%,高于对照组的 77.8%,差异有统计学意义(P<0.05).结论:梅花针循经叩刺联合针刺治疗脑卒中后痉挛性偏瘫的疗效较单纯的针刺治疗更为显著,能够明显改善脑卒中后痉挛性偏瘫患者肢体运动功能和痉挛状态,提高临床疗效,改善患者的生活质量.

Abstract

Objective:To observe the clinical efficacy of plum blossom percussion along the meridian combined with acupuncture in the treatment of spastic hemiplegia after stroke.Methods:72 patients with post-stroke spastic hemiplegia who met the criteria were randomly divided into an observation group and a control group,with 36 cases in each group.The control group received basic stroke treatment combined with acupuncture,5 times a week,2 weeks as one course of treatment,for a total of 4 courses.On the basis of the treatment of the control group,the observation group used plum blos-som needles to tap the Yangming meridian,the upper limbs to tap the hand Yangming large intestine meridian,and the lower limbs to tap the foot Yangming stomach meridian,3 times a week,2 weeks as a course of treatment,and a total of 4 patients were treated.Treatment course.The changes in Fugl-Meyer motor function(FMA)score,daily living activity ability Barthel index(BI)score and modified Ashworth spasticity scale(MAS)grading of the patients in the 2 groups before and after treatment were observed,and the clinical efficacy between the 2 groups was compared.Results:After treatment,the FMA score,BI score and upper and lower limb MAS grading of the two groups of patients were all better than before treatment(P<0.05),and the improvement degree of the above three indicators in the observation group was better than that of the control group(P<0.05).The total effective rate of the treatment group was 97.2%,which was higher than the 77.8%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Plum-blossom needle percussion along the meridian combined with acupuncture is more effective in treating post-stroke spastic hemiplegia than acupunc-ture alone.It can significantly improve the limb motor function and spasticity of patients with post-stroke spastic hemiple-gia,and improve clinical efficacy.Improve patients'quality of life.

关键词

痉挛性偏瘫/梅花针/脑卒中/手足阳明经/疗效

Key words

Spastic hemiplegia/Plum blossom acupuncture/Stroke/Yangming Meridian of the hands and feet/Therapeutic effect

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基金项目

国家自然科学基金面上项目(81973933)

安徽省第十三批115产业创新团队项目(皖人才办[2020]4号)

出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
参考文献量24
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