摘要
目的探讨电针阳明经穴位对偏瘫患者运动功能康复的影响。方法54例早期脑卒中后偏瘫患者,分为A、B、C三组,A组行运动疗法,B组行运动疗法加电针阳明经穴,C组行运动疗法加平衡肌张力针法,2周和4周后,根据Ashworth痉挛评级和Fugl-Meyer评定(FMA)评定两组疗效。结果3组治疗后运动功能明显改善、肌张力提高,但B、C组评分高于A组(P<0.05)。治疗4周后B组较C组、A组下肢Ashworth分级评分均有显著性差异(P<0.05)。结论电针偏瘫患者阳明经穴位主要提高患者肌张力,对软瘫期运动功能康复可能有效,而不适用于痉挛期。
Objective To study the effects of electro-acupuncturing points of Yangrning meridians on hemiplegia. Methods 45 early herniplegic patients were divided into Groups A, B and C （18 cases in each group）. Physical therapy was performed in each group,those in Group B were electro-acupunctured at points of Yangming meridians, while those in Group C at the points according to balancing muscular tension. They were assessed with Fugl-Meyer Assessment and Ashworth Spasm Rating before and 2, 4 weeks after treatment. Results 2 weeks after treatment, motor function and muscular tension were significantly improved in all the groups, while the efficacy in Groups B and C was superior to Group A （P〈0.05）. 4 weeks after treatment, the Ashworth score of lower extremity in Group B was superior to Groups C and A（P〈0.05）. Conclusion Electro-acupuncturing at points of Yangming meridians can improve the motor function especially muscular tension in hemiplegic patients, which may be helpful for flaccid paralysis, but adverse for spastic paralysis.
出处
《中国康复理论与实践》
CSCD
2007年第11期1056-1057,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
电针
阳明经
偏瘫
康复
肌张力
electro-acupuncture
Yangming meridians
hemiplegia
rehabilitation
muscular tension
