摘要
目的观察针灸加中药调和阴阳与传统针刺疗法对中风患者痉挛性瘫痪肢体肌力、肌张力及日常生活活动(ADL)能力的影响。方法将符合纳入标准的69例患者随机分为治疗组35例和对照组34例,治疗组同时接受针灸及中药治疗,而对照组仅接受传统针刺治疗。两组患者均于治疗前和治疗后1个月进行偏瘫肢体的肌力、肌张力及ADL的评定。结果治疗后治疗组显效18例,有效11例,无效6例,总有效率为82.9%;对照组显效11例,有效10例,无效13例,总有效率为61.8%,两组总有效率相比差异有统计学意义(P<0.01);对于ADL的改善,治疗组亦优于对照组(P<0.01)。结论针药并用调节阴阳的疗法能更好地改善脑卒中后痉挛性瘫痪患者的肌力及肌张力,促进患肢功能的恢复,提高日常生活活动能力,其疗效优于传统针刺方法。
Objective To compare the effect of acupuncture plus medicine for regulating yin and yang with conventional acupuncture on the myodynamia and muscular tension of the spastic paralyzed limb and activity of daily living （ADL） in stroke patients. Methods Sixty-nine patients meeting the inclusion criteria were randomly allocated to a treatment group of 35 cases and a control group of 34 cases. The treatment group was treated with acupuncture plus Chinese herbal medicine and the control group, with conventional acupuncture only. The myodynamia and muscular tension of the hemiplegic limb and activity of daily living （ADL） were evaluated in both group of patients before and one month after treatment. Results Of the treatment group after treatment, marked effectiveness occurred in 18 cases, effectiveness in 11 cases and ineffectiveness in 6 cases, with a total efficacy rate of 82.9%; of the control group after treatment, marked effectiveness occurred in 11 cases, effectiveness in 10 cases and ineffectiveness in 13 cases, with a total efficacy rate of 61.8%. There was a statistically significant difference in the total efficacy rate between the two groups （P 〈 0.01 ）. ADL improved more in the treatment group than in the control group （ P 〈 0.01 ）. Conclusion The combined use of acupuncture and medicine to regulate yin and yang can ameliorate myodynamia and muscular tension, promote the recovery of affected limb function and improve activity of daily living more effectively in patients with postapoplectic spastic paralysis. Its therapeutic effect is superior to that of conventional acupuncture.
出处
《上海针灸杂志》
2008年第8期18-20,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
中风后遗症
针刺疗法
针药并用
肌张力
脑卒中
Poststroke syndrome
Acupuncture
Combined use of acupuncture and medicine
Muscular tension
Cerebral accident
