拮抗肌运动点电针治疗脑卒中后踝内翻的临床疗效①.pdfVIP

中国康复理论与实践2012 年9 月第18 卷第9 期 Chin J Rehabil Theory Pract, Sep. 2012, Vol. 18, No.9 - 813 - DOI : 10.3969/j.issn. 1006-9771.2012.09.006 ·专题· 拮抗肌运动点电针治疗脑卒中后踝内翻的临床疗效① 1 1 2 3 1 1 杨和平 ，李易 ，舒相平 ，易陆 ，梁莹 ，全主见 [摘要] 目的 比较拮抗肌运动点和腧穴电针刺激治疗脑卒中后踝内翻的临床疗效。方法 96 例患者随机分为治疗组(n=48)和 对照组(n=48) ，两组均予Bobath 法康复治疗，治疗组予拮抗肌运动点电针治疗，对照组予以拮抗肌常规腧穴电针治疗，共4 周。治 疗前后采用Holden 步行功能分类、改良Ashworth 量表和踝关节自主背伸外翻分级法进行评定。结果 两组患者治疗后，Holden 步 行功能分类、改良Ashworth 量表、踝关节自主背伸外翻分级评分都有不同程度改善(P0.05) ，治疗组优于对照组(P0.05) 。结论 拮抗肌运动点电针缓解脑卒中患者痉挛性踝内翻疗效优于常规腧穴电针。 [关键词] 脑卒中；踝内翻；电针；拮抗肌运动点 Electroacupuncture at Antagonistic Motor Points for Ankle Varus post Stroke YANG He-ping, LI Yi, SHU Xiang-ping, et al. No.2 Peo- ples Hospital of Huaihua City, Huaihua 418400, Hunan, China Abstract: Objective To compare the clinical effects of electroacupuncture at antagonistic motor points and at acupoints on ankle varus post stroke. Methods 96 patients with ankle varus post stroke were randomly divided into treatment group (n=48) and control group (n=48). All the patients accepted Bobath approach. The treatment group accepted electroacupuncture at antagonistic motor points, while the control group at antagonistic acupoints. They were assessed with Holden functional ambulation category, modified Ashworth scale and dorsiflex- ion-eversion grade of ankle before and after 4 weeks of treatment. Results The ambulation, spasticity of ankle, and dorsiflexion-eversion of ankle improved in both groups after treatment (P0.05), and improved more in the treatment group than in the control group (P0.05). Con- clusion Electroacupuncture at antagonistic motor points may release spasticity of ankle post stroke more effective than at acpo