拮抗肌运动点电针治疗脑卒中后肢体偏瘫痉挛的研究 - 中国康复医学杂志.pdf

ChineseJournalofRehabilitationMedicine, May 2011, Vol.26,No.5 ·临床研究· 拮抗肌运动点电针治疗脑卒中后 肢体偏瘫痉挛的研究 1 2 1 3 4 1 1 1 1 1，5 王文春 宋庆军 王 倩 周祖刚 尹帮兵 赵娟妮 田 恬 康 健 柏 玲 张安仁 摘要 目的：对比分析拮抗肌运动点和腧穴电针刺激治疗脑卒中后肢体痉挛的临床疗效。 方法：采用平行单盲随机对照研究,将80例患者随机分为两组，两组同时都给予Bobath康复技术治疗，其中治疗组41 例，予以拮抗肌运动点电针刺激治疗，对照组39例，予以拮抗肌常规腧穴电针治疗，两组均每周治疗5次，20次为1个 疗程。 结果：治疗组患者的痉挛程度、运动功能、日常生活活动能力等都有不同程度改善，与对照组比较差异显著（P 0.05）。 结论：拮抗肌运动点电针结合Bobath康复技术能有效缓解脑卒中患者肢体痉挛程度，疗效优于电针常规腧穴+康复。 关键词 电针;脑卒中;偏瘫;痉挛;拮抗肌运动点 中图分类号：R743.3，R742.3 文献标识码：A 文章编号：1001-1242（2011）-05-0438-05 Randomized controlled trial of treatment of hemiplegia and spasticity between electro-acupuncture at an⁃ tagonistic muscular motor points and at acupoints in stroke patients/WANG Wenchun, SONG Qingjun, WANG Qian, et al.//Chinese Journal of Rehabilitation Medicine, 2011, 26(5): 438—442 Abstract Objective ：To compare the effects of electro-acupuncture at antagonistic muscular motor points and at acupoints inhemiplegiaandspasticitypatientsafterstroke。 Method ：The parallel single blind randomized control clinical trial was administered Eighty patients with cerebral stroke were divided into two groups by random. At the same time two groups were all given Bobath rehabilitation technique. Among these patients, therapeutic group(41) was treated with electro-acupuncture at antagonistic muscu⁃ lar motor points, the control group(39) was treated with electro-acupuncture at acupoints, 20 times of treatment was acourse. Result: The clinical observing showed that in therapeutic group electro-acupunctur at antagonistic muscular motor points combined with Bobath rehabilitation technique could improve the spasm, the movement function and ability of activity of daily living,comparedtothecontrolgroup,thedifferenc