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1、·364·ShanghaiJAcu-mox,Jun2010,Vol29,No6文章编号:1005-0957(2010)06-0364-03·临床研究·针刺泻阴法治疗脑卒中后痉挛性偏瘫临床观察沈维娜(上海中医药大学附属龙华医院神经内科,上海200032)【摘要】目的观察针刺泻阴法治疗脑卒中后痉挛性偏瘫的疗效。方法采用针刺泻阴法治疗脑卒中后痉挛性偏瘫30例,并与30例传统针刺法对照。结果治疗组中上肢治愈7例,显效12例,进步8例,无效3例;下肢治愈5例,显效10例,进步14例,无效1例。对照组中上肢治愈3例,显效3例,进步16例,无效8例;下肢治愈2例,显效5例,进步17例,无效
2、6例。两组比较差异有统计学意义(P＜0.05)。结论结果表明针刺泻阴法在治疗脑卒中后痉挛性偏瘫有较好的疗效,优于传统针刺法。【关键词】针刺;刺法;中风后遗症;偏瘫【中图分类号】R246.6【文献标志码】AClinicalObservationsonYin-reducingAcupuncturefortheTreatmentofPost-strokeSpasticHemiplegiaSHENWei-na.DepartmentofNeurology,LonghuaHospitalAffiliatedtoShanghaiUniversityofTraditionalChineseM
3、edicine,Shanghai200032,China[Abstract]ObjectiveToinvestigatethetherapeuticeffectofyin-reducingacupunctureonpost-strokespastichemiplegia.MethodsThirtypatientswithpost-strokespastichemiplegiaweretreatedwithyin-reducingacupuncture.Theresultswerecomparedwiththoseinanother30patientstreatedwithco
4、nventionalacupuncture.ResultsOfthetreatmentgroup,cureoccurredintheupperlimbsof7patientsandthelowerlimbsof5patients,markedeffectivenessintheupperlimbsof12patientsandthelowerlimbsof10patients,improvementintheupperlimbsof8patientsandthelowerlimbsof14patients,andineffectivenessintheupperlimbsof
5、3patientsandthelowerlimbsof1patients.Ofthecontrolgroup,cureoccurredintheupperlimbsof3patientsandthelowerlimbsof2patients,markedeffectivenessintheupperlimbsof3patientsandthelowerlimbsof5patients,improvementintheupperlimbsandthelowerlimbsof17patients,andineffectivenessintheupperlimbsof8patien
6、tsandthelowerlimbsof6patients.Therewasastatisticallysignificantdifferenceintherapeuticeffectbetweenthetwogroups(P＜0.05).ConclusionTheresultsindicatethatYin-reducingacupuncturehasabettertherapeuticeffectonpost-strokespastichemiplegia.Itissuperiortoconventionalacupuncture.[Keywords]Acupunctur
7、e;Needlingmethod;Strokesequelae;Hemiplegia[1]痉挛是指肌肉或肌群断续或持续地不随意收缩,中,减轻偏瘫肢体痉挛,抑制异常的肌张力是很重要的,[2]表现为肌群的肌张力增高,协调异常的特定模式。脑有助于日后提高患者的功能活动能力。卒中后肢体痉挛一般发生在恢复早期(亚急性期),即发病后的3～4星期,相当于Brunnstorm分期2～3期,1临床资料并可持续到发病后的4～12星期(恢复中期),相当于1.1一般资料Brunnstorm分期3～4期。亚急性期患者从偏瘫肢体所
