【摘要】 目的探讨分层腹针刺法对中风后肢体痉挛的临床疗效对比研究,为临床治疗中风后肢体痉挛寻求一种较为理想的针刺疗法,以期指导临床实践。方法根据纳入标准确定为中风后肢体痉挛患者60例,随机分为2组:治疗一组(引气归元+腹四关穴组30例,取穴:中脘、下脘、气海、关元+双侧滑肉门、外陵)和治疗二组(引气归元+风湿点穴组30例,取穴:中脘、下脘、气海、关元+双侧上风湿点、下风湿点、上风湿外点、下风湿下点),治疗2周为一个疗程,共治疗2个疗程,每天1次,每次留针30分钟。对两组患者进行治疗前后改良Ashworth评分,对评分结果进行组间、组内比较。结果两组患者治疗前后组内比较,治疗后改良Ashworth评分(P<0.01);治疗后组间比较改良Ashworth评分(P<0.05);治疗一组疗效优于治疗二组(P<0.01)。两组患者治疗后上肢改良Ashworth评分总有效率比较(P>0.05),疗效无明显差异,治疗后下肢改良Ashworth评分总有效率相比有极显著性差异(P<0.01)。结论分层腹针刺法对改善中风后肢体痉挛的症状有效。更多还原

【Abstract】 Objective To discuss the contrastive study of clinical effects of the layered abdominal acupuncture in the treatment of post-stroke limb spasms,and to seek a kind of more ideal acupuncture therapy to treat post-stroke body spasms to guide the clinical practice. Method Based on the inclusion criteria,60 cases of patients with post-stroke limb spasm were randomly divided them into the first treatment group of30 cases( air-entraining to yuan,abdomen four close acupuncture point group,acupoint selection was as follows: Zhongwan,Xiawan,Qihai,Guanyuan and bilateral Huaroumen,Wailing) and the second treatment group of 30 cases( air-entraining to yuan and rheumatism attack a vital point group,acupoint selection was as follows: Zhongwan,Xiawan,Qihai,Guanyuan and bilateral upper rheumatism point,underneath rheumatism point,outer point of upper rheumatism point,underneath point of underneath rheumatism point). Two week was a course of treatment,the treatment continued two courses,one time a day,retaining the needle 30 minutes each time. With the help of the improved Ashworth to grade two groups in pretherapy and post-treatment,and score results within and between two groups was compared.Result The two groups of patients were compared within the groups in pretherapy and post-treatment and the groups in post-treatment could improve Ashworth score( P < 0. 01). The comparison between groups in post-treatment could improve Ashworth score( P < 0. 05). The curative effect of the first treatment group was better than that of the second treatment group( P < 0. 01). The comparison of the total effective rate of the improved Ashworth score of upper limbs of two groups of patients in post-treatment( P > 0. 05) and the curative effect had no obvious difference,at the same time,the comparison of the total effective rate of the improved Ashworth score of lower limbs of two groups of patients in post-treatment had highly significant difference( P < 0. 01). Conclusion The method of layered abdominal acupuncture is effective to improve the symptoms of post- stroke limb spasms.更多还原