华佗夹脊穴埋线调控脑卒中后痉挛状态的临床研究

唐梁英　岑凤兰　潘杰

【摘要】 目的：观察华佗夹脊穴埋线法治疗脑卒中偏瘫肢体痉挛的有效性。方法：选取符合纳入标准的60例病例，按机随数字表法分为治疗组和对照组，每组各30例。治疗组予华佗夹脊穴埋线法治疗，同时进行常规康复治疗，对照组只进行常规康复治疗。治疗前后，利用Ashworth痉挛量表（MAS）评定痉挛程度，采用Brunnstrom运动功能评定和简式Fugl-Meyer评价（FMA）评定运动功能。结果：治疗后两组各项评分都较治疗前改善，治疗组各项指标改善程度明显好于对照组，治疗组总有效66.7%，对照组总有效53.3%，比较差异均有统计学意义（P<0.05）。结论：华佗夹脊穴埋线法对治疗脑卒中偏瘫肢体痉挛有效，且其作用时间长，简便、易行、安全、价格低廉，临床应用价值高。

【关键词】 华佗夹脊穴埋线法； 脑卒中； 肢体痉挛

【Abstract】 Objective：To observe the efficacy of Hua Tuo Jiaji acupoint catgut embedding in the treatment of spastic hemiplegia after stroke.Method：60 cases met inclusion criteria were selected，and they divided into treatment group and control group according to the random number table method，30 cases in each group.The treatment group was treated by Hua Tuo Jiaji acupoint catgut embedding for treatment based on conventional rehabilitation therapy，while the control group received routine rehabilitation treatment simply.Before and after treatment，spasticity was assessed by the Ashworth spasticity scale （MAS）.The motor function was assessed by Brunnstrom and Fugl-Meyer （FMA）.Result：After the treatment，the treatment group and the control group were all better than those before treatment，the total effective rate of the treatment group was 66.7% improved significantly better than the control group of 53.3%，the differences were statistically significant（P<0.05）.Conclusion：Hua Tuo Jiaji acupoint catgut embedding is effective in the treatment of hemiplegic limb spasticity，and its effect last for a long time，simple，safe，low price and high value of clinical application.

【Key words】 Hua Tuo Jiaji acupoint catgut embedding； Stroke； Limb spasticity

First-authors address：Yangjiang Hospital of TCM，Yangjiang 529500，China

doi：10.3969/j.issn.1674-4985.2017.07.023

痙挛是脑卒中的常见并发症，是妨碍肢体运动功能好转的最大障碍，使患者无法行走、活动困难，出现异常坐姿与平衡障碍，日常生活受到严重限制，甚至延续终身[1]。由于痉挛常使患者感觉疼痛，关节活动度减少，影响行走和保持姿势的能力，增加异位骨化和骨折的发生率，从而严重干扰患者的护理和康复功能锻炼，影响其日常生活活动能力和康复效果[2]。中风后痉挛治疗周期较长，少则数周，多则数年，给中风患者家庭和社会带来极重的负担[3]。穴位埋线是一种改良式针刺疗法，与传统针灸相比，其具有作用时间长，简便、易行、安全、有效，价格低廉等优势。本研究检验华佗夹脊穴埋线治疗脑卒中偏瘫肢体痉挛的有效性，现报道如下。

1 资料与方法

1.1 一般资料 本研究纳入2015年5月-2016年12月期间就诊于阳江市中医医院内三科（神经内科）及康复科脑卒中后痉挛性瘫痪患者共60例，根据随机数字表法分为治疗组与对照组，每组各30例。……