不同针刺方法对中风患者手痉挛影响对比探究.docVIP

不同针刺方法对中风患者手痉挛影响对比探究文章编号：0255-2930(2008)07-0503-03 中图分类号：R 246.6 文献标志码：A [摘 要] 目的：观察内关穴不同针刺手法治疗中风患者手部痉挛的疗效。方法：将172例患者随机分为单纯针刺组(36例)、慢速捻针组(34例)、快速捻针组(30例)、单纯提插组(35例)和提插捻转组(37例)。均取内关穴，每天针刺2次，每次5分钟，并配合康复训练。以修订的Ashworth量表和Fugl-Meyer(FMA)手功能评分评定疗效。结果：手痉挛即刻有效率和治疗8周后有效率单纯针刺组分别为66.7%、55.6%，慢速捻针组为82.4%、85.3%，快速捻针组为96.7%、90.0%，单纯提插组为80.0%、82.9%，提插捻转组为94.6%、91.9%，快速捻针组与提插捻转组疗效优于其他3组(P0.05)。结论：针刺内关穴有非常肯定的即刻效应，提插捻转手法与快速捻转手法对痉挛的抑制效果最佳。 [关键词] 穴,内关；中风后遗症/针灸疗法；肌痉挛/针灸疗法；针刺方向 Comparative study on effects of different acupuncturemanipulationmethods at Neiguan (PC 6) on hand spasm in the patient of stroke WANG Li-chun, WANG Zhi-yong, KANG Xi-zhong, JIA Li-juan (Department of Neurology, Affiliated Hospital of Integrated Chinesemedicine and Westernmedicine of Hebei University ofmedical Sciences, Cangzhou 061001, China) ABSTRACT：Objective To observe therapeutic effects of different needlingmethods at Neiguan (PC 6) on hand spasm in the patient of stroke.methods One hundred and seventy-two cases were randomly divided into a simple acupuncture group (n=36), a slowly twirling needle group (n=34), a rapidly twirling needle group (n=30), a simple lifting-thrusting group (n=35) and a lifting-thrusting-twirling needle group (n=37).Acupuncture was gi-ven at Neiguan (PC 6), twice each day, 5min each time, and in combination with rehabilitation exercise.modified Ashworth scale and Fugl-Meyer (FMA) hand function score were used for assessment of therapeutic effects.ResultsThe transient effective rate and the effective rate after treatment for 8 weeks for hand spasm were 66.7% and 55.6% in the simple acupuncture group, 82.4% and 85.3% in the slowly twirling needle group,96.7% and 90.0% in the rapidly twirling needle group, 80.0% and 82.9% in the simple lifting-thrusting group and 94.6% and 91.9% in the lifting-thrusting-twirling needle group, the rapidly twirling needle group and the lifting-thrusting-twirling needle group being better than other 3 groups (P0.05).Conclusion Acupunctu