上海针灸杂志2017，Vol.36Issue(5)：519-524,6.DOI:10.13460/j.issn.1005-0957.2017.05.0519
基于正交试验设计针刺干预中风患肢肌张力增高的临床研究
Clinical Study on Acupuncture in Intervening Hypermyotonia of the Affected Limbs in Stroke Based on Orthogonal Experimental Design
摘要
Abstract
Objective To explore the optimal acupuncture scheme in intervening hypermyotonia of the affected limbs in stroke.Method Eighty eligible stroke patients were randomly grouped by using the orthogonal experimental design, by adopting electroacupuncture (A), daily acupuncture frequency (B), and acupoint (C) as three factors, and two levels. A total of 20 treatment sessions were conducted. Each group was scored by using the Modified Ashworth Scale (MAS) before and after the treatment, and the safety was also evaluated.Result There was a significant difference in comparing the MAS score between the two different levels of factor A (P<0.05), while there were no significant differences in comparing the MAS scores between different levels of factor B and factor C (P<0.05). Concerning the improvement of the MAS scores of wrist, elbow, knee, and ankle joints, A2B1C1(i.e. electroacupuncture twice a day with acupoints from yin meridians) was the optimal treatment scheme.Conclusion Electroacupuncture twice a day is the optimal treatment scheme for hypermyotonia of the affected limbs in stroke, as it can effectively ease the hypermyotonia, improve the function and symptoms of the limbs, and has a satisfactory security evaluation.关键词
针刺疗法/电针/正交设计/中风后遗症/改良Ashworth量表Key words
Acupuncture therapy/Electroacupuncture/Orthogonal design/Stroke sequelae/Modified Ashworth Scale分类
医药卫生引用本文复制引用
马文,崔花顺,王波,刘希茹,王美娟,沈卫东..基于正交试验设计针刺干预中风患肢肌张力增高的临床研究[J].上海针灸杂志,2017,36(5):519-524,6.基金项目
上海市卫计委课题(2016LP046) （2016LP046）
上海市教育委员会预算内科研项目(2015JX11) （2015JX11）
上海市"杏林新星"计划(ZY3-RCPY-2-2008) （ZY3-RCPY-2-2008）
上海中医药大学临床中青年骨干教师培养计划 （）
上海市科学技术委员会科研计划项目(16401970402) （16401970402）
