上海针灸杂志2017，Vol.36Issue(7)：776-780,5.DOI:10.13460/j.issn.1005-0957.2017.07.0776
辨证取穴结合电针刺激伸肌对脑卒中后偏瘫患者腕踝关节活动的影响
Therapeutic Observation of Electroacupuncture at Extensors plus Acupoints Based on Syndrome Differentiation for Wrist-ankle Activity in Post-stroke Hemiplegia
摘要
Abstract
Objective To observe the effect of electroacupuncture at extensors plus acupoints based on syndrome differentiation on the wrist-ankle activity in post-stroke hemiplegia. Method A total of 168 patients with post-stroke hemiplegia were randomly divided into a control group and a treatment group, 84 cases each. Both groups were prescribed with Western medication, based on which, the control group received electroacupuncture at acupoints based on syndrome differentiation, and the treatment group received electroacupuncture at extensors plus acupoints based on syndrome differentiation. The changes of electromyography (EMG) in the two groups after the intervention were observed, and the clinical efficacies were compared between the two groups.Results The total effective rate was 95.1% in the treatment group versus 91.0% in the control group, and the between-group difference was statistically significant (P<0.05). After the intervention, the EMG of extensor carpi radialis in the treatment group was significantly different from that in the control group (P<0.05); the between-group difference was statistically insignificant in comparing the EMG of tibialis anterior muscle (P>0.05), but the intra-group differences were statistically significant in both groups(P<0.05). The value of M-amp/H-amp was changed significantly in both groups after the treatment (P<0.01), but the between-group difference was statistically insignificant after the treatment (P>0.05).Conclusion Electroacupuncture at extensors plus acupoints based on syndrome differentiation can increase the motor unit of carpi radialis and decrease the spasm of gastrocnemius in post-stroke hemiplegia, and consequently produce a remarkable clinical efficacy.关键词
桡侧腕伸肌/胫骨前肌/电针/中风后遗症/腕踝关节/肌电图/针药并用/伸肌Key words
Extensor carpi radialis/Tibialis anterior/Electroacupuncture/Post-stroke syndrome/Wrist-ankle joints/EMG/Acupuncture medication combined/Extensors分类
医药卫生引用本文复制引用
吕瑛,石向东,王洁,陈恩卓,张燕,陈春燕,卢苏梅,赵捷..辨证取穴结合电针刺激伸肌对脑卒中后偏瘫患者腕踝关节活动的影响[J].上海针灸杂志,2017,36(7):776-780,5.基金项目
上海市卫计委中医药专项基金青年项目(2014LQ023A) （2014LQ023A）
上海中医药事业发展三年行动计划"杏林新星"人才培养项目(ZY3-RCPY-2-2082) （ZY3-RCPY-2-2082）
