上海针灸杂志2018，Vol.37Issue(2)：149-153,5.DOI:10.13460/j.issn.1005-0957.2018.02.0149
调神解痉针刺法治疗中风后上肢痉挛性瘫痪临床观察
Clinical Observation of Tiao Shen Jie Jing Needling in Treating Post-stroke Upper-limb Spastic Palsy
摘要
Abstract
Objective To observe the clinical efficacy of Tiao Shen Jie Jing needling (regulating the mind and release spasm) in treating post-stroke upper-limb spastic palsy. Method Ninety patients with post-stroke upper-limb spastic palsy were randomized into an observation group and a control group, 45 cases each. The observation group was intervened by Tiao Shen Jie Jing needling, while the control group was given ordinary acupuncture. The Modified Ashworth Scale (MAS), short-form Fugl-Meyer Assessment (SFMA) and Barthel Index (BI) were evaluated and recorded prior to the treatment, after 2-week and 4-week treatment and 3 months later after the intervention; the serumγ-aminobutyric acid (GABA) was detected before and after the treatment. Result The total effective rate was 83.3% in the observation group versus 61.0% in the control group, and the efficacy of the observation group was superior to that of the control group (P<0.05). The scores of each scale showed improvements after the treatment in both groups (P<0.05), and the improvements in the observation group were more significant (P < 0.05). The follow-up showed continuing improvements in the scales in the observation group, which were superior to those in the control group (P<0.05); after the treatment, the content of GABA in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Tiao Shen Jie Jing needling can effectively ameliorate the upper-limb spasm,as well as the motor function of the upper extremities, improve the activities of daily living and maintain a long-term efficacy, better than ordinary acupuncture. The action mechanism is related to the regulation of GABA content in serum.关键词
中风后遗症/针刺/头针刺激区/调神解痉针刺法/偏瘫/上肢痉挛性瘫痪/γ-氨基丁酸Key words
Post-stroke syndrome/Acupuncture/Scalp stimulation areas/Tiao Shen Jie Jing needling/Hemiplegia/Upper-limb spastic palsy/GABA分类
医药卫生引用本文复制引用
孙熙罡,张金喜,王晶,王秀娟,王立存,赵淑华,林翠茹..调神解痉针刺法治疗中风后上肢痉挛性瘫痪临床观察[J].上海针灸杂志,2018,37(2):149-153,5.基金项目
天津市中医药管理局中医中西医结合资助项目(11058) （11058）
