刺络放血合电针治疗脑卒中上肢痉挛30例

发布时间：2018-10-04 18:24

【摘要】：目的:观察刺络放血合电针治疗脑卒中上肢痉挛的疗效。方法:30例脑卒中上肢痉挛患者在抗痉挛体位和脑血管病常规药物治疗基础上,于上肢(上臂、前臂)肌张力增高的屈肌、触诊最硬处或胸大肌止点触诊最硬处,每次选取二三个硬结点进行刺络放血治疗,并选取患侧肩毭、肩毼、佈会、曲池、手三里、外关等穴行常规针刺,肩毼-佈会、手三里-外关连接电针,每日1次,10次为一疗程,治疗2个疗程。观察治疗前后简易Fugl-Meyer上肢功能评分、肌电图H反射最大H波与M波比(Hmax/Mmax),并进行疗效评定。结果:30例患者中,显效20例,有效6例,无效4例,总有效率达86.7%。与治疗前比较,治疗后简易Fugl-Meyer上肢功能评分提高(P0.05),患侧正中神经、尺神经、桡神经的Hmax/Mmax比值均改善(均P0.05)。结论:刺络放血结合电针治疗脑卒中患者上肢痉挛,能够有效降低屈肌张力,提高伸肌肌力。
[Abstract]:Objective: to observe the curative effect of pricking collaterals and bleeding combined with electroacupuncture on upper limb spasm in stroke. Methods on the basis of antispastic posture and routine drug therapy of cerebrovascular disease, 30 patients with upper limb spasm after stroke were treated with flexor muscles with increased muscle tension in upper limb (upper arm and forearm). Two or three points were selected for pricking bloodletting treatment, and points of the affected side, such as shoulder, cloth, bend, Sanli, Waiguan and so on, were selected to carry out routine acupuncture, shoulder to cloth, and hand three li to outside close to connect electroacupuncture. Once a day 10 times as a course of treatment, 2 courses of treatment. The functional score of simple Fugl-Meyer upper limb and the ratio of H wave to M wave (Hmax/Mmax) of electromyography (EMG) were observed before and after treatment, and the curative effect was evaluated. Results among 30 cases, 20 cases were effective, 6 cases were effective, 4 cases were ineffective. The total effective rate was 86.7%. Compared with before treatment, the functional score of upper limb of simple Fugl-Meyer was improved after treatment (P0.05), the Hmax/Mmax ratio of median nerve, ulnar nerve and radial nerve were improved (P0.05). Conclusion: pricking collaterals and bloodletting combined with electroacupuncture can effectively reduce flexor tension and increase extensor muscle strength in patients with cerebral apoplexy.
【作者单位】：山东省交通医院针灸科;山东省桓台县中医院;
【基金】：山东省中医药科技发展计划项目:2013-224
【分类号】：R246.6

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