《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (11): 1056-1057.

• 临床研究 • 上一篇    下一篇

电针阳明经穴位对偏瘫患者运动功能康复的影响

薛茜1; 熊国星2; 霍国敏1; 李淑萍1   

  1. 1.武警北京总队医院,北京市 100027;2.首都医科大学康复医学院,北京市 100068
  • 收稿日期:2006-11-17 出版日期:2007-11-01 发布日期:2007-11-01

Effect of Electroacupuncture at Points of Yangming Meridians on Motor Function in Hemiplegic Patients

XUE Qian, XIONG Guo-xing, HUO Guo-min, et al   

  1. Beijing Corps Hospital of Chinese People's Armed Police Forces, Beijing 100027, China
  • Received:2006-11-17 Published:2007-11-01 Online:2007-11-01

PDF (PC)

被引次数

60

摘要： 目的探讨电针阳明经穴位对偏瘫患者运动功能康复的影响。方法54例早期脑卒中后偏瘫患者,分为A、B、C三组,A组行运动疗法,B组行运动疗法加电针阳明经穴,C组行运动疗法加平衡肌张力针法,2周和4周后,根据Ashworth痉挛评级和Fugl-Meyer评定(FMA)评定两组疗效。结果3组治疗后运动功能明显改善、肌张力提高,但B、C组评分高于A组(P<0.05)。治疗4周后B组较C组、A组下肢Ashworth分级评分均有显著性差异(P<0.05)。结论电针偏瘫患者阳明经穴位主要提高患者肌张力,对软瘫期运动功能康复可能有效,而不适用于痉挛期。

关键词: 电针, 阳明经, 偏瘫, 康复, 肌张力

Abstract: Objective To study the effects of electro-acupuncturing points of Yangming meridians on hemiplegia.Methods45 early hemiplegic patients were divided into Groups A,B and C(18 cases in each group).Physical therapy was performed in each group,those in Group B were electro-acupunctured at points of Yangming meridians,while those in Group C at the points according to balancing muscular tension.They were assessed with Fugl-Meyer Assessment and Ashworth Spasm Rating before and 2,4 weeks after treatment.Results2 weeks after treatment,motor function and muscular tension were significantly improved in all the groups,while the efficacy in Groups B and C was superior to Group A(P<0.05).4 weeks after treatment,the Ashworth score of lower extremity in Group B was superior to Groups C and A(P<0.05).ConclusionElectro-acupuncturing at points of Yangming meridians can improve the motor function especially muscular tension in hemiplegic patients,which may be helpful for flaccid paralysis,but adverse for spastic paralysis.

Key words: electro-acupuncture, Yangming meridians, hemiplegia, rehabilitation, muscular tension