双针并刺治疗中风后下肢肌张力增高临床观察.pdf

上海针灸杂志 2011 年 2 月第 30 卷第 2 期 ·93· 文章编号:1005-0957(2011)02-0093-03 ·临床研究· 双针并刺治疗中风后下肢肌张力增高临床观察 金泽1,李兆贤2,王玉琳1,王琳晶1,包大鹏1 (1.黑龙江中医药大学附属第二医院,哈尔滨 150001;2.黑龙江中医药大学,哈尔滨 150040) 【摘要】 目的 观察双针并刺治疗中风后下肢肌张力增高症状的疗效。方法 50 例患者随机分成治疗组和对照组(各 25 例)。治疗组采取双针并刺患侧肢体拮抗 4 穴、拮抗 5 穴,每日 2 次;对照组给予常规针刺(即取患侧肢体阳陵泉、足三里、阴 陵泉、三阴交、太冲)。结果 治疗组总有效率为 72%,对照组为 56%,两组比较差异有统计学意义(P＜0.05)。结论 双针并 刺治疗中风后下肢肌张力增高症状的疗效优于常规针刺治疗。 【关键词】 针刺;中风后遗症;肌张力过强;拮抗;双针 【中图分类号】 R246.6 【文献标志码】 A DOI:10.3969/j.issn.1005-0957.2011.02.093 Clinical Observations on Double-needle Acupuncture for the Treatment of Post-stroke Leg Hypermyotonia JIN Ze1, LI Zhao-xian2, WANG Yu-lin1, WANG Lin-jing1, BAO Da-peng1. 1.Second Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine,Harbin 150001,China; 2.Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China [Abstract] Objective To investigate the efficacy of double-needle acupuncture in treating post-stroke leg hypermyotonia. Methods Fifty patients were randomly allocated to treatment and control groups (25 cases each). The treatment group received double-needle acupuncture at antagonistic point 4 and antagonistic point 5 on the affected leg, twice daily and the control group, conventional acupuncture (at points Yanglingquan (GB34), Zusanli (ST36), Yinlingquan (SP9) and Taichong (LR3) on the affected leg). Results The total efficacy rate was 72% in the treatment group and 56% in the control group; there was a statistically significant difference between the two groups (P＜0.05). Conclusion The effect of double-needle acupuncture is better than that of conventional acupuncture in treating post-stroke leg hypermyotonia. [Key words] Acupunctur