目的观察调和阴阳针法配合康复训练治疗中风后痉挛性瘫痪的临床疗效。方法将120例患者随机分为两组,治疗组采用调和阴阳针法配合康复训练,对照组采用传统针法配合康复训练,每星期针N6次,休息1d再继续针刺,共治疗3星期。观察治疗前后改良的Ashworth痉挛评定量表(gAS)、四肢简化Fugl-Meyer评分表(FMA)、日常生活能力(ADL)评定中Barthel指数、脑卒中临床神经功能缺损程度评分量表(NDS)评分及疗效。结果治疗组治疗后MAS、FMA、Barthel指数、NDS评分与对照组比较差异均有统计学意义(P〈0.05):治疗组总有效率优于对照组(P〈0.05)。结论调和阴阳针法配合康复训练治疗中风后痉挛性瘫痪比普通针法配合康复训练效果更好。
Objective To investigate the clinical efficacy of yin-yang harmonizing acupuncture plus rehabilitation training in treating post-stroke spastic paralysis. Method One hundred and twenty patients were randomly allocated to two groups. The treatment group received yin-yang harmonizing acupuncture plus rehabilitation training and the control group, conventional acupuncture plus rehabilitation training. Acupuncture was given six times a week, for a total of three weeks with a one day's interval to the next week. The therapeutic effects were evaluated using the Modified Ashworth Scale (MAS), simplified Fugl-Meyer Assessment (FMA), Activities of Daily Living (ADL) and Neurological Deficit Score (NDS) scores before and after treatment. Result There were statistically significant post-treatment differences in the MAS, FMA, ADL and NDS scores between the treatment and control groups (P〈0.05). The total efficacy rate was significantly higher in the treatment group than in the control group (P〈0.05). Conclusion Yin-yang harmonizing acupuncture plus rehabilitation training is more effective than conventional acupuncture plus rehabilitation training in treating post-stroke spastic paralysis.