中文摘要：

目的 评价针刺截瘫患者双下肢肌肉运动点的临床疗效.方法 采用随机对照的临床试验设计,将72例符合研究标准的截瘫患者随机分为运动点针刺治疗组和非运动点的经络穴位针刺对照组,两组均进行常规康复治疗训练.两组患者均每天治疗1次,1个月为1个疗程,每个疗程间休息2天,共治疗3个疗程.在治疗前1个疗程、2个疗程、3个疗程、治疗结束后3个月随访时分别进行ASIA针刺觉、ASIA轻触觉评分、ASIA运动评分（MS）、改良Bathel指数（MBI）评定.结果 从增长趋势看,所有患者在观察的6个月内ASIA针刺觉、轻触觉和MS呈增长趋势,但趋势呈先快后慢的抛物线形式增长,两组的平均变化趋势差异无显著性.其中,ASIA针刺觉的回归模型方程为y（估计值）=77.891＋4.063time-0.627time2,ASIA轻触觉的回归模型方程为y（估计值）=77.115＋2.994time-0.525time2,MS的回归模型方程为y（估计值）=60.016＋4.582time-0.667time2.就MBI值而言,其回归模型为y（MBI的估计值）=41.157＋5.049 time＋3.415time×treat,两组均呈线性增长趋势,但治疗组的增长幅度更大些.说明两组近期疗效无差别,但治疗组远期效果更好.结论 运动点针刺法能改善外伤性截瘫患者的感觉功能、运动功能、日常生活活动能力;但从远期效果来看,对截瘫患者下肢肌肉运动点进行针刺能明显改善外伤性截瘫患者的日常生活活动能力.

英文摘要：

Objective This trial was designed to objective evaluation of acupuncture paraplegia patients with double lower limbs muscle movement points with the movement of meridian acupuncture in the treatment of traumatic thoracic lumbar segment of spinal cord injury curative effects, Method This study used a randomized, double-blind and blank-control method. 72 subjects who met the diagnostic criteria for SCI were invoved in this trail. They were devid- ed into 2 groups randomly. The treatment group was given the therapy of motor point acupuncture therapy with reha- bilitation training, while the control group was treated with the therapy of Regular meridians acupuncture with reha- bilitation training. And the subjects had treatment once everyday. One month was taken as a theraputic course. All the patients got three courses with two-day rest between each course. Subjects in each group were measured with A- SIA classification,ASIA feel score ,ASIA motion score,everyday life activity ability （improved Bathel index scale） , body weeks diameter before the treatment, one month later, two months later, three months later and one month later after all the therapies respectively. Result From the uprising trend during the four months, all the patients indexes went up, not straightly, which came up a little then went to a stable level. Explains namely two groups in the therapeutic effect of needle feeling, light touch and motion score no difference. Acupuncture feeling model formula was y （estimated value）= 77. 891 ＋4.063time-0. 627time2, slight touching level model formula was y（ estimated value）= 77.115 ＋ 2. 994time - 0. 525timez, and MS model formula was y （ estimated value ） = 60. 016 ＋ 4. 582time - 0. 667timez. MBI model was y（estimated value）= 41. 157＋5. 049 time＋3. 415time×treat. Explains namely two group of recent healing treatment group, but there is more superior long-term outcomes. Conclusion Motor point acupuncture method can improve the feeling function, movement function, activity of da