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目的观察针刺结合乙哌立松治疗脑卒中后肌痉挛的临床疗效。方法将97例脑卒中早期伴有肌张力增高患者随机分为两组,其中治疗组49例,对照组48例。治疗组给予针刺治疗,同时口服乙哌立松每次50 mg,每日3次,持续4周;对照组仅给予针刺治疗。采用Bohannon改良的Ashworth分级法和Fngl-Meyer评分法对两组患者治疗前后患肢肌张力及运动功能进行评定。结果 Ashworth评分显示,治疗4周后两组患肢肌张力改变程度差异有统计学意义(χ2=15.63,14.77,P<0.05)。Fngl-Meye评分显示,治疗4周后两组患肢运动功能障碍改善程度差异有统计学意义(t=3.39,P<0.05)。结论针刺结合乙哌立松较单纯针刺治疗可更明显改善脑卒中后患肢肌痉挛,提高患肢运动功能。
Objective To observe the clinical effect of acupuncture combined with eperisone on post-stroke muscle spasm. Methods Ninety-seven patients with early hypertensive stroke were randomly divided into two groups: 49 in the treatment group and 48 in the control group. The treatment group was given acupuncture treatment, while oral eperisone 50 mg, 3 times daily for 4 weeks; the control group was given only acupuncture. Bohannon modified Ashworth classification and Fngl-Meyer score were used to evaluate the muscle tension and motor function of the two groups before and after treatment. Results Ashworth score showed that after 4 weeks of treatment, there was significant difference in the degree of muscle tone between the two groups (χ2 = 15.63, 14.77, P <0.05). The Fngl-Meye score showed that there was significant difference between the two groups in the improvement of limb dysfunction after 4 weeks of treatment (t = 3.39, P <0.05). Conclusion Acupuncture combined with Eperisone is more effective than simple acupuncture treatment of limb spasm after stroke and improve limb motor function.