CAJ | 학술논문

目的：观察针灸解痉调气法结合康复治疗对脑卒中痉挛期患者的临床疗效。方法脑卒中痉挛期患者153例，完全随机法分为治疗1组51例，治疗2组50例，对照组52例；对照组采用康复治疗，治疗1组采用针刺解痉调气法，治疗2组采用针刺解痉调气法加康复治疗。采用改良Ashworth评定法评定痉挛程度，巴氏指数（ADL-Barthel）分级法评定日常生活能力。结果三组治疗前后Ashworth评定、ADL-Barthel指数均明显改善（P<0.05）；治疗1、2组临床总有效率、Ash原worth评定、ADL-Barthel指数优于对照组，差异有统计学意义（P<0.05，P<0.01），治疗2组疗效优于治疗1组（P<0.05）。结论针刺解痉调气法结合康复治疗对脑卒中痉挛期运动功能恢复的疗效优于单纯针刺解痉调气法治疗和康复治疗。
목적：관찰침구해경조기법결합강복치료대뇌졸중경련기환자적림상료효。방법뇌졸중경련기환자153례，완전수궤법분위치료1조51례，치료2조50례，대조조52례；대조조채용강복치료，치료1조채용침자해경조기법，치료2조채용침자해경조기법가강복치료。채용개량Ashworth평정법평정경련정도，파씨지수（ADL-Barthel）분급법평정일상생활능력。결과삼조치료전후Ashworth평정、ADL-Barthel지수균명현개선（P<0.05）；치료1、2조림상총유효솔、Ash원worth평정、ADL-Barthel지수우우대조조，차이유통계학의의（P<0.05，P<0.01），치료2조료효우우치료1조（P<0.05）。결론침자해경조기법결합강복치료대뇌졸중경련기운동공능회복적료효우우단순침자해경조기법치료화강복치료。
Objective To observe the clinical efficacy of modified acupuncture combined with rehabilitation ther-apy on spasticity in stroke patients. Methods One hundred and fifty-three stroke patients with limb spasticity were randomly divided into treatment group 1(n=51), treatment group 2(n=50), and control group(n=52). Patients in treatment group 1 received modified acupuncture for spasmolysis and regulating Qi purpose; patients in treatment group 2 received the same acupuncture therapy as treatment group 1 plus rehabilitation therapy; and control group only had rehabilitation therapy. The modified Ashworth scale was used to assess degree of spasticity and ADL-Barthel scale was used to evaluate activity of daily living. Results The Ashworth and ADL-Barthel scores were improved in all three groups after treatment(P<0.05). Compared with control group, the overall effective rate was higher, the Ashworth score was lower, and the ADL-Barthel score was higher in treatment group 1 and 2(P<0.05, P<0.01). The effective rate of treatment group 2 was higher than that of treatment group 1(P<0.05). Conclusion Mod-ified acupuncture combined with rehabilitation therapy has good effect on motor recovery of hemiplegic limb spas-ticity after stroke, and the effect is better than simple acupuncture treatment and rehabilitation alone.