CAJ | 학술논문

目的：探讨电针环跳、承扶穴治疗脑卒中偏瘫患者下肢伸肌痉挛状态的临床疗效。方法：将80例患者随机分为两组，常规组（40例）和实验组（40例），实验组采用电针环跳、承扶穴法治疗，常规组采用临床常用针刺法治疗。两组治疗时间都为1个月，比较两组临床疗效。结果：治疗4个疗程后实验组与常规组的痉挛程度疗效相似，无统计学意义（P ＞0．05）；治疗后两组都能提高日常生活活动能力（ADL）评分（均P＜0．05），且疗效无明显差异（P＞0．05）。结论：电针环跳、承扶穴能有效治疗脑卒中偏瘫患者下肢伸肌痉挛状态，提高患者的生活能力。
목적：탐토전침배도、승부혈치료뇌졸중편탄환자하지신기경련상태적림상료효。방법：장80례환자수궤분위량조，상규조（40례）화실험조（40례），실험조채용전침배도、승부혈법치료，상규조채용림상상용침자법치료。량조치료시간도위1개월，비교량조림상료효。결과：치료4개료정후실험조여상규조적경련정도료효상사，무통계학의의（P ＞0．05）；치료후량조도능제고일상생활활동능력（ADL）평분（균P＜0．05），차료효무명현차이（P＞0．05）。결론：전침배도、승부혈능유효치료뇌졸중편탄환자하지신기경련상태，제고환자적생활능력。
Objective:To investigate the clinically curative effect on the hemiplegic limb extensor spasticity af-ter stroke by electro -acupuncture at Huantiao point and Chengfu point .Methods:80 patients were randomly divided into two groups , conventional group (40 cases) and experimental group (40 cases).The experimental group was used the therapy of electro -acupuncturing at Huantiao point and Chengfu point .The conventional group was used the therapy of electro -acupuncturing at the points that was commonly used in clinic .The treat-ment time of two groups was one month ,then compare two clinical efficacy .Results:After four courses of treat-ment ,the curative effect of the experimental group on the degree of spasm was similar to the conventional group , which had no statistical significance ( P>0 .05 ); after treatment both two groups could improve activities of daily living (ADL) score (P<0.05) and they had no difference between the curative effect (P>0.05).Con-clusion:Electro-acupuncturing at Huantiao point and Chengfu point can treat the hemiplegic limb extensor spasticity after stroke effectively and improve the patient's ability to live .