CAJ | 학술논문

目的：观察拮抗肌群透刺法治疗中风后痉挛性偏瘫的疗效。方法：将80例痉挛型偏瘫患者随机分为观察组（40例）和对照组（40例），均给予控制血压、血糖、调节血脂、防止血小板聚集、防治并发症、营养支持等基础治疗，并在此基础上分别配合拮抗肌群透刺治疗及常规针刺治疗，观察两组患者的肌张力恢复总有效率及患肢运动功能、痉挛程度的改善情况。结果：观察组总有效率为92.50%，高于对照组的80.00%（P<0.05）；观察组治疗后FMA评分、CSI评分均优于对照组（P<0.05、P<0.01）。结论：拮抗肌群透刺法治疗中风后痉挛性偏瘫疗效显著。
목적：관찰길항기군투자법치료중풍후경련성편탄적료효。방법：장80례경련형편탄환자수궤분위관찰조（40례）화대조조（40례），균급여공제혈압、혈당、조절혈지、방지혈소판취집、방치병발증、영양지지등기출치료，병재차기출상분별배합길항기군투자치료급상규침자치료，관찰량조환자적기장력회복총유효솔급환지운동공능、경련정도적개선정황。결과：관찰조총유효솔위92.50%，고우대조조적80.00%（P<0.05）；관찰조치료후FMA평분、CSI평분균우우대조조（P<0.05、P<0.01）。결론：길항기군투자법치료중풍후경련성편탄료효현저。
Objective: To observe the efficacy of the treatment of penetration needling in antagonistic muscles for spastic hemiplegia after stroke. Methods:80 cases of patients with spastic hemiplegia were randomly divided into observation group (40 cases) and control group (40 cases), which both treated by basic treatment that included controlling blood pressure and glucose, regulating blood lipid, preventing platelet aggregation and com-plications, and nutritional support;and respectively combined with treatment of penetration needling in antagonistic muscles and conventional acu-puncture, observed the total effective rate of muscular tension recovery and the improvement of motor function of affected extremity and spasm de-gree. Results:The total effective rate of observation group was 92.50%, which was higher than 80.00%that of control group (P<0.05);after treat-ment, the FMA and CSI scores of observation group were both better than those of control group (P<0.05, P<0.01). Conclusion:The treatment of penetration needling in antagonistic muscles has significant curative effect on spastic hemiplegia after stroke.