CAJ | 학술논문

目的：比较不同留针时间对针刺治疗中风后肌张力增高的影响。方法将90例中风后肌张力增高患者随机分为A组、B组和C组,每组30例。3组均采用金针王乐亭“中风十三治”之“手足十二针法”针刺,每日1次,每星期治疗5次,共治疗20次。A组针刺得气后不留针,即刻起针；B组得气后留针30 min；C组得气后留针60 min。比较3组治疗前后改良Ashworth痉挛量表评分(MAS)、临床痉挛指数(CSI)及Fugl-Meyer运动功能评分(FAS)。结果3组治疗后改良Ashworth分级比较,差异具有统计学意义(P＜0.05)。3组治疗后CSI评分及患侧肢体Fugl-Meyer评分与同组治疗前比较,差异均具有统计学意义(P＜0.05)。A组和B组治疗后CSI评分及患侧肢体Fugl-Meyer评分与C组比较,差异均具有统计学意义(P＜0.05)。结论相对于针刺后留针60 min,针刺后不留针及留针30 min均更能改善中风后肌张力增高、痉挛程度及肢体运动功能。
목적：비교불동류침시간대침자치료중풍후기장력증고적영향。방법장90례중풍후기장력증고환자수궤분위A조、B조화C조,매조30례。3조균채용금침왕악정“중풍십삼치”지“수족십이침법”침자,매일1차,매성기치료5차,공치료20차。A조침자득기후불류침,즉각기침；B조득기후류침30 min；C조득기후류침60 min。비교3조치료전후개량Ashworth경련량표평분(MAS)、림상경련지수(CSI)급Fugl-Meyer운동공능평분(FAS)。결과3조치료후개량Ashworth분급비교,차이구유통계학의의(P＜0.05)。3조치료후CSI평분급환측지체Fugl-Meyer평분여동조치료전비교,차이균구유통계학의의(P＜0.05)。A조화B조치료후CSI평분급환측지체Fugl-Meyer평분여C조비교,차이균구유통계학의의(P＜0.05)。결론상대우침자후류침60 min,침자후불류침급류침30 min균경능개선중풍후기장력증고、경련정도급지체운동공능。
Objective To compare the effect of different needle-retaining time on post-stroke hypermyotonia in acupuncture treatment.Method Ninety patients with post-stoke hypermyotonia were randomized into group A, group B, and group C, 30 in each group. The three groups were all treated by the twelve hand-foot needling method from the thirteen therapies invented by acupuncture master WANG Le-ting, once a day, 5 times a week, 20 times in total. For group A, needles were removed right after needling qi arrived; for group B, needles were retained for 30 min after needling qi arrived; for group C, needles were retained for 60 min after needling qi arrived. The modified Ashworth Scale (MAS), Clinical Spasticity Index (CSI), and Fugl-Meyer assessment scale (FAS) were adopted for observation before and after intervention.Result After treatment, the MAS was significantly changed in all three groups (P<0.05). The CSI score and FAS score of the affected limb were significantly changed in all three groups after intervention (P<0.05). Both group A and B were significantly different from group C in comparing the CSI and FAS scores (P<0.05).Conclusion Compared to retaining needles for 60 min, acupuncture without retaining needles or retaining needles for 30 min can produce better effect in improving post-stroke hypermyotonia, spasticity, and motions of limbs.