CAJ | 학술논문

目的：探讨“醒脑开窍”针刺法治疗中风后痉挛性瘫痪的临床疗效，为中风后痉挛性瘫痪的治疗提供参考。方法：采用“醒脑开窍”针刺法对120例中风后痉挛瘫患者进行治疗，每日治疗1次，28天为1个疗程，均治疗1个疗程。比较患者治疗前后修订的Ashworth量表及修订的ADL－Barthel指数评分差异，评价其临床疗效。结果：根据修订的Ashworth量表评级法评定痉挛程度，显效33例，有效67例，无效20例，总有效率83．33％。治疗后修订的ADL－Barthel指数高于治疗前，且治疗前后差异有统计学意义（P＜0．05）。结论：“醒脑开窍”针刺法能有效改善患者痉挛程度，明显提高日常生活能力，对中风后痉挛性瘫痪具有显著治疗效果，值得临床推广应用。
목적：탐토“성뇌개규”침자법치료중풍후경련성탄탄적림상료효，위중풍후경련성탄탄적치료제공삼고。방법：채용“성뇌개규”침자법대120례중풍후경련탄환자진행치료，매일치료1차，28천위1개료정，균치료1개료정。비교환자치료전후수정적Ashworth량표급수정적ADL－Barthel지수평분차이，평개기림상료효。결과：근거수정적Ashworth량표평급법평정경련정도，현효33례，유효67례，무효20례，총유효솔83．33％。치료후수정적ADL－Barthel지수고우치료전，차치료전후차이유통계학의의（P＜0．05）。결론：“성뇌개규”침자법능유효개선환자경련정도，명현제고일상생활능력，대중풍후경련성탄탄구유현저치료효과，치득림상추엄응용。
Objective:To investigate the clinical effect of Xingnao Kaiqiao needling therapy on spastic paralysis after stroke in order to provide evidence of this intervention.Methods:120 patients with spastic paralysis after stroke were treated by Xingnao Kaiqiao needling method and patients received acupuncture treatment once every day.28 days'treatment was as a course.One course of treatment was required.The efficacy of acupuncture was evaluated by using Modified Ashworth Scale and Modified ADL-Barthel index before and after treatment.Re-sults:According to Modified Ashworth Scale, we evaluated the degree of spasm.Data demonstrated that 33 cases were markedly effective, 67 cases were effective, 20 cases were invalid, and the total effective rate was 83.33%.After treatment, the Modified ADL-Barthel index was significantly higher than that before treatment among all patients and the differences before and after treatment were statistically significant(P<0.05).Con-clusion:Xingnao Kaiqiao needling method can significantly improve the degree of spasm and the activities of daily living,so it has an obviously therapeutic effect on spastic paralysis after stroke and is worthy of clinical ap-plication.