芒针透刺督脉治疗脑卒中后肌张力障碍临床研究

目的 观察芒针透刺督脉治疗脑卒中后肌张力障碍的临床疗效。方法 将60例脑卒中后肌张力障碍患者随机分为观察组和对照组，每组30例。观察组采用芒针透刺督脉法治疗，对照组采用常规针刺法治疗。两组患者均治疗2个疗程，共21 d。分别采用改良Ashworth 痉挛量表（modified Ashworth scale，MAS）、临床痉挛指数（clinic spasticity index，CSI）评价患者肌张力情况；采用简化的Fugl-Meyer运动功能评分（Fugl-Meyer motor assessment，FMA）及改良巴氏指数（modified Barthel index，MBI）评价患者的活动能力。并用MAS分级评定标准对两组患者进行疗效评定。结果 观察组临床疗效明显优于对照组（P＜0.05）；与治疗前比较，两组患者治疗后MAS、CSI评分均明显降低（P<0.05），FMA、MBI评分均显著升高（P<0.05）；观察组患者MAS评分下降程度明显大于对照组（P<0.05），FMA、MBI评分升高程度显著大于对照组（P<0.05）。结论 芒针透刺督脉可改善脑卒中后肌张力障碍患者的肢体痉挛状态，提高患者的生活质量。

Clinical Effect of Elongated Needle Acupuncture at the Governor Vessel in Treatment of Post-stroke Myodystonia

Objective To investigate the clinical effect of elongated needle acupuncture at the governor vessel in the treatment of post-stoke myodystonia. Methods A total of 60 patients with post-stroke myodystonia were randomly divided into observation group and control group, with 30 patients in each group. The patients in the observation group were given elongated needle acupuncture at the governor vessel, and those in the control group were given conventional acupuncture. Both groups were treated for two courses, with 21 days in total. Modified Ashworth Scale (MAS) and clinic spasticity index (CSI) were used to evaluate muscle tension; Fugl-Meyer motor assessment (FMA) and modified Barthel index (MBI) were used to evaluate activity of daily living. MAS grade was determined for each patient to evaluate clinical outcome. Results The observation group had a significantly better clinical outcome than the control group (P<0.05). After treatment, both groups had significant reductions in MAS and CSI scores (P<0.05) and significant increases in FMA and MBI scores (P<0.05), and compared with the control group, the treatment group had a significantly greater reduction in MAS score (P<0.05) and significantly greater increases in FMA and MBI (P<0.05).Conclusion Elongated needle acupuncture at the governor vessel can improve limb spasm and quality of life in patients with post-stoke myodystonia.