Yang Hai-Tao, Zhuang Li-Xing, Liu Yue
Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
Department of Acupuncture-Moxibustion and Rehabilitation, Guangdong Second Hospital of TCM.
Zhongguo Zhen Jiu. 2013 Oct;33(10):889-92.
To observe the impacts on post-stroke spastic hemiplegia treated with temporal three-needle therapy, spastic three-needle therapy, and rehabilitative therapy as well as combined application.
One hundred cases were randomized into a Jin's three-needle group (35 cases), a rehabilitation group (33 cases) and a combined therapy group (32 cases). Beside the basic treatment, the acupuncture therapy of temporal three-needle and spastic three-needle techniques, rehabilitation training, and the combined therapy of acupuncture and rehabilitation were applied in the Jin's three-needle group, the rehabilitation group and the combined therapy group, respectively. Before treatment, in 7 days and 14 days of treatment, the functional comprehensive assessment scale (FCA), clinical neurological defect score (NDS), four-limb simplified Fugl-Meyer assessment (FMA) and clinical spasm index (CSI) were adopted to assess the spastic degree and limb function, respectively.
In terms of FCA, NDS and FMA, in 7 days of treatment, except the rehabilitation group, the results in the other two groups were all improved as compared with those before treatment (all P < 0.05). The results in the Jin's three-needle group and the combined therapy group were better than those in the rehabilitation group (all P < 0.05). In 14 days of treatment, the results in the three groups were improved as compared with those before treatment and in 7 days of treatment (P < 0.05, P < 0.01). The results in the combined therapy group were better than those in the other two groups (all P < 0.05). Regarding CSI assessment, in 7 days of treatment, the results of the three groups were all improved significantly as compared with those before treatment (P < 0.05, P < 0.01), and the results in the combined therapy group were better than those in the other two groups (all P < 0.05). In 14 days of treatment, CSI scores were further improved in the three groups, but the difference was not significant in comparison (all P > 0.05).
The Jin's three-needle therapy, rehabilitation therapy and the combined application all relieve the symptoms of post-stroke spastic hemiplegia. The effect in the Jin's three-needle group and the combined therapy group is achieved in 7 days of treatment, which is better than that in the rehabilitation group. The combined therapy a chieves the best effect on spasm in comparison with the single therapy.
观察颞三针疗法、痉挛三针疗法、康复疗法及联合应用对脑卒中后痉挛性偏瘫的影响。
将100例患者随机分为靳三针组（35例）、康复组（33例）和联合治疗组（32例）。除基础治疗外，靳三针组采用颞三针与痉挛三针针刺疗法，康复组采用康复训练，联合治疗组采用针刺与康复联合治疗。分别于治疗前、治疗7天及14天时，采用功能综合评定量表（FCA）、临床神经功能缺损评分（NDS）、四肢简化Fugl-Meyer评估法（FMA）及临床痉挛指数（CSI）对痉挛程度和肢体功能进行评定。
在FCA、NDS及FMA方面，治疗7天时，除康复组外，其余两组结果与治疗前比较均有改善（均P<0.05）。靳三针组和联合治疗组结果优于康复组（均P<0.05）。治疗14天时，三组结果与治疗前及治疗7天时比较均有改善（P<0.05，P<0.01）。联合治疗组结果优于其他两组（均P<0.0
