Wang Ning, Li Zhi-feng, Wu Hai-hong
Zhen Ci Yan Jiu. 2015 Aug;40(4):304-8.
To observe the curative effect of fire needle treatment on spastic hemiplegia in patients with stroke.
A total of 80 stroke patients with spastic hemiplegia who met the inclusion criteria were randomly divided into routine acupuncture (control) group and red-hot needle group (n = 40 cases in each group). Patients of the red-hot needle group were treated by pricking unilateral Jianyu (LI 15), Binao (LI 14), Quchi (LI 11), Shousanli (LI 10), Yinlingquan (SP 9), Xuehai (SP 10) , etc. with a cauterized needle, once every other day for 30 days; while those of the control group were treated by acupuncture stimulation of unilateral Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Huantiao (GB 30), Fengshi (GB 31), Yanglingquan (GB 34), etc. with filiform needles, once daily for 30 days. The muscular tension was evaluated using modified Ashworth Scale (MAS) and, the limb motor function evaluated using Fugl-Meyer Assessment Scale (FMA).
After the treatment, the muscular tension of both upper and lower limbs in the red-hot needle and routine acupuncture groups was significantly reduced (P < 0.05), exhibiting an appearance of the stroke patients with MAS grade 0 (upper and lower limbs: 7 and 6 cases, 15 and 12 cases in the control and red-hot needle groups). The FMA scores of both upper and lower limbs were remarkably increased in both control and red-hot needle groups after the treatment (P < 0.01, P < 0.05), suggesting an improvement of the patients' motor function. The improvement of the muscular tension and motor function of upper limbs in the red-hot needle group was superior to that in the routine acupuncture group (P < 0.05, P < 0.01). No significant differences were found between the two groups in both MAS grades and FMA scores of lower limbs after the treatment (P > 0.05). Of the two 40 cases in the control and red-hot needle groups, 5 and 13 were basically cured, 11 and 8 had marked improvement, 10 and 14 were improved, 14 and 5 ineffective, with the effective rates being 65.0% and 87.5%, respectively.
Red-hot needle therapy is effective in reducing muscular tension and improving motor function of the limbs in hemiplegia patients.
观察火针治疗中风后痉挛性偏瘫患者的疗效。
将80例符合纳入标准的中风后痉挛性偏瘫患者随机分为常规针刺（对照）组和火针组（每组各40例）。火针组患者采用烧针点刺患侧肩髃（LI 15）、臂臑（LI 14）、曲池（LI 11）、手三里（LI 10）、阴陵泉（SP 9）、血海（SP 10）等穴位，隔日1次，共治疗30天；对照组患者采用毫针针刺患侧肩髃（LI 15）、曲池（LI 11）、手三里（LI 10）、环跳（GB 30）、风市（GB 31）、阳陵泉（GB 34）等穴位，每日1次，共治疗30天。采用改良Ashworth量表（MAS）评估肌张力，采用Fugl-Meyer评估量表（FMA）评估肢体运动功能。
治疗后，火针组和常规针刺组上下肢肌张力均显著降低（P < 0.05），出现MAS 0级的中风患者，对照组上肢7例、下肢6例，火针组上肢15例、下肢12例。治疗后，对照组和火针组上下肢FMA评分均显著提高（P < 0.01，P < 0.05），提示患者运动功能改善。火针组上肢肌张力和运动功能的改善优于常规针刺组（P < 0.05，P < 0.01）。治疗后两组下肢MAS分级和FMA评分比较，差异无统计学意义（P > 0.05）。对照组和火针组40例患者中，基本治愈分别为5例和13例，显效分别为11例和8例，有效分别为10例和14例，无效分别为14例和5例，有效率分别为65.0%和87.5%。
火针疗法能有效降低偏瘫患者的肌张力，改善肢体运动功能。
Zotero 插件