刘星 邓慧明

    [摘要] 目的 观察针刀治疗中风恢复期肘关节痉挛的临床效果。 方法 选择2016年12月～2018年1月广东省第二中医院针灸康复科诊断为中风恢复期肘关节痉挛的住院患者，将符合纳入标准的90例患者采用完全随机设计分组法分为两组，各45例。治疗组用针刀治疗(每周1次)，对照组采用针刺透刺拮抗肌治疗(每周6次，周日休息)，疗程均为5周。观察两组治疗前后改良Ashworth量表痉挛分级情况和临床疗效。 结果 治疗后，两组改良Ashworth量表痉挛分级均明显优于治疗前，差异均有统计学意义(均P < 0.05)。治疗组总有效率为88.89%，对照组为73.33%；治疗组治愈率为26.67%，对照组为4.44%；两组比较差异均有统计学意义(均P < 0.05)。 结论 针刀治疗中风恢复期肘关节痉挛的临床效果优势明显。

    [关键词] 针刀；肘关节痉挛；中风恢复期；痉挛性瘫痪

    [中图分类号] R255.2 [文献标识码] A [文章编号] 1673-7210(2018)07(c)-0138-04

    Clinical effect of needle knife in the treatment of elbow spasm at the stage of stroke recovery

    LIU Xing DENG Huiming

    Department of Acupuncture and Moxibustion Rehabilitation， Guangdong Second Traditional Chinese Medicine Hospital， Guangdong Province， Guangzhou 510095， China

    [Abstract] Objective To observe the clinical effect of needle knife in the treatment of elbow spasm at the stage of stroke recovery. Methods The inpatients diagnosed as elbow spasm at the stage of stroke recovery in Department of Acupuncture and Moxibustion Rehabilitation， Guangdong Second Traditional Chinese Medicine Hospital from December 2016 to January 2018 were selected. 90 patients met with the inclusion criteria were randomly divided into two groups by completely random grouping method ......