关键词:

脑卒中后肢体痉挛, 经筋理论, 针灸疗法, 肢体运动功能, 神经功能缺损, 徒手肌力

Abstract:

Objective　To explore the effect of acupuncture and moxibustion based on the theory of meridians and tendons on limb spasticity after stroke. Methods　A total of 90 patients with post-stroke limb spasticity were selected from Baoji Traditional Chinese Medicine Hospital from May 2022 to May 2024. They were divided into two groups according to the random number table method. In 45 cases of the control group, the male to female ratio was 28:17, the age was (60.28±4.62) years old, and the Brunnstrom stroke classification included 16 patients with grade II, 20 patients with grade III, and 9 patients with grade IV. In 45 cases of the observation group, the male to female ratio was 26:19, the age was (61.43±4.57) years old, and the Brunnstrom stroke classification included 14 patients with grade II, 21 patients with grade III, and 10 patients with grade IV. The control group received routine rehabilitation therapy, and the observation group received routine rehabilitation therapy + acupuncture and moxibustion based on the theory of meridians and tendons. Both groups were treated for 1 month. The changes of cerebrospinal fluid γ-aminobutyric acid (GABA) and glutamic acid (GLU) levels, traditional Chinese medicine (TCM) syndrome score, free-hand muscle strength, motor function of limbs, neurological deficit, and quality of life were observed in the two groups. t test was used for statistical analysis. Results　After intervention, the GABA level in the observation group was higher than that in the control group [(1.75±0.48) mol/L vs. (1.49±0.43) mol/L], and the levels of GLU and GLU/GABA were lower than those in the control group [(2.07±0.22) mol/L vs. (2.38±0.34) mol/L, 1.38±0.39 vs. 1.65±0.43] (all P<0.05); the scores of TCM syndromes in the observation group were lower than those in the control group (all P<0.05); there were statistically significant differences in the motor function of upper limb [(26.37±3.72) points vs. (21.16±3.54) points], motor function of lower limb [(17.46±2.74) points vs. (14.36±2.62) points], muscle strength of free hand (3.36±0.59 vs. 2.61±0.53), and nerve function defect degree [(9.34±1.74) points vs. (13.83±1.25) points] between the observation group and the control group (all P<0.05); the quality of life scores of the observation group were higher than those of the control group (all P<0.05). Conclusion　Acupuncture and moxibustion based on the theory of meridians and tendons helps the patients with limb spasticity after stroke to improve the spasticity of limbs, improve the muscle strength of limbs, promote the recovery of motor function, improve the neurological deficit, promote the prognosis, and improve the quality of life.

Key words:

Limb spasticity after stroke, Theory of meridians and tendons, Acupuncture and moxibustion, Limb motor function, Neural function defect, Free-hand muscle strength