恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪：随机对照试验

尚凯; 李洪艳; 郭和东; 攸泰然; 郭航天; 顿华帅

doi:10.13703/j.0255-2930.20240925-0001

您当前的位置：

首页 >

文章列表页 >

恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪：随机对照试验

临床研究 | 更新时间：2026-01-16

- 恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪：随机对照试验
- Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial
- 中国针灸 2026年46卷第1期页码：9-15
- 作者机构：
  
  徐州市中心医院/徐州医科大学徐州临床学院康复医学科，江苏徐州　221000
  徐州市康复医院/徐州医科大学附属徐州康复医院康复治疗部，江苏徐州　221000
- 作者简介：
  
  ✉郭和东，主治中医师。E-mail：652316072@qq.com
- 基金信息：
  
  徐州市重点研发计划（社会发展）项目(KC22216)
- DOI：10.13703/j.0255-2930.20240925-0001
  中图分类号：
- 收稿：2024-09-25，
  
  网络首发：2025-11-10，
  
  纸质出版：2026-01-12
- 稿件说明：
移动端阅览
尚凯, 李洪艳, 郭和东, 等. 恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪：随机对照试验[J]. 中国针灸, 2026,46(1):9-15.

SHANG Kai, LI Hongyan, GUO Hedong, et al. Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 9-15.
尚凯, 李洪艳, 郭和东, 等. 恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪：随机对照试验[J]. 中国针灸, 2026,46(1):9-15. DOI： 10.13703/j.0255-2930.20240925-0001.

SHANG Kai, LI Hongyan, GUO Hedong, et al. Relaxing needling at starting and ending points of muscles for upper limb spastic paralysis after stroke: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 9-15. DOI： 10.13703/j.0255-2930.20240925-0001.

摘要

目的：

观察恢刺肌肉起止点治疗脑卒中后上肢痉挛性瘫痪的临床疗效。

方法：

将62例脑卒中后上肢痉挛性瘫痪患者随机分为观察组和对照组，每组31例。两组均予基础治疗，观察组予针刺健侧顶颞前斜线、百会、印堂、双侧风池，恢刺选取患侧上肢肱二头肌起止点、尺侧腕屈肌起止点和桡侧腕屈肌起止点；对照组予常规针刺，穴取健侧顶颞前斜线、百会、印堂、水沟、双侧风池和患侧极泉、尺泽等。两组针刺均每日1次，每周5次，连续治疗4周。分别于治疗前后观察两组患者患侧上肢改良Ashworth痉挛评定量表（MAS）评级、Fugl-Meyer上肢运动功能评定（FMA-UE）评分和改良Barthel指数（MBI）评分，并于治疗后评定两组临床疗效。

结果：

治疗后，两组患者患侧上肢MAS评级均较治疗前降低（

0.001，

0.05），患侧FMA-UE、上肢MBI评分均较治疗前升高（

0.001）；观察组患者患侧FMA-UE、上肢MBI评分高于对照组（

0.01）。观察组临床疗效优于对照组（

0.05）。

结论：

恢刺肌肉起止点可有效改善脑卒中后上肢痉挛性瘫痪，降低肌张力，改善运动功能，提高生活质量。

Abstract

Objective

To observe the clinical efficacy of

huici

(relaxing needling) at starting and ending points of muscles for upper limb spastic paralysis after stroke.

Methods

A total of 62 patients with upper limb spastic paralysis after stroke were randomized into an observation group and a control group

31 cases in each one. Both groups received basic treatment. In the observation group

acupuncture was applied at anterior temporal oblique line on the healthy side

Baihui (GV20)

Yintang (GV24

) and bilateral Fengchi (GB20)

and relaxing needling was applied at starting and ending points of the biceps brachii

flexor carpi ulnaris

and flexor carpi radialis on the affected side. In the control group

conventional acupuncture was applied at anterior temporal oblique line on the healthy side

Baihui (GV20)

Yintang (GV24

)

Shuigou (GV26)

bilateral Fengchi (GB20)

and Jiquan (HT1)

Chize (LU5)

etc. on the affected side. Acupuncture was delivered once daily

5 times a week for 4 weeks. The modified Ashworth scale (MAS) grade

Fugl-Meyer assessment-upper extremity (FMA-UE) score and modified Barthel index (MBI) score were observed before and after treatment

and the clinical efficacy was evaluated after treatment in the two groups.

Results

After treatment

the MAS grade of upper limb on the affected side was decreased compared with that before treatment (

0.001

0.05)

the scores of FMA-UE and MBI of upper limb on the affected side were increased compared with those before treatment (

0.001) in the two groups. After treatment

the scores of FMA-UE and MBI of upper limb on the affected side in the observation group were higher than those in the control group (

0.01). The clinical efficacy in t

he observation group was superior to that in the control group (

0.05).

Conclusion

Relaxing needling at starting and ending points of muscles effectively improves upper limb spastic paralysis after stroke

reduces muscle tone

improves motor function and enhances quality of life.

关键词

Keywords

references

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

经筋针刺联合康复训练治疗脑卒中后痉挛性瘫痪疗效观察

超声引导下针刺肌筋膜触发点改善脑卒中后足下垂患者步行功能疗效观察

通督调神法针刺联合Bobath康复训练治疗卒中后上肢痉挛：随机对照试验

“升清降浊”法针刺治疗脓毒症胃肠功能障碍：随机对照试验

“标本配穴”电针预处理减轻心肌缺血再灌注损伤大鼠心肌细胞铜死亡的机制研究