Objective: To compare the clinical effect between yin-yang penetrating acupuncture with elongated needle and routine acupuncture for spastic limb dysfunction after stroke.
Methods: A total of 60 patients were randomized into an observation group and a control group, 30 cases in each group. Both groups received basic treatment, yin-yang penetrating acupuncture with elongated needle was applied from Yanglingquan (GB 34) to Xuanzhong (GB 39), Quchi (LI 11) to Wenliu (LI 7), Huantiao (GB 30) to Fengshi (GB 31), Jianyu (LI 15) to Quchi (LI 11), etc. on the affected side in the observation group; routine acupuncture was applied at Neiguan (PC 6), Shuigou (GV 26), Sanyinjiao (SP 6), Jiquan (HT 1), Chize (LU 5), Weizhong (BL 40), Jianyu (LI 15), etc. on the affected side in the control group. Once a day, 5 times a week, 2 weeks as a course, 2 courses were required in the two groups. Before and after treatment，the modified Ashworth scale (MAS) grade, Fugl-Meyer assessment scale (FMA) score, activity of daily living scale (ADL) (Barthel index) score were observed, and the clinical effect was evaluated in the two groups.
Results: Compared before treatment, the MAS grade after treatment was improved in the two groups (P<0.05), that in the observation group was superior to the control group (P<0.05). Compared before treatment, the FMA and ADL scores after treatment were increased in the two groups (P<0.05), the changes in the observation group were larger than the control group (P<0.05). The total effective rate in the observation group was 80.0% (24/30), which was superior to 70.0% (21/30) in the control group (P<0.05).
Conclusion: Yin-yang penetrating acupuncture with elongated needle could improve muscle tension, spasm grade and motor function in patients with spastic limb dysfunction after stroke, enhance the activity of daily living, its clinical effect is superior to routine acupuncture.
目的：比较芒针阴阳透刺法与常规针刺治疗中风后痉挛性肢体功能障碍的临床疗效。方法：将60例中风后痉挛性肢体功能障碍患者随机分为观察组和对照组，每组30例。两组均接受基础治疗，观察组采用芒针阴阳透刺法，穴取患侧阳陵泉透悬钟、曲池透温溜、环跳透风市、肩髃透曲池等；对照组采用常规针刺，穴取患侧内关、水沟、三阴交、极泉、尺泽、委中、肩髃等。两组均每天治疗1次，每周治疗5次，2周为一疗程，共计2个疗程。于治疗前后观察两组患者改良肌张力Ashworth量表（MAS）评级、Fugl-Meyer肢体功能活动评定量表（FMA）评分、日常生活能力量表（ADL）（Barthel指数记分法）评分，并评价两组临床疗效。结果：治疗后两组患者MAS评级均较治疗前改善（P<0.05），且观察组优于对照组（P<0.05）；治疗后两组患者FMA、ADL评分较治疗前升高（P<0.05），且观察组升高幅度大于对照组（P<0.05）。观察组总有效率为80.0%（24/30），高于对照组的70.0%（21/30，P<0.05）。结论：芒针阴阳透刺法可改善中风后痉挛性肢体功能障碍患者的肌张力、痉挛程度及运动功能，提高其日常生活能力，疗效优于常规针刺。.
Keywords: elongated needle; limb dysfunction; spasm; stroke; yin-yang penetrating acupuncture.