[1]王雪平,任杰,桑穆惠,等.针刺联合放血疗法治疗脑卒中后痉挛性腕背伸功能障碍疗效观察[J].西部中医药,2026,39(04):144-147.[doi:10.12174/j.issn.2096-9600.2026.04.31]
　WANG Xueping,REN Jie,SANG Muhui,et al.Observation on the Therapeutic Effect of Acupuncture Combined with Bloodletting Therapy on Post-Stroke Spastic Wrist Dorsal Extension Dysfunction[J].Western Journal of Traditional Chinese Medicine,2026,39(04):144-147.[doi:10.12174/j.issn.2096-9600.2026.04.31]
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针刺联合放血疗法治疗脑卒中后痉挛性腕背伸功能障碍疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
144-147
栏目:
特色医疗
出版日期:
2026-04-15

文章信息/Info

Title:
Observation on the Therapeutic Effect of Acupuncture Combined with Bloodletting Therapy on Post-Stroke Spastic Wrist Dorsal Extension Dysfunction
作者:
王雪平, 任杰, 桑穆惠, 朱丽娜
江阴市中医院，江苏 江阴 214400
Author(s):
WANG Xueping, REN Jie, SANG Muhui, ZHU Li?na
Jiangyin Hospital of TCM, Jiangyin 214400, China
关键词:
腕背伸功能障碍; 痉挛性; 针刺; 放血疗法
Keywords:
wrist dorsal extension dysfunction;  spastic; acupuncture; bloodletting therapy
分类号:
R246.6
DOI:
10.12174/j.issn.2096-9600.2026.04.31
文献标志码:
B
摘要:
探讨针刺联合放血疗法治疗脑卒中后痉挛性腕背伸功能障碍患者的临床效果。 方法选取脑卒中后痉挛性腕背伸功能障碍患者98例，采用随机数字表法分为研究组与对照组，每组49例。对照组实施单纯针刺治疗，研究组在对照组基础上联合放血治疗。对比两组临床疗效、不良反应发生情况，以及治疗前后肢体痉挛程度、上肢运动功能、腕背伸关节被动活动度、患侧神经肌肉系统功能及日常生活能力。 结果研究组总有效率［93.88%（46/49）］高于对照组［75.51%（37/49）］，差异有统计学意义（P＜0.05）。研究组治疗后改良Ashworth分级法分级、患侧腕屈肌积分肌电值及均方根值均低于对照组（P＜0.05），上肢运动功能评分、腕背伸关节被动活动度及日常生活能力评分均高于对照组（P＜0.05）。两组均未出现晕针、滞针、弯针、血肿等不良反应，安全性良好。 结论脑卒中后痉挛性腕背伸功能障碍患者采用针刺联合放血疗法治疗，可显著减轻肢体痉挛程度，改善肢体功能及患侧神经肌肉系统功能，提升日常生活能力，提高临床疗效，且安全性较好。
Abstract:
ObjectiveTo investigate the clinical effect of acupuncture combined with bloodletting therapy on patients with post-stroke spastic wrist dorsal extension dysfunction. MethodsA total of 98 patients with post-stroke spastic wrist dorsal extension dysfunction were selected and divided into a study group and a control group using a random number table, with 49 cases in each group. The control group received acupuncture treatment alone, while the study group received additional bloodletting therapy based on the treatment for the control group. The clinical efficacy, occurrence of adverse reactions, as well as the degree of limb spasticity, upper limb motor function, passive range of motion of wrist dorsal extension, neuromuscular function on the affected side, and ability to perform activities of daily living before and after treatment were compared between the two groups. ResultsThe total effective rate of the study group [93.88% (46/49)] was higher than that of the control group [75.51% (37/49)], and the difference was statistically significant (P<0.05). After treatment, the modified Ashworth scale grade, integrated electromyography value, and root mean square value of the affected side’s wrist flexor in the study group were lower than those in the control group (P<0.05), while the upper limb motor function score, passive range of motion of wrist dorsal extension, and activities of daily living score were higher than those in the control group (P<0.05). No adverse reactions such as needle sickness, stuck needle, bent needle, or hematoma occurred in either group, indicating good safety. ConclusionFor patients with post-stroke spastic wrist dorsal extension dysfunction, treatment with acupuncture combined with bloodletting therapy can significantly reduce the degree of limb spasticity, improve limb function and neuromuscular function on the affected side, enhance the ability to perform activities of daily living, increase clinical efficacy, and has good safety.

备注/Memo

备注/Memo:
国家杰出青年科学基金项目（81803779）。王雪平（1985—），女，副主任护师。研究方向：危重症护理学。
更新日期/Last Update: 2026-04-15