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目的:观察点穴加长蛇灸治疗脑梗死后上肢痉挛性偏瘫的临床疗效.方法:将100例患者随机分为对照组和观察组,每组50例.两组均接受相同的常规内科治疗及康复训练,对照组在此基础上加用点穴疗法,观察组在对照组治疗基础上加用长蛇灸.治疗前后评定Ashworth分级、Fugl-Meyer上肢运动功能量表(FMA-UL)及Barthel指数(BI),测定患肢肱二头肌及桡侧腕屈肌的均方根(RMS)值.治疗结束后进行疗效评价.结果:治疗后,观察组总有效率明显高于对照组(P<0.05).治疗后,观察组Ashworth分级优于对照组(P<0.05);两组FMA-UL及BI评分均较本组治疗前升高(均P<0.05),观察组FMA-UL及BI评分均高于对照组(均P<0.05);两组肱二头肌及桡侧腕屈肌RMS值均较本组治疗前降低(均P<0.05),观察组肱二头肌及桡侧腕屈肌RMS值均低于对照组(均P<0.05).结论:在常规内科治疗及康复训练基础上加用点穴和长蛇灸治疗脑梗死后上肢痉挛性偏瘫疗效显著,可改善患肢痉挛程度,降低患肢肱二头肌及桡侧腕屈肌肌张力,提升患肢活动能力及日常生活能力.“,”Objective: To observe the clinical efficacy of acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction. Methods: A total of 100 patients were randomized into a control group and an observation group, with 50 cases in each group. Both groups were treated with the same conventional internal medicine and rehabilitation training. The control group was treated with additional acupoint pressure therapy, and the observation group was treated with long-snake moxibustion on the basis of the treatment given to the control group. The Ashworth grade, Fugl-Meyer assessment upper limb scale (FMA-UL) and Barthel index (BI) were evaluated, and the root mean square (RMS) values of biceps brachii and flexor carpi radialis on the affected side were measured before and after treatment. The efficacy was evaluated after treatment. Results: After treatment, the total effective rate of the observation group was significantly higher than that of the control group (P<0.05). After treatment, the Ashworth grade of the observation group was superior to that of the control group (P<0.05). The scores of FMA-UL and BI in both groups increased compared with those before treatment (all P<0.05), and the scores of FMA-UL and BI in the observation group were higher than those in the control group (both P<0.05). The RMS values of biceps brachii and flexor carpi radialis in both groups decreased compared with those before treatment (all P<0.05), and the RMS values of biceps brachii and flexor carpi radialis in the observation group were lower than those in the control group (both P<0.05). Conclusion: Based on conventional internal medicine and rehabilitation training, acupoint pressure plus long-snake moxibustion has great therapeutic efficacy for upper-limb spastic hemiplegia after cerebral infarction. It can improve the degree of spasticity of the affected upper limb, reduce the muscle tone of biceps brachii and flexor carpi radialis on the affected side, and enhance the mobility of the affected limb and the activities of daily living.