：R 246.6 文献标志码：A
[摘 要] 目的：观察内关穴不同针刺手法治
Comparative study on effects of different acupuncturemanipulationmethods at Neiguan (PC 6) on hand spasm in the patient of stroke
WANG Li-chun, WANG Zhi-yong, KANG Xi-zhong, JIA Li-juan (Department of Neurology, Affiliated Hospital of Integrated Chinesemedicine and Westernmedicine of Hebei University ofmedical Sciences, Cangzhou 061001, China)
ABSTRACT：Objective To observe therapeutic effects of different needlingmethods at Neiguan (PC 6) on hand spasm in the patient of stroke.methods One hundred and seventy-two cases were randomly divided into a simple acupuncture group (n=36), a slowly twirling needle group (n=34), a rapidly twirling needle group (n=30), a simple lifting-thrusting group (n=35) and a lifting-thrusting-twirling needle group (n=37).Acupuncture was gi-ven at Neiguan (PC 6), twice each day, 5min each time, and in combination with rehabilitation exercise.modified Ashworth scale and Fugl-Meyer (FMA) hand function score were used for assessment of therapeutic effects.ResultsThe transient effective rate and the effective rate after treatment for 8 weeks for hand spasm were 66.7% and 55.6% in the simple acupuncture group, 82.4% and 85.3% in the slowly twirling needle group,96.7% and 90.0% in the rapidly twirling needle group, 80.0% and 82.9% in the simple lifting-thrusting group and 94.6% and 91.9% in the lifting-thrusting-twirling needle group, the rapidly twirling needle group and the lifting-thrusting-twirling needle group being better than other 3 groups (P<0.01).After treatment, the grades for Ashworth scale and FMA scores in the lifting-thrusting-twirling needle group and the rapidly twirling needle group were better than those in other 3 groups (P<0.05, P<0.01), with no significant difference between the two groups (P>0.05).Conclusion Acupuncture at Neiguan (PC 6) has a very definite transient effect, and the lifting-thrusting-twirling needlingmanipulation and the rapidly twirling needlingmanipulation have the best inhibitive effect on spasm.