芍药甘草汤结合浮针疗法应用于脑卒中后肢体痉挛患者对其肢体功能康复的影响

The Effect of Shaoyao Gancao Decoction Combined with Floating Needle Therapy on Limb Function Rehabilitation in Patients with Post-Stroke Limb Spasticity

摘要: 目的：探讨芍药甘草汤结合浮针疗法应用于脑卒中后肢体痉挛患者对其肢体功能康复的影响。方法：选取脑卒中后肢体痉挛患者62例，2024年4月~2025年4月在本院康复科干预，通过电脑生成序列后随机分为2组，31例常规组行常规康复干预，31例针药组在常规康复干预的基础上予以芍药甘草汤结合浮针疗法干预，对两组肢体痉挛程度、肢体功能及活动能力进行对比。结果：针药组干预后患侧肢体的改良Ashworth量表(MAS)分级较常规组低(P < 0.05)；针药组干预后Fugl-Meyer运动功能评分量表(FMA)得分较常规组低(P < 0.05)；针药组干预后改良Barthel指数评定量表(MBI)得分较常规组高(P < 0.05)。结论：在脑卒中后肢体痉挛患者中，予以芍药甘草汤结合浮针疗法干预可促进其肢体的痉挛程度有效降低，进而使肢体功能进一步康复，并使其活动能力得以提升。

Abstract: Objective: To explore the effect of Shaoyao Gancao decoction combined with floating needle therapy on limb function rehabilitation in patients with post-stroke limb spasticity. Method: 62 patients with post-stroke limb spasticity were selected and intervened in the rehabilitation department of our hospital from April 2024 to April 2025. The sequence was generated by the computer and then randomly divided into two groups. In the conventional group, 31 cases received conventional rehabilitation intervention, while in the acupuncture and medication group, 31 cases were given the intervention of Shaoyao Gancao decoction combined with floating needle therapy on the basis of conventional rehabilitation intervention, the degree of limb spasticity, limb function, and activity ability of the two groups were compared. Result: After intervention, the Modified Ashworth Scale (MAS) grading of the affected limb in the acupuncture and medication group was lower than that in the conventional group (P < 0.05); after intervention, the Fugl Meyer Motor Function Assessment (FMA) score in the acupuncture and medication group was lower than that in the conventional group (P < 0.05); after intervention, the Modified Barthel Index (MBI) score in the acupuncture and medication group was higher than that in the conventional group (P < 0.05). Conclusion: In patients with limb spasticity after stroke, intervention with Shaoyao Gancao decoction combined with floating needle therapy can effectively reduce the degree of limb spasticity, further restore limb function, and improve their mobility.