Clinical observation on floating needle therapy for post-stroke spastic hemiplegia
浮针治疗中风后痉挛性偏瘫的临床观察

摘要

目的 观察使用浮针治疗中风后痉挛性偏瘫的临床疗效。方法 选取2023.8-2025.3南京市浦口区中医院脑病科门诊及住院部中风后痉挛性偏瘫患者90例，按照随机数字表达法分成治疗组和对照组，每组45例，治疗组采用浮针治疗，对照组采用普通针刺治疗，观察两组患者治疗前后改良Ashworth痉挛量表、日常生活能力的评定量表评分及不良反应发生情况的变化。结果 治疗组Ashworth痉挛量表、日常生活能力的评定量表评分及不良反应率都优于对照组（P<0.05）。结论 中风后痉挛性偏瘫患者采用浮针治疗的效果显著，能有效缓解肢体痉挛，改善日常生活能力，降低不良反应发生情况。

Abstract

Objective To observe the clinical efficacy of floating needle therapy in the treatment of post-stroke spastic hemiplegia.
Methods A total of 90 patients with post-stroke spastic hemiplegia admitted to the Outpatient and Inpatient Department of Encephalopathy, Pukou District Hospital of Traditional Chinese Medicine, Nanjing, from August 2023 to March 2025 were selected. They were divided into the treatment group and the control group according to the random number table method, with 45 cases in each group. The treatment group was treated with floating needle therapy, while the control group was treated with conventional acupuncture. The changes in Modified Ashworth Spasticity Scale scores, Activity of Daily Living Scale scores, and the incidence of adverse reactions were observed in both groups before and after treatment.
Results The Modified Ashworth Spasticity Scale scores, Activity of Daily Living Scale scores, and incidence of adverse reactions in the treatment group were all superior to those in the control group (P < 0.05).
Conclusion   Floating needle therapy has a significant effect in the treatment of patients with post-stroke spastic hemiplegia, which can effectively relieve limb spasm, improve activity of daily living, and reduce the occurrence of adverse reactions.