摘要
目的:通过观察调督针法与传统针法的疗效差异,总结调督针法的临床疗效和治疗规律,形成标准规范的特色针刺方法,指导针灸优势病种的规范研究。方法:80例脑梗死患者随机分为2组,每组40例,调督针法组采用调督针法结合康复训练,传统针刺组采用传统针刺结合康复训练。均每日治疗1次,每周治疗5次,疗程4周。2组分别在治疗前、治疗2周后、治疗4周后采用Fugl-Meyer运动功能评分法(FMA)及神经功能缺损评分(NDS)进行疗效评定。结果:治疗2周后,两组FMA评分较治疗前显著提高(P<0.01),两组NDS评分较治疗前显著降低(P<0.01),组间对比,两组FMA评分及NDS评分均无显著性差异(P>0.05);治疗4周后,调督组FMA评分显著高于传统针刺组(P<0.05),NDS评分显著低于传统针刺组(P<0.05)。结论:与传统针刺法相比,调督针法能显著改善脑梗死患者的运动功能,脑梗死后运动功能障碍是调督针法的优势病种。
Objective： To compare the therapeutic effects of using Tiaodu acupuncture and traditional acupuncture in treating motor dysfunction after stroke,which in order to summarize the clinical effect and treatment principle,form a standardized acupuncture therapy that guided standardization research of the acupuncture dominant diseases.Methods： 80 subjects with cerebral infarction were randomly divided into two groups,40 subjects in each group.Subjects in the Tiaodu group were treated by Tiaodu acupuncture combined with rehabilitation training.Subjects in the traditional acupuncture group treated by traditional acupuncture combined with rehabilitation training.All subjects received one time a day,5times per week for 4weeks.The socres of Fugl-Meyer assesment（FMA） and Neurological Defect Scale（NDS） before treatment,2weeks and 4weeks after treatment were observed in the two groups,and then the curative effects were evaluated.Results： The scores of FMA were obviously increased in the two groups（P〈0.01） 2weeks after treatment,and the NDS scores were obviously decreased（P〈0.01）.There were no statistical differences on FMA and NDS between the two groups（P〉0.05）.The FMA score in the Tiaodu group was obviously higher than that in the traditional acupuncture group（P〈0.05） 4weeks after treatment,and the NDS score was significantly lower than that in the traditional acupuncture group（P〈0.05）.Conclusion： As compared with traditional acupuncture,Tiaodu acupuncture can significantly improve the motor function in cerebral infarction patients.Tiaodu acupuncture has therapeutic advantage on the treatment of motor dysfunction after stroke.
出处
《四川中医》
2016年第11期177-180,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
河北省中医药管理局基金项目(编号:2016141)
关键词
脑梗死
调督针法
传统针法
运动功能
Cerebral infarction
Du Meridian-regulating Acupuncture Method
Traditional acupuncture
Motor dysfunction
