摘要
目的:比较基于肌张力分期针刺法与常规针刺法治疗中风偏瘫的临床疗效。方法:将62例中风后偏瘫患者随机分为观察组和对照组,每组31例。观察组根据肌张力分期针刺治疗,参照Brunnstrom六阶段分期分为弛缓期和痉挛期。弛缓期以醒脑开窍结合手足阳明经穴刺法,穴取水沟、肩髃、曲池、手三里、合谷、梁丘、足三里、上巨虚、解溪;痉挛期以手足少阳经及太阳经穴为主,穴取肩髎、天井、外关、阳池、后溪、环跳、阳陵泉、承山、悬钟、申脉、丘墟。对照组参照石学敏主编的《针灸学》,针刺治疗方案不考虑分期,以手厥阴经、督脉及足太阴经穴为主。两组均每日治疗1次,疗程为4周。观察两组患者治疗前后神经功能缺损程度评分,并进行疗效评定。结果:两组各脱落1例。两组患者治疗后神经功能缺损程度评分均较治疗前下降(均P<0.05),且治疗后观察组低于对照组(P<0.05);观察组愈显率[66.7%(20/30)]显著高于对照组[36.7%(11/30)],差异有统计学意义(P<0.05)。结论:基于肌张力分期针刺法治疗中风偏瘫疗效优于常规针刺法。
Objective To compare the clinical curative effect of muscle tension staged acupuncture and conventional acupuncture in the treatment of stroke hemiplegia. Methods Sixty-two patients with stroke hemiplegia were randomly divided into an observation group and a control group, 31 cases in each one. In the observation group, the muscle tension staged acupuncture was given, the six stages of Brunnstrom were classified as relaxation period and spasmodic period. The Xingnao Kaiqiao（consciousness-restoring resuscitation） combined with the hand and foot yangming meridian acupuncture were applied at Shuigou（GV 26）, Jianyu（LI 15）, Quchi（LI 11）, Shousanli（LI 10）, Hegu（LI 4）, Liangqiu（ST 34）, Zusanli（ST 36）, Shangjuxu（ST 37）, Jiexi（ST 41） during relaxation period; mainly by hand and foot shaoyang meridian and taiyangmeridian, the acupoints were Jianliao（TE 14）, Tianjing（TE 10）, Waiguan（TE 5）, Yangchi（TE 4）, Houxi（SI 3）, Huantiao（GB 30）, Yanglingquan（GB 34）, Chengshan（BL 57）, Xuanzhong（GB 39）, Shenmai（BL 62）, Qiuxu（GB 40） during spasmodic period. In the control group, referring to SHI Xuemin ＇s Acupuncture and Moxibustion, mainly by hand jueyin meridian, the governor vessel and foot taiying meridian, phasing was not considered in the acupuncture treatment plan. Both groups were treated one time a day for 4 weeks. The neurological deficit scores were observed before and after treatment of the two groups and the efficacy was evaluated. Results There was one case dropped in each group. After treatment, the neurological deficit scores of the two groups was lower than those before treatment（both P〈0.05）, and the observation group was lower than the control group（P〈0.05）. The cured and markedly effective rate was 66.7%（20/30） in the observation group, which was higher than 36.7%（11/30） in the control group, the difference between the two groups was statistically significant（P〈0.05）. Conclusion The muscle tension staged acupuncture is better than the conventional acupuncture for the treatment of stroke hemiplegia.
作者
于学平
严姣
邹伟
YUXueping;YAN Jiao;ZOU Wei(Xthe First Affiliated Hospital Of Heilongjiang University of CM,Harbin 150040,China;Heilongjiang University of CM)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第10期1035-1038,共4页
Chinese Acupuncture & Moxibustion
关键词
中风
偏瘫
针刺治疗
分期针刺
肌张力
stroke
hemiplegia
acupuncture therapy
staged acupuncture
muscle tension
