摘要
目的探讨腹针配合头针治疗中风后痉挛性瘫痪的临床疗效。方法选取2020年1月—2020年11月期间青岛市中医医院针推康复科收治的中风后痉挛性瘫痪患者64例,分为对照组(32例)和治疗组(32例),分组方法为随机数字表法。对照组采用常规体针治疗,治疗组在此基础上采用腹针配合头针治疗。两组患者均治疗4周。对两组患者临床疗效、中医证候症状(半身不遂、语言蹇涩或不语、偏身麻木、口舌歪斜、脉沉细及舌质黯淡苔白腻)积分、肢体痉挛程度、日常生活能力及运动功能评分进行分析和比较。结果治疗后治疗组总有效率84.38%(27/32)与对照组59.38%(19/32)比较,差异有统计学意义(P<0.05)。治疗后两组患者6项中医证候症状积分均较治疗前降低,差异有统计学意义(P<0.05),且治疗组6项中医证候症状积分较对照组明显降低,差异有统计学意义(P<0.05)。治疗2周、4周后,两组患者肢体痉挛程度评分较治疗前均明显降低,日常生活能力及运动功能评分较治疗前均明显升高,差异有统计学意义(P<0.05);且治疗组肢体痉挛程度评分较对照组均明显降低,日常生活能力及运动功能评分较对照组均明显升高,差异有统计学意义(P<0.05)。治疗4周后,两组患者肢体痉挛程度评分较治疗2周后均明显降低,日常生活能力及运动功能评分较治疗2周后均明显升高,差异有统计学意义(P<0.05)。结论腹针联合头针治疗中风后痉挛性瘫痪的效果显著,能明显改善患者临床症状,改善患者的肢体痉挛程度,增强日常生活能力及运动功能。
Objective To investigate the clinical effect of abdominal acupuncture combined with scalp acupuncture on spastic paralysis after stroke.Methods A total of 64 patients with post-stroke spastic paralysis who were treated in the Department of Acupuncture and Rehabilitation,Qingdao Hospital of Traditional Chinese Medicine from January 2020 to November 2020,were randomized into control group(n=32)and observation group(n=32)with the random number table method.The control group was treated with conventional body acupuncture,and the observation group with abdominal acupuncture and scalp acupuncture in addition to the body acupuncture in the control group.The treatment lasted 4 weeks for both groups.The clinical efficacy,score of traditional Chinese medicine(TCM)syndrome(hemiplegia,inarticulateness or aphasia,hemianesthesia,deviated mouth and tongue,deep and thready pulse,and dark tongue with white greasy fur),limb spasm,activity of daily living,and motor function score were analyzed and compared between the two groups.Results The total effective rate in the observation group was 84.38%(27/32)as compared with the 59.38%(19/32)in the control group(P<0.05).After treatment,the scores of six TCM symptoms were all lower than those before treatment in both groups(P<0.05)and lower in the observation group than in the control group(P<0.05).After 2 weeks and 4 weeks of treatment,the scores of limb spasm were lower and the scores of daily living activity and motor function were higher than those before treatment in both groups(P<0.05)and in the observation group than in the control group(P<0.05).The scores of limb spasm were lower and the scores of daily living activity and motor function were higher after 4 weeks of treatment than after 2 weeks of treatment in the two groups(P<0.05).Conclusion Abdominal acupuncture combined withscalp acupuncture can significantly alleviate the clinical symptoms and limb spasm of patients with post-stroke spastic paralysis and enhance their daily living activity and motor function.
作者
矫翠翠
王一斯
徐萍
JIAO Cui-cui;WANG Yi-si;XU Ping(Department of Acupuncture and Rehabilitation,Qingdao Hospital of Traditional Chinese Medicine,Qingdao Shandong 266300)
出处
《世界中西医结合杂志》
2022年第6期1182-1185,1189,共5页
World Journal of Integrated Traditional and Western Medicine
基金
山东省中医药科技发展计划项目(2015-350)
青岛市中医药科研计划项目(2020-zyy010)
青岛市医疗卫生优秀人才培养项目资助
青岛市医疗卫生重点学科建设项目资助。
关键词
腹针
头针
中风
痉挛性瘫痪
日常生活能力
运动功能
Abdominal Acupuncture
Scalp Acupuncture
Stroke
Spastic Paralysis
Daily Living Activity
Motor Function
