摘要
目的:探讨基于经筋理论采用“阴阳透刺”疗法治疗卒中后膝过伸的临床研究。方法:分析80例卒中后膝过伸患者,随机分为观察组和对照组各40例,其中对照组给予常规针刺治疗,观察组给予基于经筋理论采用“阴阳透刺”疗法治疗,比较两组疗效,观察两组治疗前后步行能力、膝过伸次数、下肢功能、日常生活活动能力。结果:治疗后,观察组疗效高于对照组(P<0.05)。治疗前,两组步幅、步速、步频、10 MWT及膝过伸次数比较差异无统计学意义(P>0.05);治疗后,两组步幅、步速、步频高于治疗前,10 MWT及膝过伸次数均低于治疗前,与对照组比较,观察组步幅、步速、步频更高,10 MWT及膝过伸次数更低(P<0.05)。治疗前,两组FMA下肢评分、FAC评分、BBS评分比较(P>0.05);治疗后,两组FMA下肢评分、FAC评分、BBS评分高于治疗前,与对照组比较,观察组FMA下肢评分、FAC评分、BBS评分更高(P<0.05)。治疗前,两组BI评分比较差异无统计学意义(P>0.05);治疗后,两组BI评分高于治疗前,与对照组比较,观察组BI评分更高(P<0.05)。两组不良反应发生率比较无统计学差异(P>0.05)。结论:基于经筋理论采用“阴阳透刺”疗法能够有效治疗卒中后膝过伸,疗效显著,可在临床应用。
Objective:The purpose of this study was to investigate the clinical study of the treatment of knee hyperextension after stroke based on the theory of meridian tendons by“Yin and Yang through-acupuncture”.Methods:80 patients with knee hyperextension after stroke were randomly divided into the observation group and the control group,40 cases in each group.The control group was given conventional acupuncture treatment,and the observation group was given“Yin and Yang through acupuncture”therapy based on the theory of meridian tendons.The walking ability,the number of knee hyperextension,the function of lower limbs and the ability of daily living were observed before and after treatment.Results:After treatment,the curative effect of observation group was higher than that of control group(P<0.05).Before treatment,stride length,stride speed,stride frequency,10 MWT and number of knee hyperextension were compared between the two groups were not statistically significant(P>0.05).After treatment,the step length,step speed and step frequency of the 2 groups were higher than before treatment,and The Times of 10 MWT and knee hyperextension were lower than before treatment,compared with the control group,the step length,step speed and step frequency of the observation group were higher,and The Times of 10 MWT and knee hyperextension were lower(P<0.05).Before treatment,FMA lower limb score,FAC score and BBS score were compared between 2 groups were not statistically significant(P>0.05).After treatment,FMA lower limb score,FAC score and BBS score in 2 groups were higher than before treatment,and FMA lower limb score,FAC score and BBS score in observation group were higher than those in control group(P<0.05).Before treatment,BI scores of the two groups were compared(P>0.05).After treatment,BI score of the 2 groups was higher than before treatment,and BI score of the observation group was higher than that of the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:“Yin and Yang through-acupuncture”therapy based on the theory of meridian tendons can effectively treat knee hyperextension after stroke,and the effect is significant.It can be applied in clinical application.
作者
盛刚
高静
SHENG Gang;GAO Jing(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi’an 710003,China;Zhouzhi Hospital of Traditional Chinese Medicine,Zhouzhi 710400,China)
出处
《陕西中医》
2025年第9期1269-1273,共5页
Shaanxi Journal of Traditional Chinese Medicine
基金
陕西省重点研发计划项目(2023-YBSF-012)。
关键词
卒中后膝过伸
阴阳透刺
步行能力
膝过伸次数
下肢功能
日常生活活动能力
Knee hyperextension after stroke
Yin and Yang through-piercing
Walking ability
The number of knee hyperextension
Lower limb function
Ability to perform activities of daily living
