针刺阴经穴联合雷火灸对脑卒中偏瘫肢体肌张力的影响

Effect of Yin meridian acupuncture combined with thunder fire moxibustion on limb muscle tension in hemiplegia after stroke

目的:分析阴经穴位针刺联合雷火灸对脑卒中偏瘫患者肢体肌张力的影响。方法:选取脑卒中偏瘫患者80例,按照随机数字表法将患者分为对照组、研究组,各40例。两组患者均进行常规治疗,对照组在常规治疗基础上行阴经穴雷火灸治疗,研究组在对照组基础上行阴经穴位针刺,两组均治疗4周。分析两组患者治疗前后躯干功能、中医证候积分、运动功能、生活质量、神经功能、肢体肌张力以及治疗效果。结果:治疗后与对照组相比,研究组患者静态坐位平衡、动态坐位平衡以及协调评分较高(P<0.05)。治疗后,与对照组相比研究组患者感觉异常、口舌㖞斜、言语不利、半身不遂积分较低(P<0.05)。治疗后与对照组相比,研究组患者上肢运动功能、下肢运动功能评分较高(P<0.05)。治疗后与对照组相比,研究组患者心理功能、躯体功能、社会功能、物质生活能力、自理行为、情感状况、总健康、质量评分较高(P<0.05)。治疗后与对照组相比,研究组患者NIHSS评分较低(P<0.05);治疗后相较于对照组,研究组肌张力下降患者数量较多,差异有统计学意义(P<0.05)。对照组治疗有效率低于研究组,差异有统计学意义(P<0.05)。结论:给予脑卒中偏瘫患者阴经穴位针刺联合雷火灸治疗,能够改善患者中医证候积分,并且能够改善患者生活质量,降低肢体肌张力,有着较好的临床应用价值。

Objective:Analyze effect of Yin meridian acupuncture combined with lightning fire moxibustion on limb muscle tone in stroke patients with hemiplegia.Methods:Select 80 stroke hemiplegic patients were divided into control group and study group using random number table method,with 40 cases in each group.Both groups received routine treatment,while the control group received treatment with acupoint lightning fire moxibustion on Yin meridian on the basis of routine treatment.The research group performed acupuncture on Yin meridian points on the basis of the control group.Both groups were treated for 4 weeks.Analyze trunk function,traditional Chinese medicine syndrome score,motor function,quality of life,neurological function,limb muscle tone,and treatment effects of two groups before and after treatment.Results:After treatment,compared with the control group,the study group had higher scores in static sitting balance,dynamic sitting balanceand coordination(P<0.05).After treatment,compared with the control group,the study group had lower scores for sensory abnormalities,tongue and mouth deviation,speech impairment,and hemiplegia(P<0.05).After treatment,compared with the control group,the study group had higher scores of upper limb and lower limb motor function(P<0.05).After treatment,compared with the control group,the study group had higher psychological function,physical function,social function,material life ability,self-care behavior,emotional status,overall health,and quality score(P<0.05).After treatment,compared with the control group,the NIHSS score of patients in the study group were lower(P<0.05).After treatment,compared to the control group,the study group had higher number of patients with decreased muscle tone,with statistical difference(P<0.05).The control group had lower effective rate of treatment than the study group(P<0.05).Conclusion:The combination of Yin meridian acupuncture and lightning fire moxibustion treatment for stroke hemiplegic patients can improve their traditional Chinese medicine syndrome scores,improve their quality of life,and reduce limb muscle tone,which has good clinical application value.