针刺治疗中风肢体运动功能障碍的临床研究

Clinical Study on Acupuncture Treatment of Limb Dyskinesia due to Apoplexy

运用“清上补下”的方法治疗６个月以内特别是３个月以内的中风肢体运动功能障碍病人３２例，与取阳明经腧穴为主３２例病人做对照观察，运用现代康复医学的评价方法———ＳＩＡＳ法、上田敏偏瘫十二级肢体功能评定及Ｂａｒｔｈｅｌ指数等进行临床研究。结果发现，清上补下法组较取阳明经为主组疗效好，说明头、体穴合用较单纯取肢体穴位能进一步促进分离运动的产生、正常运动模式的出现，从而改善肢体的运动情况。

cases of limb dyskinesia due to apoplexy within 6 months,especially,within 3 months were treated with the method of clearing the upper and reinforcing the lower,and 32 cases who were treated principally by acupuncture at acupoints of the Yangming Channel were used as control,and the assessment method in modern rehabilitation medicine,SIAS method,Shang Tian Mins 12 Grades Assessment for Limb Function of Hemiplegia and Barthel Index, etc.were atopted for the clinical study.Results indicated that the method of clearing the upper and reinforcing the lower had better therapeutic effect as compared with acupuncture at acupoints of the Yangming Channel.It is suggested that combination of head points with body points can further accelerate production of discrete movement and occurrence of normal movement model,so as to improve movement of limbs as compared with simple selection of points on the limb.