巨刺针法治疗中风偏瘫35例疗效观察

Clinical Observation on Opposing-needling Acupuncture Therapy for Hemiplegia after Stroke: A Report of 35 Cases

目的比较巨刺针法与常规体针法治疗中风偏瘫的临床疗效。方法将71例中风偏瘫患者随机分为治疗组35例和对照组36例,两组均取穴肩髃、臂臑、曲池、手三里、外关、阳溪、中渚、髀关、血海、足三里、阳陵泉、阴陵泉、悬钟、三阴交,治疗组对健侧和偏瘫侧肢体的上述穴位进行电针治疗;对照组仅对偏瘫侧肢体的上述穴位进行电针治疗。治疗前后分别根据Brunnstrom分期、简化Fugl-Meyer运动功能评分、Barthel指数对两组患者肢体功能恢复阶段、运动功能、日常生活活动能力进行评价。结果两组患者治疗前后上、下肢Brunnstrom分期比较差异均有统计学意义(P<0.05);治疗后组间比较差异亦有统计学意义(P<0.05)。两组患者治疗后简化Fugl-Meyer运动功能评分、Barthel指数均较治疗前明显升高,差异有统计学意义(P<0.05);两组治疗后及两组治疗前后差值比较差异亦有统计学意义(P<0.05)。结论巨刺复合针法可有效促进中风偏瘫患者瘫痪肢体的恢复进程,改善患肢运动功能,提高患者日常生活活动能力。

Objective To observe and evaluate the effect of opposing-needling acupuncture therapy on hemiplegia after stroke through the clinical comparison of this method with the conventional acupuncture method.Methods Seventyone patients were randomized in treatment group,35 cases,and control group,36 cases.Both groups were treated with acupuncture at Jianyu（LI 15）,Binao（LI 14）,Quchi（LI 11）,Shousanli（LI 10）,Waiguan（TE 5）,Yangxi（LI 5）,Zhongzhu（TE 3）,Biguan（ST 31）,Xuehai（SP 10）,Zusanli（ST 36）,Yanglingquan（GB 34）,Yinlingquan（SP 9）,Xuanzhong（GB 39）,and Sanyinjiao（SP 6）.For the treatment group,the above-mentioned points of healthy side and affected side were stimulated,whilst for the control group,the points of affected side was stimulated only.Before and after treatment,the recovery stages of the affected limbs,movement functions,and ability of activities of daily living of the patients of both groups were evaluated according to the Brunnstrom stages,simplified Fugl-Meyer scores and Barthel indexes.Results There was statistical difference in the comparison of Brunnstrom stages of upper and lower limbs of the two groups before and after treatment（P0.05）,and the statistical difference was also shown in the between-group comparison after treatment（P0.05）.The simplified Fugl-Meyer scores and Barthel indexes of both groups were significantly increased after treatment with the statistical difference（P0.05）.And the difference between the two groups after treatment and the difference of the two groups before and after treatment were statistically significant as well（P0.05）.Conclusion The opposing-needling acupuncture therapy is effectively promoting the recovery process of paralyzed limbs of hemiplegia patients after stroke,improving the movement function of their affected limbs,and strengthening their ability of activities of daily living.