中风后证候特征与针刺疗效的相关性研究

The Correlation between TCM Syndromes of Stroke and the Efficacy of Acupuncture

目的:观察中风后证候特征与针刺疗效的相关性。方法:入选患者按中医证候辨证量表(DSS)分为痰浊证组、血瘀证组、阴虚阳亢证组,统一针刺方法,采用运动功能评价量表(MAS)和日常生活能力指数(BI)分别评定各组针刺前后运动功能和日常生活能力。结果:治疗4周后总有效率为70.93%,不同证型组的总有效率存在统计学差异,痰浊证组优于血瘀证组和阴虚阳亢证组(χ2=6.203,P=0.045)。结论:针刺疗法可以改善中风后患者肢体功能和日常生活能力,痰浊证组的效果优于血瘀证组和阴虚阳亢证组,针刺疗效与不同证型之间存在相关性。

Objective：To study the correlation between TCM syndromes of stroke and the efficacy of acupuncture.Methods：Selected patients were divided into three groups by Dialectical Syndromes Scale（DSS）,which included the group of phlegm,the group of blood stasis and the group of Yang hyperactivity due to Yin asthenia.On the premise of unified acupuncture methods,motor function level and daily life ability of apoplexy patients were assessed by using Motor Assessment Scale（MAS） and Barthel Index（BI） before and after acupuncture.Results：After four weeks of treatment,the total effective rate of acupuncture was 70.93%,and there was a statistical difference in the effective rates of different syndrome groups,which of the group of phlegm was better than the other two groups（χ2=6.203,P=0.045）.Conclusion：Acupuncture can improve the motor function and daily life ability of apoplexy patients,and there is a correlation between TCM syndromes and the efficacy of acupuncture.