阴-阳对刺呼吸补泻法治疗缺血性脑卒中患者偏瘫步态的疗效观察

Management of Post- stroke Hemiplegia by Reinforcing- reducing Techniques of Acupuncture

目的了解阴-阳对刺呼吸补泻法对缺血性脑卒中患者偏瘫步态周期变化的影响。方法将60例缺血性脑卒中患者按随机数字表法分为对照组与试验组,各30例。对照组采用基础治疗+足阳明胃经平补平泻法治疗,试验组采用基础治疗+阴-阳对刺呼吸补泻法治疗。于治疗前、治疗后对患者进行运动学时间参数测定比较。结果试验组和对照组治疗后步行周期〔(1.75±0.21)比(2.02±0.37)〕、患侧支撑相时间〔(65.41±5.20)%比(68.37±6.24)%〕、健侧支撑相时间〔(70.99±6.47)%比(74.51±5.19)%〕、双支撑相时间〔(36.91±5.10)%比(41.22±5.39)%〕、患侧摆动相时间〔(36.08±4.86)%比(33.65±2.94)%〕及健侧摆动相时间〔(31.04±3.41)%比(26.77±2.67)%〕差异均有统计学意义(P<0.05)。结论阴-阳对刺呼吸补泻法可有效改善缺血性脑卒中患者的偏瘫步态运动周期,提高步行功能。

Objective To investigate the effectiveness of reinforcing - reducing technique - based acupuncture in the management of patients with lower extremity hemiplegia following ischemic stroke. Methods Sixty patients who developed lower extremity hemiplegia following ischemic stroke randomly divided into two groups. Those in the control group were treated with the stomach channel acupuncture and those in the experimental group with reinforcing - reducing techniques of acupuncture in addition to the conventional approach. Kinematic analysis of lower limb movement was performed in all patients before and after the treatment Results All parameters assessed after treatment were significantly better in the experimental group than in the control group （P 〈 0. 05）, including gait cycle [ （1. 75 ± 0. 21） vs. （2. 02 ± 0. 37） J, stance phase time on the affected side [ （65.41 ± 5. 20） % vs. （68.37 ± 6. 24） % ], stance time on the unaffected side （ （70.99 ± 6.47） % vs, （74.51 ± 5. 19） % ], double support phase time [ （36. 91 ± 5. 10） % vs. （ 41. 22 ± 5. 39） % ], swing phase time on the affected side [ （36. 08 ± 4. 86） % vs. （33. 65 ± 2. 94） % ], and swing phase time on the unaffected side [ （31. 04 ± 3.＇41 ） % vs. （26. 77 ± 2. 67% ） ] . Conclusion Reinforcing - reducing techniques of acupuncture with needling at yin - yang meridians is effective in improving lower limb functions, thereby offering an approach to manage post - stroke hemiplegia.