芒针与火针治疗脑卒中后足内翻随机平行对照研究

Elongated Needle and Fire Needle Treatment of the Strephenopodia after Stroke Randomized Controlled Study

[目的]观察芒针与火针治疗脑卒中后足内翻疗效。[方法]使用随机平行对照方法,将60例门诊患者按就诊顺序编号简单分为两组。对照组30例体针取解溪直刺0.5寸,丘墟透照海;筑宾、昆仑等穴,直刺0.5-1.5寸,施捻转或提插泻法,1次/d。治疗组30例①芒针,选28号6-12寸芒针,取风市透中渎、阳陵泉透悬钟、丘墟透足临泣,小腿弛缓肌上顺其肌肉走行进针,平补平泻,以观察到所属肌群收缩产生拮抗作用为度,留针30 min,期间行针1次,1次/d;②火针,取患侧足三里、条口、丰隆、承山、承筋、三阴交等穴以及小腿痉挛肌上多点点刺,用钨锰合金火针（0.5mm×25mm）,对穴位进行常规消毒后,烧灼针尖部至白亮速进疾出,针刺深度和角度根据部位和胖瘦灵活应用,1次/2d。连续治疗30d为1疗程。观测临床症状、踝关节功能、足内翻、步速、步幅、足印、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈10例,显效14例,有效4例,无效2例,总有效率93.33%。对照组痊愈7例,显效7例,有效9例,无效7例,总有效率76.67%;治疗组疗效优于对照组（P〈0.01）。步速治疗组快于对照组（P〈0.01）,左右足步幅差治疗组小于对照组（P〈0.01）。[结论]芒针与火针治疗脑卒中后足内翻,疗效满意,无副作用,值得推广。

[ Objective ] Observation of Elongated Needle and Fire Needle Treatment of the strephenopodia after stroke. [ Methods ] Using randomized controlled methods, 60 cases of outpatients were randomly divided into two groups. For 30 eases in control group, simple acupuncture was applied to Jiexi for 0.5 tun with perpendicular needle, Zhaohai through Qiuxu, Zhubin and Kunlun for 0.5-1.5 Cun with twirling or lifting- thrusting movement for reducing, 1/d. For 30 eases in treatment group,（ 1 ） No. 28 elongated needle with 6-12 inches were applied to Zhongdu through Fengshi and Xuanzhong through Yanglingquan, Znlinqi through Qiuxu with the direction of needling along with flaccid muscle on the legs till the muscle contraction occurred for needling retention 30 min, during which needle were performed, l/d; （ 2 ） Heating needle was applied to Zusanli, Tiaokou, Fenglong, Chengshan, Chengjin, Sanyijiao in the diseased limb and the leg muscle with spasm. Tungsten manganese alloy needle （ 0.5mm ＊ 25mm ） were used. After the routine disinfection to the point, the tip of the needle were burned to whitelight and then needling was performed quickly, the depth and angle for needling were determined in the light of the position and weight of the patients 1 /2d and 30d for 1 courses. The curative effect were determined after 2 course of treatment by observing the clinical symptoms, function of the ankles, strephenopodia, walking speed, stride length, foot prints and adverse reaction. [ Results ] The treatment group, 10 cases were cured, 14 cases markedly effective, 4 cases effective, 2 cases ineffective, the total effective rate was 93.33%. The Control group, 7 cases were cured, 7 cases markedly effective, 9 cases effective, 7 cases ineffective, the total efficiency of 76.67%;The efficacy of the treatment group than in control group （ P〈O.01 ） . Pace of the treatment group was faster than the control group （ P 〈 0.01 ）, and the stride of left and right footprints in treatment group less than in the control group （ P 〈- 0.01 ） . [ Conclusion ] The elongated needle and Fire needle treatment of the strephenopodia after stroke, Curative effect Satisfied, no Side effect, worthy of promotion.