烧山火、透天凉补泻法对臀大肌挛缩术后患者步态周期的影响

Effect of Heat-producing Needling(Shao Shan Huo) and Cool-inducing Needling(Tou Tian Liang) on Gait Cycle after Operation for Gluteus Contracture

目的观察烧山火、透天凉针刺补泻法对臀大肌挛缩术后患者运动步态周期的影响。方法将66例臀大肌挛缩术后患者随机分为治疗组和对照组,每组33例。对照组采用康复训练治疗,治疗组在对照组治疗基础上采用针刺治疗,取手术局部腧穴秩边、环跳、居髎行透天凉泻法;取髀关、伏兔、足三里、丰隆、血海、地机、阳陵泉行烧山火补法。观察两组治疗前后运动学时间参数变化。结果治疗组治疗后患侧支撑相时间、健侧支撑相时间、步行周期、患侧摆动相时间、健侧摆动相时间及双支撑相时间与对照组比较,差异均具有统计学意义(P<0.05)。结论烧山火、透天凉补泻法可有效缩短臀大肌挛缩术后的步态运动周期,改善患者步行功能。

Objective To observe the effect of heat-producing needling （Shao Shan Huo） and cool-inducing needling （Tou Tian Liang） on the gait cycle after operation for gluteus contracture. Method Sixty-six patients after operation for gluteus contracture were randomized into a treatment group and a control group, 33 in each group. The control group was intervened by rehabilitation, while the treatment group was by acupuncture in addition to the rehabilitation training. The topical points Zhibian （BL 54）, Huantiao （GB 30）, and Juliao （GB 29） were treated with reducing cool-inducing needling technique; Biguan （ST 31）, Futu （ST 32）, Zusanli （ST 36）, Fenglong （ST 40）, Xuehai （SP 10）, Diji （SP 8）, and Yanglingquan （GB 34） were treated with reinforcing heat-producing needling technique. The motor time parameters were observed before and after intervention. Result After intervention, the supporting phase of the affected side, supporting phase of the healthy side, gait cycle, swinging phase of the affected side, swinging phase of the healthy side, and bilateral supporting phase of the treatment group were significantly different from that of the control group （P〈0.05）. Conclusion Heat-producing and cool-inducing needling techniques can effectively shorten the gait cycle after operation for gluteus contracture, and can improve the walk function.