针刺输穴治疗痰瘀互阻型中风下肢软瘫的临床观察

Observation of Clinical Effects of Flaccid Paralysis in Lower Limbs Caused by Wind Stroke Phlegm and Blood Stasis Type with Acupuncture shu-stream Points

目的观察针刺输穴治疗痰瘀互阻型中风下肢软瘫的临床疗效。方法将60例痰瘀互阻型中风下肢软瘫患者随机分为治疗组和对照组,每组30人,两组均接受良肢体位摆放及偏瘫肢体被动、助动康复训练同等基础治疗。对照组采用传统针刺法;治疗组在传统针刺基础上加刺下肢双侧输穴(太冲、太溪、太白),采用神经功能缺损量表、日常生活动能力评定量表、下肢运动功能量表评定疗效。结果两组治疗1月后,与治疗前比较(P<0.05),治疗组和对照组均能明显提高Fugl-Meyer(FMA)下肢运动功能评分、日常生活活动能力评分(ADL)及降低神经功能缺损程度评分,治疗组与对照组比较(P<0.05),治疗组治疗方法在改善下肢运动功能、日常生活能力及神经功能缺损程度方面,疗效优于对照组。结论传统针刺加刺下肢双侧输穴(太冲、太溪、太白)治疗痰瘀互阻型中风下肢软瘫,可明显促进中风软瘫期患者下肢运动功能的提高。

Objective： To observe the clinical effects of flaccid paralysis in lower limbs caused by wind stroke phlegm and blood stasis type with acupuncture shu-stream points. Methods： 60 stroke patients with the type of phlegm and blood stasis in lower limb palsy were randomly divided into treatment group and control group. The patients in two groups were both accepted body and limbs position treatment and hemiplegic passive,power-assist rehabilitation training.The patients in control group were given traditional needle method. The patients in Treatment group were given the traditional acupuncture treatment,meanwhile,given acupuncture of shu-stream point on both sides of lower limbs. The scale of neural function defect and assessment of daily life activities ability and lower limb motor function were evaluated. Results： After one month treatment,the scale of neural function defect,the scale of assessment of daily life activities ability and the scale of lower limb motor function in both groups were obviously improved compared with before treatment,andthe difference showed statistical significance,（ P 0. 05）. Compared with control group,the curative effect in treatment group showed better. Conclusion： Traditional Acupuncture combining with Acupuncture of shu- stream point on both sides of lower limbs to treat the stroke type of phlegm and blood stasis with lower limb palsy can obviously improve lower limbs movement function.