针刺丘墟透申脉治疗脑卒中后踝关节功能障碍临床观察

Clinical Observation of Point-toward-point Acupuncture from Qiuxu(GB40) to Shenmai(BL62) for Post-stroke Ankle Joint Dysfunction

目的对比观察丘墟透申脉与丘墟透照海为主治疗脑卒中后踝关节功能障碍的临床疗效及安全性。方法将36例脑卒中后踝关节功能障碍患者随机分为治疗组18例,对照组18例。治疗组采用丘墟透申脉为主治疗,对照组采用丘墟透照海为主治疗。结果在小腿三头肌的痉挛情况(MAS)方面,治疗组与对照组的治疗前后差值组间比较差异具有统计学意义(P<0.05),治疗组优于对照组。结论在缓解小腿三头肌痉挛方面,丘墟透申脉优于丘墟透照海,是一种安全有效的针刺方法。

Objective To observe the clinical efficacy and safety of the point-toward-point needling respectively from Qiuxu（GB40） to Shenmai（BL62） and from Qiuxu to Zhaohai（KI6） in treating post-stroke ankle joint dysfunction.Method Thirty-six patients with post-stroke ankle dysfunction were randomized into a treatment group of 18 cases and a control group of 18 cases.The treatment group was majorly treated with point-toward-point needling from Qiuxu to Shenmai,while the control group was by needling from Qiuxu to Zhaohai.Result Regarding the spasm intensity of the triceps surae,the change of the Modified Ashworth Scale（MAS） score in the treatment group after treatment was significantly different from that in the control group（P〈0.05）,and the treatment group was superior to the control group.Conclusion Point-toward-point needling from Qiuxu to Shenmai is better than that from Qiuxu to Zhaohai in relieving the spasm of triceps surae,and it＇s an safe and effective needling method.