“三位一体”针法改善缺血性中风偏瘫患者肢体功能的临床研究

Clinical Study on "Three-in-one" Needling Method in Improving Limb Functions of the Patients with Ischemic Hemiplegia

目的:观察"三位一体"针法改善缺血性中风偏瘫患者肢体功能的临床疗效。方法:将缺血性中风偏瘫患者146例按肌张力分级标准分为迟缓性瘫痪和痉挛性瘫痪两层,采用分层区组随机方法分为"三位一体"针法组(简称试验组,73例)和康复组(对照组,73例),试验组每天针刺1次,每次留针30分钟,连续6天为1个疗程,休息1天继续下1个疗程。对照组每天康复训练1次,45 min/次,连续6天为1个疗程,休息1天继续下1个疗程。统计治疗过程中第7天、14天、21天和28天的疗效。采用临床神经功能缺损程度评分(NDS)和运动功能评分(四肢简化Fugl-Meyer评分,FMA)评价疗效。结果:试验组治疗第7天、14天、21天和28天NDS均低于治疗前(P<0.05);对照组治疗第21天和28天NDS均低于治疗前(P<0.05)。治疗第7天和第14天2个时间点试验组NDS均低于对照组NDS(P<0.05)。2组治疗14天、21天和28天FMA均高于治疗前(P<0.05)。治疗7天、14天、21天和28天后试验组FMA与对照组比较差异无统计学意义(P>0.05)。结论:"三位一体"针法改善缺血性中风偏瘫患者肢体功能具有确切的临床疗效,与现代康复疗法疗效相当。而"三位一体"针法治疗缺血性中风偏瘫在神经功能恢复方面较现代康复疗法起效快。

Objective：To observe clinical effects of ＂three-in-one＂ needling method in improving limb functions of the patients with ischemic hemiplegia.Methods：All 146 patients were allocated to two layers：flaccid paralysis and spastic paralysis according to muscular tension classification standard,divided into the group of ＂three-in-one＂ needling method（the test group for short,73 cases） and the rehabilitation group（the control group,73cases） by adopting layering randomized method,the test group accepted the needling,each time per day,retaining for 30 minutes each time,six days were one course of the treatment,the interval was one day.The control group received rehabilitation training each time per day,45 minutes each time,six days were one course of the treatment,and the interval was one day.Clinical effects were counted during therapeutic course at the seventh day,14 th day,21 st and 28 th day,therapeutic effects were assessed by adopting NDS and FMA.Results：NDS of the test group at the seventh day,14 th day,21 st and 28 th day were lower than that before treating obviously（P〈0.05）;NDS of the control group at the 21 st and 28 th day were lower than that before treating notably（P〈0.05）.NDS of the test group at the seventh day and 14 th day were lower than that of the control group evidently（P〈0.05）.FMA of the test group at the 14 th day,21 st and 28 th day were higher than that before treating（P〈0.05）.There was no statistical difference in the comparison of FMA between the test group and the control group at the seventh day,14 th day,21 st and 28 th day（P〉0.05）.Conclusion： ＂Three-in-one＂ needling method shows definite effects in improving limb functions of the patients with ischemic hemiplegia,equivalent to clinical effects of modern rehabilitation therapy.While ＂three-in-one＂ needling method works faster in the recovery of nerve function when it is compared with modern rehabilitation therapy.