陆氏针灸针刺跷脉改善80例脑卒中后下肢平衡功能障碍的临床研究

Clinical Research of Heel Vessel Acupuncture of Lushi Acupuncture in Improving the Balance Dysfunction of Lower Limbs of 80 Stroke Patients

目的:探讨陆氏针灸针刺跷脉治疗脑卒中后下肢平衡功能障碍的临床疗效和安全性,为该类疾病的针灸疗法提供临床参考。方法:选取2013年1月至2014年12月上海中医药大学附属龙华医院神经内科(脑病科)收治的160例脑卒中后下肢平衡功能障碍患者进行研究,随机分为针刺治疗组和常规康复组各80例。2组均实施常规康复治疗,针刺治疗组加用陆氏针灸手法针刺阴跷脉(照海等穴)和阳跷脉(申脉等穴)治疗,疗程均为1个月。评价2组患者治疗后的临床疗效和安全性。结果:2组患者治疗后的BBS、FMBS及TIS评分均较治疗前上升,且针刺治疗组上升更为明显,差异有统计学意义(P<0.05)。2组患者治疗后的Holden、FMA评分及MWS均较治疗前上升,且针刺治疗组上升更为明显,差异有统计学意义(P<0.05)。2组患者治疗期间均未发生影响脏器功能或危及生命的严重不良反应事件,针刺治疗组亦未发生晕针、滞针、严重弯针等不良事件。结论:在常规康复训练的基础上联用陆氏针灸手法针刺跷脉能够在保证安全的前提下,有效促进脑卒中后下肢平衡功能障碍患者平衡和运动功能的恢复,值得临床推广应用。

Objective：To investigate the clinical efficacy and safety of heel vessel acupuncture of Lushi acupuncture in improving the balance dysfunction of lower limbs of patients with stroke. Methods：A total of 160 stroke patients with balance dysfunction of lower limbs in our hospital from January 2013 to December 2014 were selected and randomly divided into the acupuncture treatment group and routine rehabilitation group, 80 cases in each group. All of the patients were treated with routine rehabilitation, while the patients in the acupuncture treatment group were also treated with Yin HV and Yang HV acupuncture of Lushi acupuncture, the treatment courses of the two groups were both 1 month. The clinical efficacy and safety between the two groups were evaluated and compared. Results：After treatment, the BBS, FMBS and TIS scores of the two groups were higher than those before treatment, and the changes in the acupuncture treatment group were more obvious, the differences were statistically significant （ P 〈 0. 05 ）. The Holden, FMA score and MWS of the two groups were higher than those before treatment, and the changes in the acupuncture treatment group were more obvious, the differences were statistically significant （ P 〈 0. 05 ）. There was no serious adverse events occurrence of the two groups during the treatment, and no needle fainting, needle blocking and serious needle bending of the acu- puncture treatment group. Conclusion ： Routine rehabilitation training combined with heel vessel acupuncture of Lushi acupuncture can effectively promote the recovery of balance and movement dysfunction in stroke patients with balance dysfunction under the premise of ensuring safety, and it＇s worthy of further promotion.