大接经法针刺治疗卒中后肢体运动功能障碍的临床观察

Clinical Observation of Dajiejing Acupuncture for Treatment of Post-stroke Limb Motor Dysfunction

【目的】观察大接经法联合分期针刺治疗卒中后肢体运动功能障碍的临床疗效。【方法】将60例符合纳入标准的卒中后肢体运动功能障碍患者随机分为试验组和对照组,每组各30例。2组患者均接受脑卒中神经内科常规治疗及现代康复训练,在此基础上,对照组给予软瘫期分期针刺治疗,试验组给予大接经法联合软瘫期分期针刺治疗,连续治疗6 d后休息1 d,共治疗4周。观察2组患者治疗前后简式Fugl-Meyer运动功能(FMA)评分和改良Barthel指数(MBI)评分的变化情况,并评价2组的安全性。【结果】(1)试验过程中,2组患者均无病例脱落,均能完成全部试验。(2)治疗后,2组患者FMA评分和MBI评分均较治疗前明显升高(P<0.05),且试验组对FMA评分和MBI评分的升高作用均明显优于对照组,差异均有统计学意义(P<0.05)。(3)2组患者治疗过程中均无明显的不良反应情况发生。【结论】大接经法联合分期针刺治疗卒中后肢体运动功能障碍患者疗效确切,能显著改善患者偏瘫肢体运动功能和日常生活能力,其疗效优于单纯分期针刺治疗。

Objective To observe the clinical effect of Dajiejing acupuncture,an acupuncture therapy for needling the bilateral twelve jing(well)-points alternatively from the healthy side in the order of heavenly-stems and earthly-braches cycle,combined with the staging acupuncture therapy for the treatment of post-stroke limb motor dysfunction. Methods Sixty patients with post-stroke limb motor dysfunction who met the inclusion criteria were randomly divided into trial group and control group, with 30 cases in each group. Both groups received conventional internal medicine treatment of stroke neurology and modern rehabilitation training,and additionally the control group was treated with staging acupuncture,and the trial group was treated with Dajiejing acupuncture combined with staging acupuncture. Both groups were treated for 6 continuous days and then had an interval of one day,and the treatment lasted for 4 weeks. Before and after treatment,the scores of simple Fugl-Meyer Motor Function Assessment(FMA)and modified Barthel index(MBI)in the two groups were observed. The clinical safety was also evaluated in the two groups. Results(1)During the trial,no case of the two groups dropped out,and all of the cases in the two groups completed the trial.(2)After treatment,the scores of FMA and MBI in the two groups were obviously increased in comparison with those before treatment(P<0.05),and the trial group had stronger effect on increasing the scores of FMA and MBI than the control group,the difference being statistically significant(P<0.05).(3)During the trial,no obvious adverse reaction occurred in the two groups. Conclusion Dajiejing acupuncture combined with staging acupuncture exerts certain effect for the treatment of post-stroke limb motor dysfunction by significantly improving the motor function of the hemiplegia limbs and ability of daily life of the patients after stroke,and the therapeutic effect is stronger than the staging acupuncture alone.