盘龙刺联合醒脑开窍针刺法治疗脑卒中后疲劳:随机对照试验

Panlong acupuncture combined with Xingnao Kaiqiao acupuncture for post-stroke fatigue: a randomized controlled trial

目的:观察盘龙刺联合醒脑开窍针刺法治疗脑卒中后疲劳的临床疗效。方法:将60例脑卒中后疲劳患者随机分为观察组(30例,脱落1例)和对照组(30例,脱落2例)。对照组采用醒脑开窍针刺法,穴取内关、水沟等,每次30min;观察组在对照组治疗基础上加用盘龙刺,取T1~L5夹脊穴,每次15min。两组均每日1次,每周6次,共治疗4周。分别于治疗前后比较两组患者疲劳评定量表(FAI)、脑卒中专用生活质量量表(SS-QOL)精力、改良Barthel指数(MBI)评分,并评定临床疗效。结果:治疗后,观察组患者FAI总分及各分项评分均较治疗前降低(P<0.05),对照组患者FAI总分及FAI-1、FAI-4评分较治疗前降低(P<0.05);观察组患者FAI总分及FAI-1、FAI-2、FAI-4评分低于对照组(P<0.05)。治疗后,两组患者SS-QOL精力、MBI评分均较治疗前升高(P<0.05),观察组患者SS-QOL精力评分高于对照组(P<0.01)。观察组总有效率为72.4%(21/29),优于对照组的46.4%(13/28,P<0.05)。结论:盘龙刺联合醒脑开窍针刺法可有效缓解脑卒中后疲劳患者疲劳症状,并改善其生活质量。

Objective To observe the clinical effect of Panlong(dragon-like) acupuncture combined with Xingnao Kaiqiao(regaining consciousness and opening orifice) acupuncture on post-stroke fatigue. Methods Sixty patients with post-stroke fatigue were randomly divided into an observation group(30 cases, 1 case dropped off) and a control group(30 cases, 2 cases dropped off). The patients in the control group were treated with Xingnao Kaiqiao acupuncture at Neiguan(PC 6), Shuigou(GV 26), etc. for 30 min;based on the treatment of the control group, the patients in the observation group were treated with Panlong acupuncture at Jiaji(EX-B 2) of T1 to L5 for 15 min. The two groups were treated once a day, 6 times a week, for a total of 4 weeks. The scores of fatigue assessment instrument(FAI), energy of stroke-specific quality of life(SS-QOL), and modified Barthel index(MBI) in the two groups were compared before and after treatment, and the clinical efficacy was evaluated. Results Compared before treatment, the total score and each item score of FAI in the observation group were reduced after treatment(P<0.05), while the total score and FAI-1 and FAI-4 scores in the control group were reduced after treatment(P<0.05). The total score of FAI and FAI-1, FAI-2 and FAI-4 scores in the observation group were lower than those in the control group(P<0.05). After treatment, the SS-QOL energy scores and MBI scores of the two groups were increased compared before treatment(P<0.05), and the SS-QOL energy score in the observation group was higher than that in the control group(P<0.01). The total effective rate was 72.4%(21/29) in the observation group, which was better than 46.4%(13/28) in the control group(P<0.05). Conclusion The Panlong acupuncture combined with Xingnao Kaiqiao acupuncture could effectively alleviate the fatigue symptoms and improve quality of life in patients with post-stroke fatigue.