林氏头皮针治疗中风后运动功能障碍30例

Lin’s Scalp Needle in the Treatment of Motor Dysfunction after Stroke for 30 Cases

目的观察林氏头皮针改善中风后运动功能障碍的临床疗效,以期提高针灸治疗中风病的临床疗效,同时学习和体现海派中医特色,发挥中医药文化。方法纳入符合中风病诊断标准的患者,随机分为头皮针组和体针组共60例,每组30例,疗程4周。采用改良Bathel指数量表(ADL)及改良Ashworth量表(MAS)为主要评价指标,结合中医病证诊断疗效标准,观察林氏头皮针改善中风后运动功能障碍的临床疗效。结果头皮针组总有效率优于体针组(P<0.05)。治疗后头皮针组的ADL评分与体针组比较,差异有统计学意义(P<0.05)。治疗后头皮针组MAS评分与体针组比较,差异具有统计学意义(P<0.05)。结论林氏头皮针改善中风后运动功能障碍的临床疗效确切,值得学习推广,适宜于各级医疗单位。

Objective To observe the clinical efficacy of Lin’s acupuncture in improving motor dysfunction after stroke,in order to improve the clinical efficacy of acupuncture and moxibustion in the treatment of stroke,learn and reflect the characteristics of Shanghai style traditional Chinese medicine,give full play to the culture of traditional Chinese medicine.Methods Patients who met the diagnostic criteria of stroke were randomly divided into scalp acupuncture group and body acupuncture group,with 30 cases in each group for 4 weeks.Using modified bathel index scale(ADL)and modified Ashworth Scale(MAS)as the main evaluation indexes,combined with the diagnostic efficacy standard of traditional Chinese medicine syndrome,the clinical efficacy of Lin’s scalp acupuncture in improving motor dysfunction after stroke was observed.Results The total effective rate of scalp acupuncture group was better than that of body acupuncture group(P<0.05).After treatment,there was significant difference in ADL score between scalp acupuncture group and body acupuncture group(P<0.05).After treatment,there was significant difference in MAS score between scalp acupuncture group and body acupuncture group(P<0.05).Conclusion Lin’s scalp acupuncture has a definite clinical effect on improving motor dysfunction after stroke,which is worthy of study and promotion,and is suitable for medical units at all levels.