阴阳经取穴针刺法与普通针刺治疗中风后偏瘫临床观察

Acupuncture at Acupoints of Yin and Yang Meridians and Ordinary Acupuncture in the Treatment of Post-stroke Hemiplegia

目的探讨阴阳经取穴针刺法与普通针刺治疗中风后偏瘫的效果差异。方法将符合研究标准的78例中风后偏瘫患者随机分成A组和B组,各39例。A组给予普通针刺治疗,B组给予阴阳经取穴针刺法治疗,均持续3个疗程,比较2组的临床效果。结果治疗后,B组肌张力总有效率为89.74%(35/39),明显高于A组的71.79%(28/39)(P<0.05);2组患侧上肢、下肢肢体运动功能Fugl-Meyer评分和总分均明显升高(P<0.05),B组治疗后上述评分均显著高于A组(P<0.05)。2组无严重不良反应发生。结论阴阳经取穴针刺法与普通针刺法均是治疗中风后偏瘫的有效方法,与普通针刺法比较,阴阳经取穴针刺法能更有效地改善患侧肢体痉挛状态和肢体功能。

Objective To explore the difference between yin and yang meridian acupoints selected acupuncture and ordinary acupuncture in the treatment of post-stroke hemiplegia.Methods Seventy-eight patients with post-stroke hemiplegia who met the research criteria were randomly divided into group A and group B,with 39 cases in each group.Group A was treated with ordinary acupuncture,and group B was treated with acupuncture at acupoints of yin and yang meridians for 3 courses.The therapeutic effects of the two groups were compared.Results The total effective rate of muscle tension in group B was 89.74%(35/39),which was significantly higher than 71.79%(28/39)in group A(P<0.05).After treatment,the Fugl-Meyer scores of the upper and lower limbs and total scores of the two groups were significantly increased(P<0.05),and the scores in group B were significantly higher than those in group A(P<0.05).There were no serious adverse reactions in the two groups.Conclusion Acupuncture at acupoints of yin and yang meridians and ordinary acupuncture are both effective for post-stroke hemiplegia.Compared with ordinary acupuncture,acupuncture at acupoints of yin and yang meridians can more effectively improve the spasticity and limb function of the affected side.