温针灸治疗缺血性卒中后偏身感觉障碍的疗效观察

Effect of warm acupuncture on hemisensory disturbance after ischemic stroke

目的观察基于王居易经络诊察法的温针灸治疗缺血性卒中后偏身感觉障碍的临床疗效。方法选取80例缺血性卒中偏身感觉障碍患者,随机分为对照组和治疗组,每组40例。对照组采用常规取穴针刺;治疗组在对照组的基础上,基于王居易经络诊察法,选取治疗经脉的手足同名经之原穴及合穴进行温针灸治疗。观察两组治疗前后感觉功能评分、改良Barthel指数(modified Barthel index,MBI)评分、美国国立卫生研究院卒中量表(National Institutes of Health stroke scale,NIHSS)评分和中医证候积分的变化,并比较两组的临床疗效。结果两组治疗后感觉功能评分和MBI评分均升高,治疗组高于对照组,差异有统计学意义(P<0.05);两组治疗后NIHSS评分及中医证候积分均下降,治疗组低于对照组,差异有统计学意义(P<0.05);治疗组总有效率高于对照组(P<0.05)。结论在常规取穴针刺治疗的基础上,基于王居易经络诊察法的温针灸治疗缺血性卒中后偏身感觉障碍明显优于常规针刺治疗,可以提升临床疗效,提高自理能力。

Objective To observe the clinical efficacy of warming needle based on Wang Juyi’s meridian diagnosis method in the treatment of hemisensory disorder after ischemic stroke.Method A total of 80 patients with hemisensory disturbance after ischemic stroke were randomly divided into a control group and a treatment group,with 40 cases in each group.The control group was treated with acupuncture at conventional acupoints.In addition to the treatment used in the control group,the treatment group was treated with warming needle at the Yuan-primordial points and He-sea points of the same name meridian of hand and foot based on Wang Juyi’s meridian diagnosis method.The sensory function score,modified Barthel index(MBI)score,National Institutes of Health stroke scale(NIHSS)score and TCM syndrome score before and after treatment were observed in the two groups.The clinical efficacy was also compared between the two groups.Result The sensory function score and MBI score of the two groups increased after treatment,and the score of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the NIHSS score and TCM syndrome score of the two groups decreased,and the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total efficacy rate of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion On the basis of acupuncture at conventional acupoints,warming needle based on Wang Juyi’s meridian diagnosis method is superior to conventional acupuncture in the treatment of hemisensory disorder after ischemic stroke,which can improve the clinical efficacy and self-care ability.