滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍临床研究

Clinical Study on Treatment of Upper Limb Motor Dysfunction after Stroke by Nourishing Water to Moisten Wood Acupuncture Combined with Head Point Penetrating Acupuncture

目的探讨滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍的疗效。方法选取2020年9月—2022年2月医院治疗的卒中后上肢运动功能障碍患者100例,随机分为对照组(53例,头穴透刺疗法)和观察组(47例,滋水涵木针法联合头穴透刺疗法),对比两组治疗后临床疗效、Fugl-Meyer运动功能评分上肢部分(Fugl-Meyer assessment-upper extremity,FMA-UE)评分、改良Barthel指数(modified Barthel index,MBI)评分和沃尔夫运动功能测试(Wolf motor function test,WMFT)评分、Brunnstrom偏瘫上肢肌力分级及运动诱发电位皮质潜伏期(cortical latency,CL)和中枢运动传导时间(central motor conduction time,CMCT)值变化。结果观察组治疗有效率较对照组明显较高(P<0.05);两组治疗后FMA-UE评分、MBI评分和WMFT评分较治疗前均明显升高(P<0.05),且观察组较对照组升高更显著(P<0.05);治疗前两组Brunnstrom偏瘫上肢肌力分级间差异无统计学意义(P>0.05);治疗后两组Brunnstrom偏瘫上肢肌力分级较治疗前显著改善(P<0.05);且观察组与对照组相比较改善更明显(P<0.05);两组治疗后CL和CMCT值较治疗前显著降低(P<0.05);且观察组降低更明显(P<0.05)。结论采用滋水涵木针法联合头穴透刺治疗卒中后上肢运动功能障碍具有较好的疗效,能够改善上肢运动功能,提高上肢肌力。

Objective To investigate the effect of nourishing water to moisten wood acupuncture combined with head point penetrating acupuncture on upper limb motor dysfunction after stroke.Methods A total of 100 patients with upper limb motor dysfunction after stroke who were treated in the hospital from September 2020 to February 2022 were randomly divided into control group(53 cases,head acupoint penetration needling)and observation group(47 cases,nourishing water to moisten wood acupuncture combined with head acupoint penetration needling).Clinical efficacy,Fugl-Meyer assessment-upper extremity(FMA-UE)score,modified Barthel index(MBI)score,Wolf motor function test(WMFT)score,Brunnstrom hemiplegia upper limb muscle strength grade and the values of cortical latency(CL)and central motor conduction time(CMCT)were compared between the two groups after treatment.Results The effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,FMA-UE score,MBI score and WMFT score in two groups were significantly higher than those before treatment(P<0.05),and the increase in the observation group was more significant than that in the control group(P<0.05).Before treatment,there was no difference in upper limb muscle strength between the two groups(P>0.05).After treatment,the muscle strength grade of Brunnstrom hemiplegia in both groups was significantly improved compared with that before treatment(P<0.05).The improvement of the observation group was more obvious than that of the control group(P<0.05).The values of CL and CMCT in both groups were significantly decreased after treatment compared with those before treatment(P<0.05).The decrease was more obvious in the observation group(P<0.05).Conclusion nourishing water to moisten wood acupuncture combined with head acupoint penetration needling has a good effect on the treatment of upper limb motor dysfunction after stroke,which can improve the upper limb motor function and improve the upper limb muscle strength.