“独取膀胱经五脏俞”治疗痿证的效果观察  

Electroacupuncture at shu-points of the five zang-organs for treatment of the flaccidity syndrome

作　　者：王洪峰[1] 黎明全[1] 王富春[1] 东贵荣[2] 王健[3] 张二力[4] 

机构地区：[1]长春中医学院针推学院,吉林省长春市130117 [2]上海中医药大学岳阳医院,上海市200032 [3]吉林省中医院神经内科,吉林省长春市130021 [4]吉林大学第一医院中医科,吉林省长春市130021

出　　处：《中国临床康复》2006年第3期124-126,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察应用电针膀胱经五脏俞治疗急性吉兰-巴雷综合征的临床疗效,验证“治痿独取膀胱经五脏俞”理论。方法:①选择2000-09/2004-05黑龙江中医药大学第二附属医院神经内科和吉林大学第一医院中医科住院吉兰-巴雷综合征患者49例。均对治疗方案知情同意。将患者随机分为针刺组25例及药物组24例。②2组患者根据病情给予一般常规治疗。针刺组:在基础常规治疗基础上,取心俞、肝俞、脾俞、肺俞、肾俞进行针刺治疗。针刺后接电针仪,用疏密波,电压2V,频率2～30Hz。1次/d,15min/次,共治疗14d。药物组:给予免疫球蛋白,静脉滴注,0.4g/(kg·d),1次/d,连续用5d。③在病程6个月内,对每位观察对象按Hughes运动功能缺损评分法(正常为0分,具有轻微症状及体征1分,能独行5m以上2分,需他人扶持或借助拐杖行走5m3分,卧床不起4分,需人工辅助呼吸5分,死亡6分。)进行动态记录。④评估两组患者治疗效果(显效:运动功能缺损评分≤2分;无效:治疗后病情无任何好转或虽好转但此后又加重至以前程度或更重,运动功能缺损评分≥3分)。⑤采用t检验进行两样本均数比较,对后期疗效及两样本率的比较采用χ2检验。结果:吉兰-巴雷综合征患者49例均进入结果分析。①两组治疗后总有效率差异不明显(P>0.05)。②在病程6个月内的临床过程针刺组与药物组发展至高峰的时间、高峰时的运动功能缺损评分、改善1分所需时间、达到≤2分的比率、达到2分所需时间、用呼吸器者未达到2分的比率、平均住院日差异不明显(P>0.05),但针刺组高峰期持续时间明显短于药物组(P<0.05)。③两组患者就诊时、高峰期、病程2周、病程3和6个月运动功能缺损评分差异不明显(P>0.05):进入恢复期后,在1个月药物组运动功能缺损评分明显低于针刺组(P<0.05)。④两组1年时后遗症的发生率差异不明显(P>0.05),无副反应发�AIM： To observe on the elcetroacupuncture at shu-points of the urinary bladder five zang-organs for treatment of acute Guillain-Barre syndrome （GBS）, to confirm the theory of ＂governs flaccidity alone to take shu-points of the urinary bladder five zang-organs＂. METHODS： （1） Totally 49 patients with Guillain-Barre syndrome were selected from Neurological Department of the Second Hospital Affiliated to Heilongjiang University of Traditional Chinese Medicine and Department of Traditional Chinese Medicine of the First Hospital Affiliated to Jilin University from September 2000 to May 2004. All the patients who knew and agreed with the plan of treatment were randomly divided into the acupuncture group （n=25） and the medicine group （n=24）. （2）Patients intwo groups were given the general conventional treatment according to the condition. Acupuncture group： In the foundation of the basically and conventional treatment, Xinshu, Ganshu, Pishu, Feishu and Shenshu were taken to for the acupuncture treatment. After the acupuncture, an electronic acupunctoscope was performed with dilatational wave, voltage of 2 V, 8 frequencies of 2-30 Hz, 1 time/day, 15 minute/time and altogether 14 day. Medicine group： the immunoglobulin was given with intravenous guttac, 0.4 g/（kg· d） and 1 time/day for 5 successive days. （2） Within 6 mouths＇ course, scores the law to each object of observation according to the Hughes motor function defect to carry on the dynamic record （Normal was 0 point with the dight symptom and the symptom for 1 point could work alone 5 meters above for 2 points, and needed other people to support or to draw support from the walking stick to walk for 5 meters for 3 points, was ill abed for 4 points, needed the artificial assistance to breathe for 5 points, died for 6 points.（4） Treatment result of patients in two groups： Effect： The movement function damage scored ≤ 2 points; Invalid： After the treatment the condition did not have any change for the better eith

关 键 词：多神经根神经炎 针灸疗法 电针 膀胱经 痿证 “独取膀胱经五脏俞” 

分 类 号：R277.754.3[医药卫生—中医学] R246