委中穴不同刺法对中风患者下肢功能障碍的影响  

Effects of Different Point Weizhong Needling Methods on Lower Limb Dysfunction in Stroke Patients

作　　者：许军峰[1] 

机构地区：[1]天津中医药大学第一附属医院针灸特需病房,天津300193

出　　处：《上海针灸杂志》2009年第8期439-441,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划(2006CB504504);天津市科技攻关计划重大科技项目(05YFGDSF02300)

摘　　要：目的观察委中穴不同刺法治疗中风患者下肢功能障碍的疗效。方法将120例患者随机分为石氏针刺组和单纯针刺组,每组60例。均取委中穴,每天针刺1次,并配合功能康复训练。以Lovett肌力分级量表和简化的Fugl-Meyer(FMA)量表的下肢功能评分评定疗效。结果石氏针刺组下肢功能障碍即刻和治疗后4星期的有效率分别为83.3%和93.3%,单纯针刺组分别为6.7%和53.3%。石氏针刺组疗效优于单纯针刺组(P<0.01),治疗即刻和治疗后Lovett肌力分级石氏针刺组优于单纯针刺组(P<0.05),针刺后中风患者FMA下肢功能评分石氏针刺组优于单纯针刺组(P<0.05)。结论委中穴不同刺法治疗中风患者下肢功能障碍的疗效不同,石氏针刺法具有明显的即刻效应和治疗作用。Objective To investigate the therapeutic effects of different point Weizhong （BL40）needling methods on lower limb dysfunction in stroke patients. Methods One hundred and twenty patients were randomly allocated to a Shi＇s acupuncture group and a simple acupuncture group,60 cases each. Point Weizhong was selected for both and acupunctured once daily with the cooperation of functional training. The therapeutic effects were evaluated according to the lower limb myodynamia grade in the Lovett scale and the lower limb function score in simplified Fugl-Meyer Assessment （FMA）. Results The immediate effect rate and after-four week effect rate on lower limb dysfunction were 83.3% and 93.3%,respectively,in the Shi＇s acupuncture group and 6.7% and 53.3%,respectively,in the simple acupuncture group. The therapeutic effect was better in the Shi＇s acupuncture group than in the simple acupuncture group （P〈0.01）. Posttreatment immediate and posttreatment Lovett myodynamia grades were higher in the Shi＇s acupuncture group than in the simple acupuncture group （P〈0.05）. After acupuncture,lower limb function FMA scores were higher in the Shi＇s acupuncture group than in the simple acupuncture group （P〈0.05）. Conclusion Different point Weizhong needling methods produce different therapeutic effects on lower limb dysfunction in stroke patients. Shi＇s needling method has marked immediate and after effects.

关 键 词：穴 委中 刺法 中风后遗症 下肢功能障碍 

分 类 号：R246.6[医药卫生—针灸推拿学]