电针改善中风患者单足支撑相比例的研究  

Study on electroacupuncture improving the single-foot supporting phase rate of stroke patients

作　　者：刘刚[1] 吕长生[2] 袁立霞[3] 

机构地区：[1]广东省第二中医院针灸科,广州510095 [2]广州体育学院 [3]南方医科大学,广州510515

出　　处：《中国针灸》2010年第6期446-448,共3页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药强省课题:2009144

摘　　要：目的:为针刺改善中风患者运动功能提供生物力学依据。方法:采用随机对照试验的方法,将21例患者随机分为对照组(10例)和电针组(11例)。对照组只进行神经内科的基础治疗,电针组在对照组治疗基础上加电针肾俞、气海俞、大肠俞、脾俞等穴,治疗观察2周。比较两组治疗前后Fugl-Meyer量表(下肢部分)评分、日常生活活动能力(Barthel)指数评分,运用生物力学信号观测单足支撑相比例的变化。结果:治疗前后两组患者的Fugl-Meyer评定日常生活活动能力(下肢部分)和Barthel指数评定差异没有统计学意义(P>0.05);但电针组在单足支撑相比例方面同治疗前比较差异有统计学意义(P<0.05),与对照组比较,差异亦有统计学意义(P<0.01)。结论:电针可以提高中风患者单足支撑相比例,生物力学评定较康复量表评定敏感,可以作为疗效评定依据。Objective To provide biomechanics basis for acupuncture improving motor function of stroke patients. Methods With randomized controlled trial method, 21 cases were randomly divided into a control group （n=10） and an acupuncture group （n=10）. The control group was only treated with basic neurology therapies, and acupuncture at Shenshu （BL 23）, Qihaishu （BL 24）, Dachangshu （BL 25） and Pishu （BL 20） etc. were added in the acu-puncture group. After treatment for 2 weeks, the scores of Fugl-Meyer （lower limb part） and Barthel Index assessment before and after treatment were compared, and the changes of the single-foot supporting phase rate were observed. Results After treatment, the scores of Fugl-Meyer （lower limb part） and Barthel Index assessment had no significant difference in the two groups as compared with those before treatment （P〉0. 05）, and the single-foot supporting phase rate in acupuncture group had very significant improvement as compared with both those before treatment and those in the control group （P〈0.05 and P〈0. 01, respectively）. Conclusion Acupuncture can increase the single-foot supporting phase rate of stroke patients and the biomechanics assessment is more sensitive than the rehabilitation scale assessment.

关 键 词：中风后遗症 电针 生物力学 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]