针刺对157例不同分型脑梗死偏瘫患者神经运动功能康复的影响  

Effect of Acupuncture on the Rehabilitation of Nervous Functions in the 157 Hemiplegia Patients due to Cerebral Infarction

作　　者：吴秀玲 安志红 李永秋 刘爱国[3] 李晓东 

机构地区：[1]河北省唐山市工人医院神经内科,唐山市文化路27号063000 [2]河北省唐山市丰润区中医院 [3]河北省唐山市中医院针灸科

出　　处：《中医杂志》2010年第10期909-911,共3页Journal of Traditional Chinese Medicine

基　　金：河北省唐山市科学技术研究与发展指导计划(第一批)(07134623C)

摘　　要：目的观察针刺对牛津郡社区脑卒中项目(OCSP)不同分型的脑梗死偏瘫患者神经运动功能康复的影响。方法根据OCSP分型将患者分为腔隙梗死(LACI)、完全前循环梗死(TACI)、部分前循环梗死组(PACI)和后循环梗死组(POCI)4种亚型,再将患者随机分成治疗组和对照组,治疗组针刺百会、三阴交、太溪、血海、丰隆、足三里及配穴治疗,对照组同穴位予伪针刺,疗程为3个月。两组分别于治疗前及治疗后第1、3、6、12个月应用脑卒中康复运动功能(STREA)量表评定。结果 LACI、TACI亚型治疗组与对照组无统计学差异(P>0.05),PACI、POCI亚型第3个月至12个月治疗组与对照组比较均有统计学差异(P<0.05)。结论针刺疗法对不同OCSP分型的脑梗死偏瘫患者神经运动功能康复的作用不同,对PACI、POCI亚型有明显促进作用。Objective To explore the effect of acupuncture on the rehabilitation of nervous functions of different type of hemiplegia patients with cerebral infarction based on the Oxfordshire Community Stroke Project （OCSP）. Methods A randomized and multi-central clinical trial was conducted. According to OCSP,the patients were divided into the lacunar cerebral infarction （LACI） group,total anterior circulation infarction （TACI） group,partial anterior circulation infarction （PACI） group,and posterior circulation infarction （POCI） group,and each group was randomized again into treatment group and control group. Acupuncture was applied to Baihui （GV20）,Sanyinjiao （SP6）,Taixi （KI 3）,Xuehai （SP10）,Fenglong （SP40）,Zusanli （ST36） and the symptomatic points for the treatment group,and the control group was given sham-acupuncture at the same points. The course of treatment was 3 months. Both groups were assessed with the STREA at the time of enrollment and at the end of the 1st,3rd,6th,and 12th month of treatment respectively. Results There was no significant difference between treatment and control group of LACI and TACI type （P〉0.05）,however,there was significant difference between treatment and control group of PACI and POCI type at the end of the 3rd and12th month （P〈0.05）. Conclusion The effect of acupuncture on the different nervous impairments of cerebral infarction is different. It promotes significantly the rehabilitation of nervous functions of PACI and POCI patients.

关 键 词：脑梗死 针刺疗法 神经功能康复 

分 类 号：R246[医药卫生—针灸推拿学]