“靳三针”对脑梗塞后偏瘫患者日常生活活动能力的影响  

The Influence of Jin's 3-needle Manipulation on the Activities of Daily Life of the Hemiplegia Patients after Infarction

作　　者：韩德雄[1] 张莺 庄礼兴[3] 

机构地区：[1]浙江中医药大学附属第三医院,浙江310005 [2]宁乡人民医院普内科,湖南宁乡410600 [3]广州中医药大学附属第一医院,广州510405

出　　处：《中华中医药学刊》2012年第7期1496-1499,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家"十一五"科技支撑计划资助项目(2006BAI12B02-3);浙江省"重中之重"学科(针灸推拿学)建设(浙教高科[2008]255号)

摘　　要：目的:探讨靳三针疗法对脑梗塞后偏瘫患者日常生活活动能力的临床价值。方法:将254例脑梗塞后偏瘫患者随机分配到靳三针组83例、康复组84例、以及靳三针结合康复组(结合组)87例,在常规治疗的基础上,根据痉挛瘫和迟缓瘫的不同,靳三针组采用相应的靳三针疗法,康复组采取相应的康复训练方法,结合组采用靳三针结合康复训练的方法。3组疗程均为28天,分别在治疗前、治疗14天、28天后用临床神经功能缺损程度评分(NDS)、日常生活活动能力评分(ADL)进行评价。结果:治疗14天和28天后,靳三针组和另外两组的ADL评分比较,差异均无统计学意义(P>0.05);结合组和康复组比较,差异有统计学意义(P<0.05)。结论:靳三针疗法能够明显改善脑梗塞后偏瘫患者的日常生活活动能力,与康复训练配合可能产生良好的协同作用。Objective：To evaluate the clinical value of Jin＇s three-needle manipulation on the activities of daily life of the hemiplegia patients after infarction.Methods：254 cases were randomly divided into Jin＇s three-needle group（83 cases,Jin＇s group）,Rehabilitaion group（84 cases,Rehabil group）and Combination group（87 cases,Combin group）,which respectively used Jin＇s three-needle manipulation,Rehabilitaion and the two therapies combined.Changes were observed in 2 weeks and 4 weeks by NDS and ADL.Results：There were no significant differences between Jin＇s group and Combination group,Jin＇s group and Rehabil group after 14 days treatments and 28 days treatments,but the Combination group was better than Rehabil group（P〈0.05）.Conclusion：Jin＇s three-needle manipulation can significantly improve the activities of daily life of the hemiplegia patients after infarction,if combined with rehabilitation therapy,they may have good synergy.

关 键 词：靳三针 偏瘫 日常生活活动能力 

分 类 号：R246.6[医药卫生—针灸推拿学]