头、体针联合应用分期治疗脑卒中患者下肢功能障碍  

The combined application of scalp and body acupuncture by stages for low limb dysfunction of patients with apoplexy

作　　者：何可[1] 张泓[1] 吴清明[1] 严杰[1] 石章娥[1] 戴思佳[1] 李丹丹[1] 

机构地区：[1]湖南中医药大学第二附属医院针灸中风专科,长沙410005

出　　处：《中国针灸》2012年第10期887-890,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:验证头、体针联合应用分期治疗对脑卒中患者下肢功能恢复的疗效。方法:96例患者随机分为观察组和对照组,每组48例。两组均接受常规药物、康复治疗,观察组采用头、体针联合应用分期针刺,软瘫期穴取伏兔、血海、足三里等,痉挛期穴取环跳、血海、阳陵泉等,配合头针取病灶侧顶颞前斜线(即运动区);对照组不分期选穴、不用头针,按照"醒脑开窍"针刺法和"治痿独取阳明"针刺治疗,均连续治疗8周。采用改良的Fugl-Meyer运动功能评分法(FMA)及Bar-thel指数(BI)对两组患者治疗前后的下肢运动功能及日常活动能力进行评定。结果:两组患者治疗后FMA、BI评分均有明显提高(均P<0.05),且治疗后观察组的FMA、BI评分均高于对照组(均P<0.05);治疗8周后观察组能步行的比率高于对照组[56.3%(27/48)vs 35.4%(17/48),P<0.05],且步速快于对照组(P<0.05)。结论:头、体针联合应用分期治疗脑卒中可明显改善患者的下肢运动功能和日常生活能力,尽快恢复患者步行能力和步速,且优于常规针刺。To verify the clinical efficacy on the function recovery of lower extremities for patients with cerebral apoplexy by the staging treatment with the combined therapy of the scalp and body acupuncture. Methods Ninty-six cases were randomized into an observation group and a control group, 48 cases in each one. The conventional medication and rehabilitation therapy were given in each group. In the observation group, the combined therapy of the scalp acupuncture and the body acupuncture was provided by stages. At the flaccid stage, Futu （ST 32）, Xuehai （SP 10）, Zusanli （ST 36）,etc. were selected. At the spasmodic stage, H uantiao （GB30） , Xuehai （SP 10） , Yanglingquan （GB 34） ,etc. were selected. In combination with the scalp acupuncture the anterior obliqueline of vertex-temploral （motor area） on the affected side was selected. In the control group, the acupoints were not selected according to the disease stages and no scalp acupuncture was applied, and the cases were treated with the needling technique as ＂ regaining consciousness＂ and in light of the principle as ＂ Yangming meridians specialized for Wei syndrome＂. The treatment lasted continuously for 8 weeks. The modified Fugl- Meyer motor function assessment （FMA） and Barthel index （BI） were used to assess the motor function of the lower extremities and the activities of daily living hefore and after treatment for the patients in two groups separate ly. Results FMA and BI score were all improved apparently after treatment for the patients in two groups （all P〈0.05）, and FMA and BI score after treatment in theobserwltion group were all higher than those in tim con- trol group （both P〈0.05）. In 8 weeks treatment, the walking ability rate in the observation group was higher than that in the control group [56. 3% （27/48） vs 35. 40% （ 17/48）, P〈0.05]. The walking speed in the observation group was faster than that in the control group （ P〈0.05 ）. Conclusion The combined therapy of the scalp and bo

关 键 词：脑卒中 针刺疗法 头针 下肢功能 分期 

分 类 号：R246.6[医药卫生—针灸推拿学]