“烧山火、透天凉”补泻蹻脉法对中风恢复期下肢痉挛的影响  

Effect of Acupuncture Reinforcement-reduction Manipulation of Shaoshanhuo and Toutianliang in Qiaomai on Lower Limb Spasticity in Recovery Period of Stoke

作　　者：李旗[1] 樊蕴辉[2] 田福玲[1] 伊红丽[2] 

机构地区：[1]河北联合大学中医学院,唐山063000 [2]河北联合大学附属医院,唐山063000

出　　处：《世界科学技术-中医药现代化》2012年第6期2140-2144,共5页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：唐山市科技局2010年唐山市临床技术研究计划项目(10150204A-48):早期综合开发对偏瘫肢体痉挛的疗效研究;负责人:伊红丽

摘　　要：目的:观察"烧山火、透天凉"补泻蹻脉法对中风恢复期下肢痉挛的影响。方法:将180例患者随机分为两组,各90例,实验组采用"烧山火、透天凉"补泻蹻脉法即泻阴补阳蹻脉法治疗,对照组采用传统体针法治疗,两组均治疗28天,应用Ashworth量表,对首次治疗前0.5 h,治疗后0.5、1、2、4、8 h和28天分别测定患者的下肢肌痉挛,并观察疗效。结果:总有效率实验组82.4%,对照组75.6%;首次治疗后0.5 h痉挛改善最明显(P<0.01或P<0.05),且实验组优于对照组(P<0.05);实验组在治疗后1 h痉挛改善明显(P<0.05);两组治疗后28天痉挛改善均明显(P<0.01或P<0.05),且实验组优于对照组(P<0.05)。结论:"烧山火、透天凉"补泻蹻脉法在近、远期内有效的降低中风恢复期患者患侧下肢肌痉挛。This study was aimed to investigate the effect of acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai on lower limb spasticity in the recovery period of stoke. A total of 180 patients were randomly divided into 2 groups （i.e. experiment group and control group）, with 90 patients in each group. Experiment group were treated by acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai and control group were treated by traditional body-acupuncture therapy. Both of them were treated for 28 days. Then, use the Ashworth Scale to test each patient＇s lower limb spasticity at each time of 0.5 h before treatment, 0.5 h, 1 h, 2 h, 4 h, 8 h after treatment and 28 days later. The results showed that the total effective rates were 82.4% and 75.6% in experiment group and control group. The spasm was obviously alleviated at 0.5 h after treatment for the first course of therapy, with statistical significance （P 〈 0.01 or P 〈 0.05）. And the effect of experiment group was superior to control group （P 〈 0.05）. The spasm was obviously alleviated at 1 h after treatment in the experiment group, with statistical significance （P 〈 0.01 or P 〈 0.05）. Spasm of patients in both groups have been relieved after treatment for 28 days, with statistical significance （P 〈 0.01 or P 〈 0.05）. Experiment group was superior to control group （P 〈 0.05）. It was concluded that acupuncture reinforcement-reduction manipulation of Shaoshanhuo and Toutianliang in Qiaomai has good effect in the treatment of lower limb spasticity in recovery period of stoke in both short-term and long-term.

关 键 词：中风 痉挛 烧山火、透天凉 蹻脉 

分 类 号：R255.205[医药卫生—中医内科学]