辨证应用特色针刺疗法对缺血性脑卒中患者生活质量的改善  

Clinical Research of Special Acupuncture Therapy by TCM Differentiation on Improving Quality of Life in Patients of Ischemic Stroke

作　　者：洪永波[1] 程海英[1] 王桂玲[1] 夏淑文[1] 刘红[1] 刘慧林[1] 孙敬青[1] 赵因[1] 宣雅波[1] 李敬道[1] 马昕宇[1] 王春琛[1] 陈鹏[1] 

机构地区：[1]首都医科大学附属北京中医医院针灸科,100010

出　　处：《医学研究杂志》2013年第2期41-45,共5页Journal of Medical Research

基　　金：北京市科学技术委员会基金资助项目(Z08050703080801);北京市科技计划研发攻关类重大课题(D09050703550902)

摘　　要：目的评价辨证应用特色针刺疗法治疗缺血性脑卒中恢复期的临床疗效。方法将符合研究标准的缺血性脑卒中恢复期患者随机分为特色针刺疗法组96例(以下简称特色组),常规针刺疗法组97例(以下简称常规组),对照组30例(以下简称对照组),3组均给予相同的抗血小板治疗,特色组予辨证应用特色针刺疗法,常规组予非辨证固定取穴针刺治疗,对照组仅予西药治疗,不予任何针刺治疗。疗程共4周,观察3组治疗前、3周后及3个月后美国国立卫生研究院卒中量表(NIHSS),脑卒中专用生活质量量表(SS-QOL)及中医证候结合舌象量表评分。结果 3组患者治疗后NIHSS、SS-QOL及中医证候结合舌象量表评分均较治疗前明显降低(P<0.01),并延续至3个月后,组间比较疗效无显著性差异(P>0.05);针对SS-QOL量表进行因子分析,特色组精力因子评分较常规组与对照组改善明显(P<0.05),常规组与对照组比较无显著性差异,其余各因子评分3组间比较无显著性差异(P>0.05);中医证候结合舌象量表评分虽3组间比较无显著性差异,但特色组治疗后评分均值更低,故体现出中医证候改善方面的良好趋势;3组患者治疗期间均无明显不良反应。结论辨证应用特色针刺疗法对缺血性脑卒中恢复期患者除改善其神经功能缺损评分,还可明显提高患者的精力,改善其生存质量,并对中医证候改善更具优势,有利于进一步开展康复治疗。Objective To evaluate the clinical effect of special Acupuncture therapy by TCM differentiation on improving quality of life in patients of ischemic stroke convalescence. Methods All 223 patients of ischemic stroke convalescence were randomly divided into the special treatment group （ n = 96） , conventional treatment group （n = 30） and control group （ n = 97） , and all of them were treated with the same medication. In addition, the special treatment group was given the special （changeable） Acupuncture therapy by TCM dif- ferentiation, conventional treatment group unchangeable Acupuncture therapy without TCM differentiation, and control group only western medication. The change of scores of NIHSS／SS -QOL／TCM syndrome scale in three groups were assessed before the treatment and on the week 4 and the month 3 after the treatment. Results After treatment, the scores of NIHSS／SS - QOL／TCM syndrome scale lowered sig- nificantly （P 〈0.01 ） than before treatment and with no significant difference among three groups （P 〉 0.05 ）. By the analysis of each factor in SS - QOL, the scores of dynamism factor in the treatment group were significantly lower than those in conventional treatment group and control group （ P 〈 0.05）. In addition, the lower meaning scores of TCM syndrome scale in special treatment group still showed the nice trend of their syndrome improvement even though no significant difference among three groups. Conclusion The special acupunc- ture therapy by TCM differentiation were effective in improving NIHSS and had remarkable effect in improving patients dynamism during the course of the treatment, and was good for other rehabilitation therapy.

关 键 词：辩证 特色针刺疗法 缺血性脑卒中 生活质量 

分 类 号：R473.74[医药卫生—护理学]