头穴透刺配合运动再学习对偏瘫者步行能力的影响  

Effect of Scalp Penetration Needling at Head Points Combined with Motor Relearning Programme on the Gait of Hemiplegic Patients

作　　者：秦宏[1] 马丹[1] 罗峰[1] 东贵荣[2] 

机构地区：[1]上海市杨浦区殷行社区卫生服务中心,上海200438 [2]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《针灸临床杂志》2013年第2期17-20,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察头穴透刺且留针下配合运动再学习训练对脑卒中患者偏瘫步态的临床疗效。探讨二种方法结合治疗改善脑卒中患者偏瘫步态的意义,为寻求一种更加有效、综合的康复干预方案提供依据。方法:将符合入选标准的60例脑卒中患者随机分为3组,综合治疗组20例,在社区卫生服务中心接受头穴透刺且留针下进行运动再学习训练(MRP);康复组20例,单纯进行MRP;针刺组20例,单纯进行头针治疗。3组治疗时间都为每周3次,连续干预3个月。分别在入组时和治疗3个月后进行"起立-行走"计时测试、Fugl-Meyer下肢运动功能评测及生活满意度评分(SWLS)。结果:3组步行能力在治疗前后差异均有统计学意义(P<0.01),综合治疗组治疗后"起立-行走"计时测试、Fugl-Meyer下肢运动功能评测、生活满意度评分与康复组和针刺组相比差异有统计学意义(P<0.05),疗效优于其他两组。结论:头穴透刺结合运动再学习与单纯运动再学习和单纯针刺均可提高脑卒中偏瘫患者的步行能力,但头穴透刺结合MRP的疗效更突出。Objective：To observe and evaluate the therapeutic effect and significance of scalp penetration needling on head points combined with MRP on the gait of henfiplegic patients. To explore one or more effective intervention method. Methods：60 patients with exclusive standalxt were randomly divided into three groups： scalp acupuncture - MRP group, rehabilitation group, acupuncture group. There were 20 patients in each group. Patients in the scalp acupuncture -MRP group were treated with scalp penetration needling combined with motor relearning programme, while those in the rehabilitation group received only motor relearning programme training and those who were in the acupuncture group just received scalp acupuncture - ~herapy. The treatment was given three times a week in three groups. Totally, three months of treatment were required. The three groups were assessed by the Timed ＂up ＆ go＂, the Fugl -Meyer Assessment （FMA）and Satisfaction with Life Scale （SWLS）. Results ： The scores of the Timed＂ up ＆ go＂, FMA, and SWLS showed that there were significant differences in the three groups after treating for three months（P 〈0. O1 ） ; but the scores in the scalp acupuncture - MRP group were obviously higher than those in the MRP group and scalp acupuncture group after three - month treatment（P 〈 0.05 ）. Conclusion：Three groups can improve the gait of stroke patients, but the total efficacy of scalp acupuncture combined with MRP is superior to that of other groups.

关 键 词：头穴透刺 运动再学习 偏瘫 步行能力 

分 类 号：R246.6[医药卫生—针灸推拿学]