益肝止痉针法为主治疗脑卒中后神经功能缺损临床观察  

Clinical Observations on Liver-reinforcing and Spasm-relieving Acupuncture as Main Treatment for Post-stroke Neurological Deficits

作　　者：贺洋洋[1] 胡卡明 郭耀光 劳祥婷[1] 翟希[1] 池杨峰[3] 杨进[1] 

机构地区：[1]成都中医药大学,成都610075 [2]成都中药大学附属医院,成都610075 [3]上海中医药大学附属普陀医院,上海200062

出　　处：《上海针灸杂志》2013年第4期248-249,共2页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局中医药科学技术研究专项课题(2009ZL39)

摘　　要：目的观察益肝止痉针法与传统针法治疗脑卒中后神经功能缺损的疗效差异。方法按照随机原则,将入选患者分为试验组(90例)和对照组(90例),试验组采用益肝止痉针法,对照组采用传统取穴针法,两组均使用关节松动术(Bobath和Rood)循序渐进进行肢体功能锻炼。观察两组患者治疗前后肢体神经功能缺损变化。结果临床神经功能评定中,试验组总有效率为82.7%,对照组总有效率为55.1%,两组比较差异有统计学意义(P<0.05),试验组总有效率优于对照组。结论益肝止痉针法为主治疗脑卒中后神经功能缺损总有效率优于传统取穴针法。Objective To compare the efficacies of liver-reinforcing and spasm-relieving acupuncture versus conventional acupuncture in treating post-stroke neurological deficits. Method The enrolled patients were randomly allocated to an experiment group （90 cases） and a control group （90 cases）. The experiment group received liver-reinforcing and spasm-relieving acupuncture and the control group, conventional point selection-based acupuncture, Both groups receive step-by-step limb function training with joint mobilizations （Bobath and Rood）. Limb neurological deficit was examined in the two groups before and after treatment. Result A clinical evaluation of neural function showed that the total efficacy rate was 82.7% in the experiment group and 55.1% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. The total efficacy rate was higher in the experiment group than in the control group. Conclusion The total efficacy rate of liver-reinforcing and spasm-relieving acupuncture as main treatment is higher than that of conventional point selection-based acupuncture for post-stroke neurological deficits.

关 键 词：针刺 卒中 中风后遗症 益肝止痉 神经功能缺损 

分 类 号：R246.6[医药卫生—针灸推拿学]