针刺跷脉穴配合康复治疗中风后足内翻疗效观察  

Therapeutic Observation of Acupuncture at the Heel Vessels plus Rehabilitation for Post-stroke Strephenopodia

作　　者：杨丹[1] 姜美玉[2] 杨孝芳[3] 葛耘[4] 曾贤[1] 刘明辉[1] 

机构地区：[1]贵阳中医学院第二附属医院,贵阳550003 [2]秦皇岛市第三医院,秦皇岛066001 [3]贵阳中医学院,贵阳550002 [4]贵阳市第一人民医院,贵阳550002

出　　处：《上海针灸杂志》2014年第4期299-302,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：贵州省中医药管理局科研项目(QZYY2011-37)

摘　　要：目的对比针刺跷脉腧穴配合康复与常规康复治疗中风后足内翻的临床疗效。方法将60例患者随机分为治疗组30例和对照组30例。治疗组选用跷脉腧穴针刺配合下肢康复治疗,对照组选用常规康复治疗,两组患者均每日治疗1次,连续治疗10 d休息1 d,治疗10次为1个疗程。两组均治疗3个疗程后记录症状体征并评定疗效。结果两组治疗前组间比较Fugl-Meyer下肢运动功能评分、临床痉挛指数(Clinic Spastcity Index,CSI)无显著性差异(P>0.05);两组治疗前后Fugl-Meyer下肢运动功能评分、CSI评分有显著差异(P<0.01);两组治疗后组间比较Fugl-Meyer下肢运动功能评分有差异(P<0.05);两组治疗后组间比较CSI无显著性差异(P>0.05)。结论临床研究表明两种治疗方法治疗中风后足内翻都有一定的疗效,但是治疗组临床疗效较对照组更好。Objective To compare the clinical efficacies between acupuncture at acupoints from the Heel Vessels plus rehabilitation and conventional rehabilitation treatment in treating post-stroke strephenopodia. Method Sixty patients were randomized into a treatment group of 30 cases and a control group of 30 cases. The treatment group was intervened by acupuncture at the acupoints from the Heel Vessels plus rehabilitation for the lower limbs, while the control group was by conventional rehabilitation treatment. The two groups were treated once per day, with one-day interval after continuous 10-day treatment, 10 sessions as a treatment course. After 3 courses, the symptoms and signs of the two groups were recorded and the therapeutic efficacies were evaluated. Result Before treatment, the inter-group comparisons of Fugl-Meyer Assessment（FMA） of lower extremity and Clinical Spasticity Index（CSI） showed statistically insignificant（P0.05）; the FMA and CSI scores were changed significantly after treatment in both groups（P0.01）; after treatment, the inter-group comparison of FMA score showed statistically significant（P0.05）; the inter-group comparison of CSI score showed statistically insignificant（P0.05）. Conclusion It＇s proved that both treatment methods are effective in treating post-stroke strephenopodia, but the method of the treatment group is better than that of the control group.

关 键 词：针刺 阴跷脉 阳跷脉 康复 中风后遗症 足内翻 

分 类 号：R246.6[医药卫生—针灸推拿学]