醒脑开窍针法配合薄氏腹针治疗中风后遗症30例  

Therapeutic Effect of Activating Brain and Regaining Consciousness Needling Combined with Abdomen Acupuncture on Stroke Sequelae: Analysis of 30 Cases

作　　者：张贵锋[1,2] 黄泳[2] 曾统军 

机构地区：[1]广东省新兴中药学校,广东新兴527400 [2]南方医科大学中医药学院,广东广州510515 [3]顺德区第一人民医院,广东佛山528000

出　　处：《针灸临床杂志》2014年第4期29-31,共3页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察醒脑开窍针法配合腹针疗法对中风后遗症的临床治疗效果。方法:30例中风后遗症患者,运用石学敏醒脑开窍针法配合薄氏腹针疗法治疗,结合中医辨证论治加减穴位,观察治疗4个疗程,在治疗前后分别运用计分法评价治疗效果、Brunnstrom分级量表评定患者运动功能、Barthel氏ADL指数法评定患者日常生活能力。结果:与治疗前比较,治疗后患者运动功能显著改善(上肢:u=6.24,P<0.01;下肢:u=4.75,P<0.01);对日常生活能力评价发现,生活指数在治疗后与治疗前比较,有明显提高(P<0.05);治疗后显效14例、有效13例、无效3例,总有效率90%。结论:醒脑开窍配合薄氏腹针疗法能够发挥两种针法的互补作用,对中风后遗症有显著疗效,能够显著改善病人上、下肢的运动功能和日常生活能力。Objective ：To observe the clinically therapeutic effect of activating brain and regaining consciousness needling combined with abdomen acupuncture on stroke sequela. Methods：30 stroke sequelae sufferers were treated with activating brain and regaining consciousness needling combined with abdomen acupuncture, based on selecting points according to TCM syndrome differentiation once a day,six days as a course ,four cour- ses in the whole experiment with one - day rest between two courses. Efficacy was evaluated with a certain grade method, motor function with Brunnstrom graded scale, and activity of daily living with Barthel$ ADL in- dex, three of which were obtained pre - treatment and post - treatment. Results： Motor function was significantly improved after the treatment （ upper limb, u = 6.24, P 〈 0.01 ; lower limb, u = 4.75, P 〈 0.01 ）. Ability of dai- ly living was obviously improved with higher ADL index post - treatment compared with pre - treatment （ P 〈 0. 05）. The total efficiency of treatment was 90%, with 14 cases markedly effective, 13 cases effective and 3 cases ineffective. Conclusion：Activating brain and regaining consciousness needling combined with abdomen acupuncture was effective for stroke sequelae, significantly improving motor function of upper and lower extremities and activities of daily living ability through their complementary roles.

关 键 词：针刺 中风后遗症 醒脑开窍针法 薄氏腹针 

分 类 号：R246.6[医药卫生—针灸推拿学]