循经催气刺法治疗中风肢体瘫痪:随机对照研究  

Stroke-induced acroparalysis treated with Xunjingcuiqi needling technique:a randomized controlled trial

作　　者：柴玉华[1] 张瑞霞[1] 薛成爱[1] 刘永芹[1] 王祥翔[1] 

机构地区：[1]青岛市黄岛区人民医院理疗科,山东青岛266400

出　　处：《中国针灸》2014年第6期534-538,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的：观察循经催气对缺血性中风肢体瘫痪患者肌力的影响。方法：将100例患者随机分为循经催气组和常规针刺组，每组50例。常规针刺组采用常规针刺法，取上星、百会、地仓、肩髑、曲池、环跳、足三里等为主穴；循经催气组在常规针刺法基础上加用循经毛刺催气法（毫针循着经络循行快速点刺以催助经气传导），肌力0～1级不易得气者，加用阳经之输穴行动针催气刺法（针刺得气后，边行针边活动肢体以催助经气传导）。两组均每日治疗1次，10次为一疗程，治疗3个疗程，每疗程结束后评定肌力情况、临床疗效。结果：治疗1、2、3个疗程后，循经催气组肌力3～5级者分别为20例、24例和36例，而常规针刺组肌力3～5级者分别为6例、10例和15例，两组比较差异有统计学意义（P〈0．01，P〈0．05）。治疗1、2、3个疗程后循经催气组显效率分别为60．0％（30／50）、64．0％（32／50）和70．0％（35／50），常规针刺组分别为38．0％（19／50）、44．0％（22／50）和46．0％（23，／50），第1、第3疗程后两组显效率比较差异有统计学意义（均P〈0．05）。结论：循经催气针刺法配合常规针刺治疗缺血性中风肢体瘫痪患者疗效明显优于单纯常规针刺，循经催气刺法能明显提高肌力、缩短病程。Objective To observe the impacts on the muscle strength in the patients of stroke-induced acroparalysis treated with Xunjingcuiqi needling technique. Methods One hundred patients were randomized into a Xunjingcuiqi group and a routine acupuncture group, 50 cases in each group. In the routine acupuncture group, the routine acupuncture technique was adopted at the main acupoints, such as Shangxing （GV 23）, Baihui （GV 20）, Dicang （ST 4）, Quchi （LI 11）, Huantiao （GB 30） and Zusanli （ST 36）, etc. In Xunjingcuiqi group, on the basis of the routine acupuncture technique, Xunjingcuiqi needling technique （pricking technique was quickly applied with the filiform needle along the running course of meridian to promote the conduction of meridian qi） was added. For the patients being hard to feel the needling sensation and with the muscle strength of 0 to 1 degree, Dongzhencuiqi technique was supplemented at shu-stream points of yang meridians （after qi arrival, the needling manipulation with limb movement was given to promote the conduction of meridian qi）. The treatment was given once every day in the two groups. Ten treatments made one session. Three sessions of treatment were required. At the end of each session treatment, the muscle strength and clinical efficacy were assessed. Results In the 1st, 2nd and 3rd sessions of treatment, 20, 24 and 36 cases achieved the 3 to 5 degrees muscle strength in Xunjingcuiqi group, respectively; and 6, 10 and 15 cases achieved the 3 to 5 degrees muscle strength in the routine acupuncture group. The differences were significant statistically in comparison of the two groups （P〈0. 01, P〈0. 05）. The markably effective rates were 60.0% （30/50）, 64.0% （32/50） and 70.0% （35/50） after the 1st, 2nd and 3rd sessions of treatment in Xunjingcuiqi group, respectively, and those were 38.0% （19/50）, 44.0% （22/50） and 46.0% （23/50） in the routine acupuncture group, respectively. The differences were significant in the 1st and 3rd sessions

关 键 词：中风 肢体瘫痪 针刺疗法 针刺手法 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]