阴阳对刺呼吸补泻法对脑中风患者下肢平衡功能的影响  

Impacts of yin-yang meridians acupuncture with respiratory reinforcing and reducing manipulation on lower limbs balance function in stroke patients

作　　者：田福玲[1] 李旗[1] 刘国荣[1] 郑德松[1] 陈金铭[1] 马树祥[1] 崔建美[1] 王洪彬[1] 李雪青[1] 

机构地区：[1]河北联合大学中医学院,唐山063000

出　　处：《中国针灸》2014年第11期1047-1050,共4页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金项目:81303046

摘　　要：目的:应用B-PHY型平衡功能检测训练系统,观察阴阳对刺呼吸补泻法对脑中风患者下肢平衡功能的影响,为针刺治疗脑中风提供客观依据。方法:将100例患者随机分为观察组与对照组,每组50例。对照组采用基础治疗,未予其他相关的康复治疗;观察组在此基础上,采用阴阳对刺呼吸补泻法治疗,阴经取足五里、血海、阴陵泉、三阴交等,运用呼吸补泻法的泻法,阳经取髀关、梁丘、阳陵泉等,运用呼吸补泻法的补法,每天1次,治疗28天。于治疗前、治疗28天后,应用B-PHY型平衡功能检测训练系统对重心转移轨迹参数(轨迹长、外周面积、单位面积轨迹长、左右偏移、矩形面积)、重心转移距离参数[X轴重心转移距离均值(Mean-X)、Y轴重心转移距离均值(Mean-Y)、X轴重心转移距离最大值(Max-X)、Y轴重心转移距离最大值(Max-Y)、重心转移距离(LSKG)、重心转移面积(SSKG)、重心转移面积比(LFS)]以及稳定性系数(SI)、体质量分布系数(WDI)进行检测。结果:与治疗前比较,两组治疗后重心转移轨迹各项参数以及SI、WDI均有改善(均P<0.01),观察组重心转移距离各项参数均有改善(均P<0.01),对照组Mean X、Max-Y、LFS有改善(均P<0.01);两组治疗后比较,除SSKG外,其余指标改善观察组均优于对照组(均P<0.05)。结论:阴阳对刺呼吸补泻法能有效提高脑中风患者下肢平衡功能。Objective To observe the impact on lower limbs balance function in treatment of yin-yang meridians acupuncture with respiratory reinforcing and reducing manipulation involved in the patients of stroke by applying B-PHY balance function test training system so as to provide the objective evidence in treatment of stroke with acupuncture.Methods One hundred patients were randomized into an observation group and a control group,50 cases in each one.In the control group,the basic treatment was applied,without other relevant rehabilitation therapies associated.In the observation group,with the basic treatment as the control group＇s,the therapy of the yin-yang meridians acupuncutre with respiratory reinforcing and reducing manipulation was adopted.On the yin meridians,Zuwuli（LR 10）,Xuehai（SP 10）,Yinlingquan（SP 9）,Sanyinjiao（SP 6）and the others were selected and stimulated with reducing manipulation achieved by the coordination of patient＇s respiration.On the yang meridians,Biguan（ST 31）,Liangqiu（ST 34）,Yanglingquan（GB 34）and the others were selected and stimulated with reinforcing manipulation achieved by the coordination of patient＇s respiration.The treatment was given once a day and for 28 days totally.Before treatment and in 28 days of treatment,B-PHY balance function test training system was used to determine the weight shift track parameters（track length,peripheral square,track length of per unit square,left-right offset and rectangle square）,the weight shift track distance parameters[mean of X axle weight shift distance（Mean-X）,mean of Y axle weight shift distance（Mean-Y）,maximum of X axle weight shift distance（Max-X）,maximum of Y axle weight shift distance（Max-Y）,weight shift distance（LSKG）,weight shift square（SSKG）,square ratio of weight shift（LFS）],stability coefficient（SI）and weight distribution coefficient（WDI）.Results After treatment,the differences in the weight shift track parameters,SI and WDI were significant as compared with those

关 键 词：脑中风 平衡功能 针刺疗法 阴阳对刺 呼吸补泻法 

分 类 号：R246.6[医药卫生—针灸推拿学]