电针夹脊穴治疗中风软瘫期运动功能障碍疗效观察  

Observations on the Efficacy of Electroacupuncture at Huatuo Jiaji Points in Treating Motor Dysfunction in Stroke Patients During the Flaccid Paralysis Stage

作　　者：萧婷[1] 黄凡[2] 杨海涛[2] 陆子玑 唐明[2] 原筝 古柱亮 陈天龙[1] 

机构地区：[1]广州中医药大学,广州510405 [2]广东省第二中医院,广州510095 [3]中山市第二人民医院,中山528400

出　　处：《上海针灸杂志》2015年第3期194-196,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的根据核心肌力理论,观察电针夹脊穴治疗中风软瘫期运动功能障碍的临床疗效。方法将60例中风软瘫期患者随机分为治疗组和对照组,每组30例。对照组采用基础治疗及常规体针治疗,治疗组在对照组治疗基础上予以电针夹脊穴治疗。观察两组治疗前后简化Fugl-Meyer运动功能量表(FMA)及改良的Barthel(MBI)指数评分,比较两组临床疗效。结果两组治疗后FMA及MBI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后FMA及MBI评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为96.7%,对照组为86.7%,两组比较差异具有统计学意义(P<0.05)。结论电针夹脊穴对中风软瘫期肢体功能障碍的康复具有促进作用。Objective To investigate, according to core myodynamic theory, the clinical efficacy of electroacupuncture at Huatuo jiaji points in treating motor dysfunction in stroke patients during the flaccid paralysis stage. Methods Sixty stroke patients in the stage of flaccid paralysis were randomly allocated to treatment and control groups, 30 cases each. The control group received basic treatment and conventional acuptmcture and the treatment group, electroacupuncture at Huatuo jiaji points in addition. The simplified Fugl-Meyer assessment （FMA） score and the Modified Barthel Index （MBI） score were counted before and after treatment and the clinical therapeutic effects were compared between the two groups. Results There were statistically significant pre-/post-treatment differences in the FMA score and the MBI score in the two groups （P〈0.05）. There were statistically significant post-treatment differences in the FMA score and the MBI score between the treatment and control groups （P〈0.05）. The total efficacy rate was 96.7% in the treatment group and 86.7% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. Conclusion Electroacupuncture at Huatuo jiaji points has a promoting effect on the rehabilitation of limb function in the flaccid paralysis stage of stroke.

关 键 词：针刺疗法 电针 穴 夹脊 运动功能障碍 核心肌力理论 中风并发症 偏瘫 

分 类 号：R246.6[医药卫生—针灸推拿学]