阴阳调衡透刺针法为主分期治疗缺血性中风后偏瘫的多中心随机对照临床研究  

Clinical study on Yin-yang-balancing Point-to-point Acupuncture in patients with poststroke hemiparalysis

作　　者：鲍春龄[1] 东贵荣[1] 王海桥[2] 刘建浩[3] 焦志华[1] 白玉龙[4] 王顺[5] 王昀[6] 倪金霞[7] 赵建军[8] 秦黎宏 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院针灸科,上海200437 [2]上海交通大学附属仁济医院中医科,上海200127 [3]海南省三亚市中医院针灸科,海南三亚572000 [4]复旦大学附属华山医院康复科,上海200031 [5]黑龙江省中医医院针灸科,黑龙江哈尔滨150036 [6]同济大学附属上海市第十人民医院中医科,上海310000 [7]黑龙江中医药大学附属第二医院针灸科,黑龙江哈尔滨150001 [8]长春中医药大学附属医院中医科,吉林长春130103 [9]安徽中医药大学第一附属医院针灸科,安徽合肥230031

出　　处：《上海中医药杂志》2015年第6期30-34,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：科技部"十一五"国家科技支撑计划项目(2006BAI12B02);国家中医药管理局全国名老中医药专家传承工作室建设项目;上海市卫生局名老中医学术经验研究工作室项目(ZYSNXD-CC-MZY005)

摘　　要：目的观察阴阳调衡透刺针法为主分期治疗缺血性中风后偏瘫的临床疗效。方法采用区组随机法,将来自7个研究单位的307例缺血性中风后偏瘫患者随机分为A组(104例)、B组(102例)及C组(101例)。A组予阴阳调衡透刺针法联合康复训练,B组予阴阳调衡透刺针法,C组予康复训练。各组疗程均为28天,观察临床疗效,比较神经功能缺损程度评分(NDS)、功能综合评定量表评分(FCA)、运动功能评分(FMA)的变化情况。结果 1试验结束时,A组完成研究93例,B组完成研究90例,C组完成研究85例。随访2个月期间,A组完成随访89例,B组完成随访88例,C组完成随访80例。2全分析集(FAS)中,各组总进步率分别为77.45%、71.57%和62.24%;组间临床疗效比较,差异有统计学意义(P<0.05),A组、B组分别与C组比较,差异均有统计学意义(P<0.05)。完成随访集中,各组总进步率分别为85.39%、84.09%和75.00%;组间临床疗效比较,差异有统计学意义(P<0.05),A组、B组分别与C组比较,差异均有统计学意义(P<0.05)。3治疗14天、28天、随访60天时,各组间NDS评分与基线的差值差异均有统计学意义(P<0.05);组间两两比较中,A组、B组NDS评分改善程度均显著优于C组(P<0.05)。4治疗7天、14天、28天、随访60天时,各组间FCA评分、FMA评分与基线的差值差异均有统计学意义(P<0.05);组间两两比较中,A组、B组FCA评分、FMA评分改善程度均显著优于C组(P<0.05)。结论阴阳调衡透刺针法为主分期治疗缺血性中风后偏瘫的疗效满意,可有效缓解痉挛,显著改善患肢及全身的运动功能。Objective This paper is to evaluate the clinical effect on Yin-Yang-balancing point-to-point acupuncture in patients with post-stroke hemiparalysis according to the paralysis stage,so as to provide effective solutions for clinical treatment.Methods 307 patients from 7 research centers randomly divided into A group（104 patients）,B group（102 patients）and C group（101 patients）.Patients in group A were treated with Yin-Yang-balancing point-to-point acupuncture combined with rehabilitation training,patients in group B were treated with Yin-Yang-balancing point-to-point acupuncture,Patients in group C were treated with rehabilitation training,and the course of treatment in each group was 28 days.Clinical neurological deficit scores（ NDS）,functional comprehensive assessment scale（ FCA）,motor status score（ FMA） were observed.Results① 93 samples were completed in group A,90 samples were completed in group B and 85 samples were completed in group C after the test.During the 2 months follow-up,89 samples were got in group A,88 samples were got in group B and 80 samples were got in group C.② In full analysis set,the total effective rate in the 3 groups is 77.45%,71.57% and 62.64% respectively.The difference between each group was statistically significant（ P〈0.05）.Group A and B compared with group C respectively,the difference was statistically significant（ P〈0.05）.In the completed followup set,the total effective rate in the 3 groups is 85.39%,84.09% and 75.00% respectively,and the difference between each group was statistically significant（ P〈0.05）.Group A and B compared with group C respectively,the difference was statistically significant（ P〈0.05）.③ After the treatment of 14 days,28 days and during the 60 days follow-up,the difference between NDS and base line in each group was statistically significant（ P〈0.05）.The change values of NDS of group A and B were significantly better than group C（P〈0.05）.④ After the treatment of 7 days,14 days and during the

关 键 词：阴阳调衡透刺针法 缺血性中风 偏瘫 分期治疗 

分 类 号：R246.6[医药卫生—针灸推拿学]