不同透刺法治疗中风后足内翻临床观察  

Comparative Study on Different Penetrating Needling Methods for Post-stroke Strephenopodia

作　　者：王文熠[1] 倪丽伟[2] 李景轩[2] 

机构地区：[1]天津中医药大学,天津300073 [2]天津中医药大学第一附属医院,天津300193

出　　处：《上海针灸杂志》2015年第6期521-523,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较临床上常用的几种透刺疗法治疗中风后足内翻的疗效。方法将83例中风后足内翻患者随机分为4组,1组为常规针刺对照组(n=20),其余3组在此基础上施以不同透刺方法,分别为透刺1组(丘墟透照海,n=21)、透刺2组(太白透束骨,n=21)和透刺3组(交信透附阳,n=21),比较其对患者踝关节功能和下肢运动功能的影响。结果透刺法和常规针刺均能改善中风后足内翻患者的踝关节功能,与治疗前比较差异有统计学意义(P<0.01)。透刺1组疗效优于其他各组(P<0.01),透刺2组疗效优于透刺3组和对照组(P<0.05,P<0.01),而透刺3组与对照组比较差异无统计学意义(P>0.05)。透刺法和常规针刺均能改善中风后足内翻患者的下肢运动功能,与治疗前比较差异有统计学意义(P<0.01)。透刺1组疗效优于其他各组(P<0.01),透刺2组、透刺3组疗效优于对照组(P<0.01),而透刺2组、透刺3组之间无显著性差异(P>0.05)。结论丘墟透照海、太白透束骨对中风后足内翻患者的踝关节功能和下肢运动功能的恢复疗效显著,而交信透跗阳相较于其他透刺方法和常规针刺,则并不具有疗效上的优势。Objective To observe the clinical efficacy of acupuncture plus medicine and function training in treating post-stroke shoulder-hand syndrome. Method Sixty patients with post-stroke shoulder-hand syndrome were randomized into a treatment group of 30 cases and a control group of 30 cases. The treatment group was intervened by acupuncture plus medicine and functional training, while the control group was only by functional training. Before and after intervention, the hand swelling degree, Visual Analogue Scale（VAS）, shoulder joint motion scale, Fugl-Meyer Assessment（FMA） scale were used to measure the swelling and pain of hand, motion of shoulder, and motor function of upper limb. Result After intervention, the swelling and pain of hand, motion range of shoulder and motor function of upper limb were significantly improved in both groups（P〈0.01）, and the improvements in the treatment group were more significant than that in the control group（P〉0.05）. Conclusion Acupuncture plus medicine and function training can enhance the efficacy in treating post-stroke shoulder-hand syndrome, superior to pure function training.

关 键 词：针刺 中风后遗症 足内翻 透针 

分 类 号：R246.6[医药卫生—针灸推拿学]