夹脊配合督脉电针治疗脊髓损伤后功能障碍临床观察  

Clinical Observations on Electroacupuncture at Huatuo Jiaji Points and Du Meridian Points for Spinal Cord Injury-induced Dysfunction

作　　者：李晓宁[1] 迟蕾[2] 

机构地区：[1]黑龙江中医药大学第二附属医院,哈尔滨150001 [2]黑龙江中医药大学研究生院,哈尔滨150040

出　　处：《上海针灸杂志》2015年第10期972-975,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金(面上)项目(81373715)

摘　　要：目的通过观察夹脊配合督脉电针与传统电针法治疗脊髓损伤后肢体功能障碍的疗效比较,以寻求有效的脊髓损伤后肢体功能障碍的治疗方案。方法将40例脊髓损伤后肢体功能障碍患者按随机数字表法分成治疗组与对照组,每组20例。两组均选用药物神经节苷酯及常规康复治疗。治疗组以夹脊配合督脉电针的方法,对照组以传统针刺治疗。1个疗程、2个疗程后分别采用ASIA运动量表评分、感觉量表评分及MBI能力评定,观察治疗前后两组患者双下肢肢体功能障碍的变化,评定临床疗效。结果治疗组与对照组治疗前后双下肢肢体功能障碍均有显著差异(P<0.05);治疗组改善效果优于对照组效果(P<0.05,P<0.01)。结论夹脊配合督脉电针治疗脊髓损伤后肢体功能障碍疗效确切,且优于传统针刺法。Objective To seek an effective protocol for treating spinal cord injury-induced limb dysfunction by comparing the therapeutic effects of electroacupuncture at Huatuo jiaji points plus Du meridian points versus conventional electroacupuncture. Method Forty patients with spinal cord injury-induced limb dysfunction were allocated, using a random number table, to treatment and control groups, 20 cases each. Both groups were treated with ganglioside and routine rehabilitation therapy. In addition, the treatment group received electroacupuncture at Huatuo jiaji points and Du meridian points and the control group, conventional acupuncture. Lower limb function was assessed using ASIA Motor Score, Sensory Score and the MBI in the two groups of patients before treatment and after one and two courses. The clinical therapeutic effects were evaluated. Result There was a statistically significant pre-/post-treatment difference in lower limb dysfunction in both treatment and control groups（P0.05）. The improving effect was better in the treatment group than in the control group（P0.05,P0.01）. Conclusion Electroacupuncture at Huatuo jiaji points and Du meridian points has a definite therapeutic effect on spinal cord injury-induced limb dysfunction. It is superior to conventional electroacupuncture.

关 键 词：穴 夹脊 督脉 电针 脊髓损伤 

分 类 号：R246.6[医药卫生—针灸推拿学]