足三里烧山火手法对脑外伤后认知功能的影响  

Effect on Treatment of Mountain Burning Manipulation at Zusanli on Cognition in Patient after Traumatic Brain Injury

作　　者：陈莎莎[1] 薛志强[2] 王文春[3] 王倩[3] 庞日朝[3] 张安仁[3] 

机构地区：[1]成都中医药大学,四川成都610075 [2]绵阳市骨科医院,四川绵阳621000 [3]成都军区总医院,四川成都610083

出　　处：《成都中医药大学学报》2015年第4期48-51,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：成都军区总医院院管课题基金项目(编号:2013YG-B050)

摘　　要：目的:观察足三里烧山火手法治疗脑外伤后认知功能的疗效。方法:58例患者随机分为烧山火组(29例)和常规针刺组(29例)。2组均取百会、四神聪、足三里等穴位,治疗组对足三里行烧山火手法,对照组对足三里行平补平泻手法。2组每天平均治疗1次,5 d 1个疗程,共治疗6个疗程。分别于治疗前、治疗结束后采用蒙特利尔认知功能评定(CoCA)及事件相关电位P300进行评估,并比较2组差异。结果:治疗结束后2组患者CoCA和P300评分均较治疗前显著改善(P<0.001),治疗组均优于对照组(P<0.001)。结论:烧山火手法针刺足三里对改善脑外伤后认知功能障碍有一定疗效。Objective： To observe the effects of Mountain burning manipulation at Zuanli （ST-36） . Methods： 58 patients were randomly divided into treatment group （29 cases） and control group （29 cases） . Both groups selected Baihui （DU-20）, Sish- encong （EX-HN1）, Zusanli （ST-36） and so on. The treatment group received Mountain buring manipulation at Zuanli （ST-36） and the control group was treated with the even reinforcing-reducing method. Once a day, 5 times was for one course of treatment, totally six courses. The two groups were compared by evaluating the MoCA and P300 before and after treatment. Results： The MoCA and P300 in both groups improved significantly after treatment （P 〈 0. 001 ） and the treatment group is better than the control group （P 〈 0. 001 ） . Conclusion： The treatment of Mountain buring manipulation at Zusanli can effectively improve cognition in patient after trau- matic brain injury.

关 键 词：脑外伤 认知功能 烧山火手法 足三里 

分 类 号：R245.2[医药卫生—针灸推拿学] R245.3[医药卫生—中医临床基础]