针刺足少阳结合阴跷脉穴治疗中风后足内翻疗效观察  

Therapeutic Observation of Acupuncture at the Point of Foot Shaoyang Meridian and Yin Heel Vessel for Post-stroke Strephenopodia

作　　者：门会娟 潘永清[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》2016年第12期1426-1428,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺足少阳结合阴跷脉穴治疗中风后遗症足内翻的临床疗效。方法将符合诊断标准的42例患者按随机数字表分为治疗组21例和对照组21例。治疗组针刺足少阳经之阳陵泉、足临泣穴,结合阴跷脉之照海穴,对照组选用常规穴位进行针刺,每日1次,6 d为1个疗程,共治疗5个疗程。两组治疗前后以下肢Fugl-Meyer运动功能评分量表(FMA)、改良Ashworth痉挛量表(MAS)评分以及修订的Barthel指数评分量表(ADL)为标准进行疗效评定。结果治疗组在改善患者足内翻、恢复下肢功能活动及生活能力方面均明显优于对照组,两组患者治疗前后组内差异及组间差异均具有统计学意义(P<0.05)。结论针刺足少阳结合阴跷脉腧穴治疗中风后足内翻较常规针刺方法具有明显优势。Objective To observe the clinical efficacy of acupuncture at the Foot Shaoyang Meridian and Yin Heel Vessel in treating post-stroke strephenopodia. Method Forty-two eligible subjects were divided into a treatment group of 21 cases and a control group of 21 cases by the random number table. The treatment group was intervened by acupuncture at Yanglingquan （GB34） and Zulinqi （GB41） from the Foot Shaoyang Meridian and Zhaohai （KI6） from the Yin Heel Vessel, while the control group was by acupuncture at conventional acupoints, once a day, 6 d as a treatment course, 5 courses in total. The Fugl-Meyer Assessment （FMA）, Modified Ashworth Scale （MAS） and Modified Barthel Index （MBI） were adopted to evaluate the therapeutic efficacy. Result The treatment group was superior to the control group in improving strephenopodia, and recovering the lower-limb motor function and activities of daily living （ADL）, and the intra-group and inter-group differences were statistically significant （P〈0.05）. Conclusion Compared to the conventional acupuncture, acupuncture by selecting acupoints from the Foot Shaoyang Meridian and Yin Heel Vessel has significant advantages in treating post-stroke strephenopodia.

关 键 词：针刺 胆经 阴跷脉 中风后遗症 足内翻 

分 类 号：R246.6[医药卫生—针灸推拿学]