热敏灸配合穴位透刺治疗卒中后足内翻疗效观察  

Therapeutic Observation of Heat-sensitive Moxibustion plus Point-toward-point Needling for Poststroke Strephenopodia

作　　者：彭天忠[1] 刘华[1] 胡穗发[1] 龚惠华[1] 周成[1] 谢桂[1] 廖小香[1] 熊佳[1] 张宁[1] PENG Tian-zhong LIU Hua HU Sui-fa GONG Hui-hua ZHOU Cheng XIE Gui LIAO Xiao-xiang XIONG Jia ZHANG Ning(Nanchang Hongdu Hospital of Chinese Medicine,Nanchang 330008,Chin)

机构地区：[1]南昌市洪都中医院,南昌330008

出　　处：《上海针灸杂志》2017年第4期383-387,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：江西省卫计委中医药科研计划项目(2015A236)

摘　　要：目的观察热敏灸配合穴位透刺治疗卒中后足内翻的临床疗效。方法将80例卒中后足内翻患者,随机分为热敏灸配合穴位透刺治疗组和康复治疗对照组,每组40例。在常规治疗的基础上,治疗组予以热敏灸配合透刺治疗,对照组予以康复治疗。两组均采用Holden步行能力分级、Fugl-Meyer下肢运动功能评分、Tinetti步态分析量表评分进行评价,并比较疗效差异。结果治疗组总有效率为90.0%,对照组总有效率为77.5%,两组疗效比较差异有统计学意义(P<0.05);两组治疗后Holden步行能力分级比较差异有统计学意义(P<0.05);两组治疗前后Fugl-Meyer下肢运动功能评分比较差异有统计学意义(P<0.05),两组治疗后Fugl-Meyer下肢运动功能评分比较差异有统计学意义(P<0.05);两组治疗前后Tinetti步态分析量表评分比较差异有统计学意义(P<0.05),两组治疗后Tinetti步态分析量表评分比较差异有统计学意义(P<0.05)。结论热敏灸配合透刺治疗卒中后足内翻疗效明显,能提高治疗有效率,改善患者下肢运动功能。Objective To observe the clinical efficacy of heat-sensitive moxibustion plus point-toward-point needling in treating poststroke strephenopodia.Method Eighty patients with poststroke strephenopodia were randomized into a treatment group intervened by heat-sensitive moxibustion plus point-toward-point needling and a control group intervened by rehabilitation, 40 cases in each group. In addition to the basic treatment, the treatment group was given heat-sensitive moxibustion plus point-toward-point needling, and the control group was given rehabilitation treatment. Holden＆#39;s Functional Ambulation Classification （FAC）, Fugl-Meyer Assessment （FMA） of the lower-limb motor function, and Tinetti Gait Assessment （TGA） were adopted for evaluation of the two groups, and the clinical efficacies were compared.ResultThe effective rate was 90.0% in the treatment group versus 77.5% in the control group, and the difference was statistically significant （P〈0.05）; after the treatment,there was a significant difference in comparing the Holden＆#39;s FAC between the two groups （P〈0.05）; the FMA score changed significantly after the treatment in both groups （P〈0.05）, and there was a significant difference in comparing the FMA score between thetwo groups after the treatment （P〈0.05）; the TGA score changed significantly after the intervention in both groups （P〈0.05）, and there was a significant difference in comparing the TGA score between the two groups after the intervention （P〈0.05）.ConclusionHeat-sensitive moxibustion plus point-toward-point needling can produce a significant efficacy in treating poststroke strephenopodia, as it can enhance the effective rate and improve the lower-limb motor function.

关 键 词：针灸疗法 艾条灸 热敏灸 针刺 康复训练 卒中 足内翻 中风后遗症 

分 类 号：R246.6[医药卫生—针灸推拿学]