平肝补肾法联合肌肉起止点针刺对中晚期帕金森病患者运动、平衡功能及日常生活活动能力的影响  

Clinical Observation of Liver-Calming and Kidney-Nourishing Acupuncture Therapy Combined with Acupuncture at Starting and Ending Points of Muscles in Treating Middle and Late Stages of Parkinson’s Disease

作　　者：路永坤[1] 王新志[1] 杨国防[1] 杨海燕[1] LU Yong-Kun;WANG Xin-Zhi;YANG Guo-Fang;YANG Hai-Yan(The First Affiliated Hospital of Henan University of Traditional Chinese medicine,Zhengzhou 450008 Henan,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450008

出　　处：《广州中医药大学学报》2020年第10期1907-1912,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：中医药传承与创新“百千万”人才工程(岐黄工程)—国家中医药领军人才支持计划资助项目(编号:国中医药人教发〔2018〕12号);第五批全国名老中医药专家王新志传承工作室资助项目(编号:豫财社[2016]151号);全国中医药创新骨干人才培训资助项目(编号:国中医药人教函〔2019〕128号);河南省首批青苗人才培养资助项目[编号:豫中医科教(2018)16号];河南省中医药科学研究专项课题资助项目(编号:2016ZY3004)。

摘　　要：【目的】观察平肝补肾法联合肌肉起止点针刺治疗中晚期帕金森病的临床疗效。【方法】将60例中晚期帕金森病患者随机分为西药治疗组、普通针刺组和复合针刺组,每组各20例。西药治疗组给予美多芭片口服,普通针刺组在西药治疗组的基础上加用平肝补肾法针刺治疗,复合针刺组在普通针刺组的基础上加用肌肉起止点针刺治疗,14 d为1个疗程,共治疗2个疗程。治疗28 d后,观察3组患者治疗前后统一帕金森病评定量表(UPDRS)评分的变化情况,包括精神、行为和情绪评分(UPDRS-Ⅰ)、日常生活活动评分(UPDRS-Ⅱ)和运动检查评分(UPDRS-Ⅲ),并比较3组患者治疗前后Berg平衡量表评分的变化情况。【结果】(1)治疗后,3组患者的UPDRS-Ⅰ评分较治疗前均明显改善(P<0.05或P<0.01),但治疗后3组间差异无统计学意义(P>0.05)。(2)治疗后,3组患者的UPDRS-Ⅱ评分、UPDRS-Ⅲ评分较治疗前均明显改善(P<0.01),且复合针刺组在改善UPDRS-Ⅱ评分、UPDRS-Ⅲ评分方面明显优于西药治疗组和普通针刺组,差异均有统计学意义(P<0.05)。(3)治疗后,3组患者的Berg平衡量表评分较治疗前均明显改善(P<0.01),且复合针刺组在改善Berg平衡量表评分方面均明显优于西药治疗组和普通针刺组,差异有统计学意义(P<0.05)。【结论】平肝补肾法联合肌肉起止点针刺治疗中晚期帕金森病,能明显改善患者的运动、平衡功能和日常生活活动能力,进一步提高患者的生活质量,疗效显著。Objective To observe the effects of liver-calming and kidney-nourishing acupuncture therapy combined with acupuncture at starting and ending points of muscles in treating middle and late stages of Parkinson’s disease. Methods A total of 60 cases of patients with middle and late stages of Parkinson’s disease were randomly divided into western medicine treatment group,ordinary acupuncture group and combination acupuncture group,20 cases in each group. The western medicine treatment group received oral use of madopar tablets,the ordinary acupuncture group received liver-calming and kidney-nourishing acupuncture therapy based on the treatment of the western medicine treatment group,and the combination acupuncture group received acupuncture at starting and ending points of muscles based on the treatment of the ordinary acupuncture group. Fourteen days constituted one treatment course, the treatment covered 2 courses. After 28 days of treatment, the changes in scores of Unified Parkinson’s Disease Rating Scale(UPDRS)including mental,behavioral and emotional state(UPDRS-Ⅰ),daily activities(UPDRS-Ⅱ),motor function check(UPDRS-Ⅲ)were observed in the 3 groups before and after treatment. The changes in Berg Balance Scale scores were compared in the 3 groups before and after treatment.Results(1)After treatment,the UPDRS-Ⅰscores in the 3 groups were significantly improved(P<0.05 or P<0.01 as compared with those before treatment),but there was no significant difference among the 3 groups(P>0.05).(2)After treatment,the UPDRS-Ⅱ,UPDRS-Ⅲ scores in the 3 groups were significantly improved(P<0.01 as compared with those before treatment),and the improvement in UPDRS-Ⅱ,UPDRS-Ⅲ scores of the combination acupuncture group was significantly superior to that of the western medicine treatment group and ordinary acupuncture group(P<0.05).(3)After treatment,the Berg Balance Scale scores in the 3 groups were significantly improved(P<0.01 as compared with those before treatment),and the improvement in Berg Balance Scale s

关 键 词：平肝补肾法 肌肉起止点针刺 帕金森病 中晚期 运动功能 平衡功能 日常生活活动能力 

分 类 号：R246.9[医药卫生—针灸推拿学]