五线七针疗法治疗脑卒中后肢体功能障碍临床观察  

Five-Line and Seven-Needle Therapy for Limb Dysfunction after Stroke

作　　者：崔林华[1] 齐丛会[1] 邢潇[1] 张晓旭[1] 陈元武[2] 张沙 CUI Linhua;QI Conghui;XING Xiao;ZHANG Xiaoxu;CHEN Yuanwu;ZHANG Sha(Department of Acupuncture,Hebei General Hospital,Shijiazhuang 050051,Hebei,China;Department of Rehabilitation,Hebei General Hospital,Shijiazhuang 050051,Hebei,China;Department of Rehabilitation,Hebei Yiling Hospital,Shijiazhuang 050000,Hebei,China)

机构地区：[1]河北省人民医院针灸科,河北石家庄050051 [2]河北省人民医院康复科,河北石家庄050051 [3]河北以岭医院康复科,河北石家庄050000

出　　处：《中华中医药学刊》2020年第12期237-240,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河北省重点研发计划自筹项目(172777194);河北省中医药管理局中医药类科研计划(2018083);河北省医学适用技术跟踪项目(G2018012)。

摘　　要：目的观察五线七针疗法治疗脑卒中肢体功能障碍的临床疗效。方法将90例脑卒中后肢体功能障碍的患者按抽签法随机分为观察组和对照组两组,每组45例。观察组给予五线七针疗法治疗;对照组给予国标头针疗法治疗。分别于治疗2周和4周后,观察两组治疗后平衡评价量表(BBS)、运动功能评定量表(FMA)及日常生活能力评估量表(BI)的评分变化。结果两组分别治疗2周和4周后BBS评分、FMA评分以及BI评分与本组治疗前相比均明显升高(P<0.05),分别治疗2周和4周之后观察组的FMA评分均明显高于同期对照组评分(P<0.05)。治疗2周后观察组的BBS评分及BI评分与治疗同期对照组评分无明显差异(P>0.05)。观察组治疗4周后BBS评分、FMA评分及BI评分均明显高于治疗同期对照组的评分(P<0.05)。结论五线七针疗法治疗脑卒中后肢体功能障碍,疗效可靠,能够明显改善患者平衡能力、肢体运动功能和日常生活能力。Objective To observe the effect of five-line and seven-needle therapy on the limb dysfunction of stroke patients. Methods Ninety patients with limb dysfunction caused by stroke who met the requirements of enrollment were divided into two groups by random lottery method,45 patients in each group. The treatment group was treated with five-line and seven-needle therapy. The control group was treated with national standard scalp acupuncture therapy. After 2 and 4 weeks treatments,the score changes of Berg Balance Scale(BBS),Fugl-Meyer Assessment(FMA) and Daily Life Assessment Scale(BI) were compared before and after treatment in two groups. Results The scores of BBS,FMA and BI in two groups after 2 and 4 weeks treatment were higher than those before treatment(P<0.05) and the FMA scores of treatment group were obvious higher than that of the control group after 2 and 4 weeks treatment(P<0.05). There was no significant difference between the two groups in BBS scores or BI scores after 2 weeks treatment(P>0.05). And there was significant difference in BBS,FMA or BI scores between the two groups after 4 weeks treatment. Those of the treatment group was higher than that of the control group(P<0.05). Conclusion The five-line and seven-needle therapy for the treatment of limb dysfunction after stroke has definitive effects and it also has a significant function to improve the limb balance,motor function and daily life ability of the stroke patients.

关 键 词：脑卒中 肢体 运动障碍 康复 针刺疗法 

分 类 号：R245.3[医药卫生—针灸推拿学] R277.743[医药卫生—中医临床基础]