梅花针叩刺联合康复训练治疗卒中后足内翻的临床观察  

Clinical Observation of Plum-blossom Needle Tapping Combined with Rehabilitation Training for Post-stroke Strephenopodia

作　　者：王程灵 郑焕驰 郭婷 欧志文 王俊华 WANG Cheng-ling;ZHENG Huan-chi;GUO Ting;OU Zhi-wen;WANG Jun-hua(The Fifth Clinical Medicine School of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Clinical Medical College of Acupuncture-moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Guangdong Second Traditional Chinese Medicine Hospital(Guangdong Research Institute of Traditional Chinese Medicine Manufacturing Technology),Guangzhou 510095,China)

机构地区：[1]广州中医药大学第五临床医学院,广州510405 [2]广州中医药大学针灸康复临床医学院,广州510405 [3]广东省第二中医院(广东省中医药工程技术研究院),广州510095

出　　处：《上海针灸杂志》2021年第4期431-435,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省科技计划项目(2017B020210009);广州市科技计划项目(201704020110)。

摘　　要：目的在药物治疗基础上,观察梅花针叩刺阴跷脉联合康复训练治疗卒中后足内翻的临床疗效。方法将卒中后足内翻的70例患者随机分为治疗组和对照组,每组35例。对照组采用常规康复训练及药物治疗,治疗组在对照组治疗基础上采用梅花针叩刺阴跷脉。观察两组治疗前后下肢临床痉挛指数(CSI)、下肢运动功能(FMA)及改良Barthel指数(MBI)评分的变化。结果治疗过程中,治疗组共脱落4例,对照组共脱落3例。治疗组共31例纳入统计分析,对照组共32例纳入统计分析。两组治疗前CSI、FMA及MBI评分比较,差异无统计学意义(P>0.05)。两组治疗后CSI、FMA及MBI评分均较治疗前改善(P<0.01),且治疗组治疗后优于对照组(P<0.05)。结论在药物治疗基础上,梅花针叩刺阴跷脉联合康复训练治疗卒中后足内翻的临床疗效优于单一康复训练,可改善下肢痉挛和运动功能,提高患者日常生活能力。Objective Based on pharmacological treatment,to observe the clinical efficacy of plum-blossom needle tapping Yin Heel Vessel plus rehabilitation training for post-stroke strephenopodia.Method Seventy patients with post-stroke strephenopodia were randomized into a treatment group and a control group,with 35 cases in each group.The control group was intervened by conventional rehabilitation training and medication,while the treatment group was given additional intervention with plum-blossom needle tapping Yin Heel Vessel.The scores of clinical spasticity index(CSI),Fugl-Meyer assessment(FMA)for lower limbs and modified Barthel index(MBI)were observed before and after treatment in the two groups.Result During treatment,there were 4 dropouts in the treatment group and 3 in the control group.A total of 31 cases were included for statistical analysis in the treatment group,versus 32 cases in the control group.There were no significant differences in the scores of CSI,FMA and MBI between the two groups before treatment(P>0.05).After treatment,the scores of CSI,FMA and MBI were improved in both groups(P<0.01),and the scores after treatment in the treatment group were better than those in the control group(P<0.05).Conclusion Based on pharmacological treatment,plum-blossom needle tapping Yin Heel Vessel plus rehabilitation training can produce more significant clinical efficacy in treating post-stroke strephenopodia than rehabilitation training alone;it can ameliorate the spasticity and motor function of lower limbs and enhance the activities of daily living in the patients.

关 键 词：针刺疗法 梅花针疗法 康复训练 卒中 足内翻 中风后遗症 阴跷脉 

分 类 号：R246.6[医药卫生—针灸推拿学]