循经密集透刺对中风后遗症患者症状、疗效及生活质量的影响  

Effects of Dense Penetration Acupuncture Following the Meridian on Symptoms, Curative Effect and Quality of Life of Patients with Apoplexy Sequelae

作　　者：林赟[1] 丁俊洋 廖琼[1] LIN Yun;DING Junyang;LIAO Qiong(Pingxiang People’s Hospital,Jiangxi Province,Pingxiang 337000,China;不详)

机构地区：[1]江西省萍乡市人民医院,江西萍乡337000

出　　处：《中国医学创新》2022年第29期79-83,共5页Medical Innovation of China

摘　　要：目的:分析循经密集透刺对中风后遗症患者症状、疗效及生活质量的影响。方法:选取2020年1月-2022年1月萍乡市人民医院收治的116例中风后遗症患者,采用抽签法将患者分为对照组与观察组,各58例。对照组患者采取常规针刺方式,观察组患者给予循经密集透刺,分别对两组患者治疗后的中医症状积分、临床疗效、生活质量、血液流变学、肢体运动功能、NIHSS评分进行统计学比较。结果:观察组患者治疗后的偏身麻木、头晕目眩、口眼歪斜症状积分均低于对照组,差异均有统计学意义(P<0.05);观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者治疗后脑卒中专用生活质量量表(SS-QOL)中精力、语言、情绪、个性、思维、视力、工作、家庭角色、社会角色、上肢功能、活动能力、自理能力评分均高于对照组,差异均有统计学意义(P<0.05);观察组治疗8周后Fugl-Meyer运动功能评定量表(FMA)中上、下肢评分与功能性步行量表(FAC)评分均高于对照组(P<0.05);NIHSS评分低于对照组(P<0.05)。结论:采用循经密集透刺治疗中风后遗症能够有效缓解患者症状,有助于提高患者治疗效果,改善生活质量,提升患者肢体功能,减轻神经缺损,具备临床可行性。Objective:To analyze the effects of dense penetration acupuncture following the meridian on symptoms,efficacy and quality of life of patients with apoplexy sequelae.Method:A total of 116 patients with apoplexy sequelae admitted to Pingxiang People’s Hospital from January 2020 to January 2022 were selected,the patients were divided into control group and observation group by lottery,58 cases in each group.The control group was treated with conventional acupuncture,and the observation group was treated with dense penetration acupuncture following the meridian.The TCM symptom scores,clinical efficacy,quality of life,hemorheology,limb motor function and NIHSS score were statistically compared between the two groups after treatment.Result:After treatment,the symptom scores of numbness,dizziness,mouth and eye skew in the observation group were lower than those in the control group,the differences were statistical significance(P<0.05);the total effective rate of observation group was significantly higher than control group,the difference was statistical significance(P<0.05);the scores of energy,language,emotion,personality,thinking,vision,work,family role,social role,upper limb function,mobility and self-care ability in observation group were significantly higher than those in control group after treatment,the differences were statistically significant(P<0.05);after 8 weeks of treatment,FMA scores of upper limbs,lower limbs and FAC score in the observation group were higher than those in the control group(P<0.05);NIHSS score was lower than that of control group(P<0.05).Conclusion:The treatment of apoplexy sequelae by dense penetration acupuncture following the meridian can effectively relieve the symptoms of patients,help to improve the treatment effect of patients,improve the quality of life,improve the limb function of patients,reduce nerve defects,and has clinical feasibility.

关 键 词：中风后遗症 循经密集透刺 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学]