脑卒中后偏身感觉障碍患者行针刺联合刺络拔罐治疗感觉及运动功能改善作用研究  

Study on the Effect of Acupuncture Combined with Pricking and Cupping on the Improvement of Sensory and Motor Function in Patients with Hemianesthesia After Stroke

作　　者：周学溢 ZHOU Xue-yi(Department of Acupuncture and Moxibustion,Tianjin Dongli Hospital of Traditional Chinese Medicine,Tianjin 300000,China)

机构地区：[1]天津市东丽区中医院针灸科,天津300000

出　　处：《医学信息》2023年第16期133-136,共4页Journal of Medical Information

摘　　要：目的探讨针刺联合刺络拔罐治疗脑卒中后偏身感觉障碍的临床效果。方法选择2019年1月-2021年12月本院收治的脑卒中偏身感觉障碍患者100例,采用随机数字表法分为针刺组(50例)和联合组(50例)。针刺组患者给予常规针刺治疗,联合组在此基础上实施刺络拔罐治疗。观察两组感觉功能、运功功能、麻木症状、日常生活能力及神经功能改善情况。结果联合组总有效率高于针刺组,差异有统计学意义(P<0.05);两组治疗后14 d感觉障碍评定积分、Fugl-Meyer运动功能积分、Barthel指数均高于本组治疗前,且联合组各项评分均高于针刺组,差异有统计学意义(P<0.05);两组治疗后14 d数字分级评定法(NRS)麻木评分及美国国立卫生研究院卒中量表(NIHSS)评分低于治疗前,且联合组评分低于针刺组,差异有统计学意义(P<0.05)。结论针刺联合刺络拔罐治疗脑卒中后偏身感觉障碍治疗可提高临床疗效,改善患者感觉功能及运动功能,并可缓解患者麻木症状,促进患者日常生活能力及神经功能的恢复。Objective To explore the clinical effect of acupuncture combined with pricking and cupping in the treatment of hemianesthesia after stroke.Methods A total of 100 stroke patients with hemidysesthesia admitted to our hospital from January 2019 to December 2021 were selected and divided into acupuncture group(50 patients)and combined group(50 patients)by random number table method.The patients in the acupuncture group were treated with routine acupuncture,and the combined group was treated with pricking and cupping on this basis.The sensory function,motor function,numbness symptoms,daily living ability and neurological function improvement of the two groups were observed.Results The total effective rate of the combined group was higher than that of the acupuncture group,and the difference was statistically significant(P<0.05).After 14 days of treatment,the scores of sensory disturbance assessment,Fugl-Meyer motor function score and Barthel index in the two groups were higher than those before treatment,and the scores in the combined group were higher than those in the acupuncture group,the differences were statistically significant(P<0.05).The Numerical Rating Scale(NRS)numbness score and National Institutes of Health Stroke Scale(NIHSS)score of the two groups at 14 days after treatment were lower than those before treatment,and the scores of the combined group were lower than those of the acupuncture group,the differences were statistically significant(P<0.05).Conclusion For patients with hemianesthesia after stroke,acupuncture combined with pricking and cupping can improve the clinical efficacy,improve the patient's sensory function and motor function,relieve the patient's numbness symptoms,and promote the recovery of the patient's daily living ability and neurological function.

关 键 词：脑卒中 偏身感觉障碍 针刺 刺络拔罐 感觉功能 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]