针刺丘墟透照海穴辅助治疗对脑卒中后偏瘫患者足底冲击力及下肢运动功能的影响  

Effect of acupuncture Qiuxu(GB40)to Zhaohai(KI6)in adjuvant treatment on plantar impact force and lower limb motor function in patients with hemiplegia after stroke

作　　者：林海利[1] 蔡嘉鑫 阮传亮 周文强[1] 刘羽萍 姚恒 LIN Haili;CAI Jiaxin;RUAN Chuanliang;ZHOU Wenqiang;LIU Yuping;YAO Heng(Department of Acupuncture and Moxibustion,Quanzhou Hospital of Chinese Medicine Affiliated to Fujian University of Chinese Medicine,Quanzhou,Fujian,362000,China)

机构地区：[1]福建中医药大学附属泉州市中医院针灸科,福建泉州362000

出　　处：《甘肃中医药大学学报》2023年第6期74-78,共5页Journal of Gansu University of Chinese Medicine

基　　金：福建省泉州市科技计划项目(2019N003)。

摘　　要：目的观察针刺丘墟透照海穴辅助治疗对脑卒中后偏瘫患者足底冲击力及下肢运动功能的影响。方法将60例脑卒中后偏瘫患者采用随机数字表法分为丘墟透照海组和丘墟透申脉组,各30例。因严重肺部感染等原因丘墟透照海组脱落2例,丘墟透申脉组脱落1例,丘墟透照海组最终完成观察28例,丘墟透申脉组最终完成观察29例。2组均给予常规治疗及康复训练,在此基础上丘墟透照海组联合针刺丘墟透照海穴治疗,丘墟透申脉组联合针刺丘墟透申脉穴治疗。2组均每日治疗1次,每周5次。治疗3周后比较2组治疗前后的患侧足跟部冲击力、前足部冲击力及威斯康星步态量表(WGS)、下肢Fugl-Meyer运动功能评定量表(FMA)评分。结果治疗后2组WGS评分明显下降,FMA评分明显升高,与同组治疗前比较差异均有统计学意义(P<0.05);治疗后2组足跟部冲击力明显降低,前足部冲击力明显升高,与同组治疗前比较差异均有统计学意义(P<0.05),且丘墟透照海组前足部冲击力升高更明显,与丘墟透申脉组治疗后比较差异有统计学意义(P<0.05)。结论针刺丘墟透照海穴及丘墟透申脉穴均能改善脑卒中后偏瘫患者的足底冲击力及下肢运动功能,其中针刺丘墟透照海穴在改善患侧前足部冲击力方面效果更明显。LIN Haili,CAI Jiaxin,RUAN Chuanliang,ZHOU Wenqiang,LIU Yuping,YAO Heng(Department of Acupuncture and Moxibustion,Quanzhou Hospital of Chinese Medicine Affiliated to Fujian University of Chinese Medicine,Quanzhou,Fujian,362000,China)Abstract:Objective To observe the effect of acupuncture Qiuxu(GB40)to Zhaohai(KI6)in the adjuvant treatment on plantar impact force and lower limb motor function in patients with hemiplegia after stroke.Methods 60 patients with hemiplegia after stroke were divided into acupuncture of Qiuxu to Zhaohai group and Qiuxu to Shenmai(BL62)group with 30 cases in each group by random number table method.There were 2 cases in Qiuxu to Zhaohai group and 1 case in Qiuxu to Shenmai group were dropped off due to serious pulmonary infection.28 cases were eventually included in Qiuxu to Zhaohai group and 29 cases in Qiuxu to Shenmai group.The two groups were given routine treatment and rehabilitation training,and on this basis,Qiuxu to Zhaohai group was given acupuncture at Qiuxu to Zhaohai point,and Qiuxu to Shenmai group was given acupuncture at Qiuxu to Shenmai point.Both groups were treated once a day,5 times a week.After 3 weeks of treatment,the impact force of the affected heel,the impact force of the forefoot,the Wisconsin Gait Scale(WGS)and the lower limb Fugl-Meyer Motor Function Rating Scale(FMA)were compared between the two groups before and after treatment.Results WGS score decreased significantly and FMA score increased significantly in 2 groups before and after treatment,with statistical significance compared with that before treatment(P<0.05).After treatment,the impact force on the heel of the 2 groups was significantly reduced,and the impact force on the forefoot was significantly increased,with statistical significance compared with the same group before treatment(P<0.05),and the impact force on the forefoot of the Qiuxu to Zhaohai group was more significantly increased,with statistical significance compared with the Qiuxu to Shenmai group after treatment(P<0.05).Conclusion Acupunctur

关 键 词：脑卒中后偏瘫 下肢运动功能 针刺 丘墟透照海穴 足底冲击力 临床观察 

分 类 号：R246.1[医药卫生—针灸推拿学]