头针久留针配合分期电针治疗卒中的疗效观察  

Therapeutic observation of scalp acupuncture with sustained needle retaining combined with staged electroacupuncture for stroke

作　　者：贾湘芸 陈蕾 JIA Xiangyun;CHEN Lei(Nanchong Hospital of Traditional Chinese Medicine,Nanchong 637000,China)

机构地区：[1]南充市中医医院,南充637000

出　　处：《上海针灸杂志》2024年第2期124-128,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的 观察头针久留针配合分期电针治疗卒中的临床疗效及其对患者神经功能、步行能力及肢体运动功能的影响。方法 将88例卒中患者随机分为治疗组和对照组,每组44例。两组均予基础治疗,治疗组采用头针久留针配合分期电针治疗,对照组采用头针久留针配合常规电针治疗。比较两组治疗前后美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分、神经功能缺损评分量表(neurological functional deficit scores,NFDS)评分、Holden步行功能分类量表(Holden functional ambulation category,Holden-FAC)分级、Fugl-Meyer运动功能评定量表评分及改良Barthel指数(modified Barthel index,MBI)评分的变化情况,比较两组临床疗效。结果 两组治疗后NIHSS评分及NFDS评分较同组治疗前均显著下降,Fugl-Meyer运动功能评定量表评分及MBI评分均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后NIHSS评分及NFDS评分均明显低于对照组,Fugl-Meyer运动功能评定量表评分及MBI评分明显高于对照组,差异均具有统计学意义(P<0.05)。两组治疗后Holden-FAC分级与同组治疗前比较,差异均有统计学意义(P<0.05)。治疗组治疗后Holden-FAC分级与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率为95.5%,明显高于对照组的72.7%,两组比较差异具有统计学意义(P<0.05)。结论 在基础治疗上,头针久留针配合分期电针治疗卒中疗效确切,能改善患者神经功能、步行能力及肢体运动功能。Objective To observe the clinical efficacy of scalp acupuncture with sustained needle retaining combined with staged electroacupuncture in treating stroke and its effects on the patient's neurological function,walking ability,and limb motor function.Method Eighty-eight stroke patients were randomized into a treatment group and a control group,with 44 cases in each group.Basic treatments were offered to both groups.The treatment group was prescribed scalp acupuncture with sustained needle retaining plus staged electroacupuncture,and the control group received scalp acupuncture with sustained needle retaining plus conventional electroacupuncture.Before and after the treatment,the National Institutes of Health stroke scale(NIHSS) score,neurological functional deficit scores(NFDS),Holden functional ambulation category scale(Holden-FAC) score,Fugl-Meyer assessment score of motor function,and modified Barthel index(MBI) score were compared.The clinical efficacy was also compared between the two groups.Result The two groups both had decreases in the NIHSS score and NFDS and increases in the Fugl-Meyer assessment and MBI scores after the treatment,showing statistical significance(P<0.05).After the treatment,the NIHSS score and NFDS were lower in the treatment group than in the control group,and the Fugl-Meyer assessment and MBI scores were higher in the treatment group than in the control group,presenting statistical significance(P<0.05).The Holden-FAC grading changed significantly in both groups after the treatment(P<0.05),and the between-group difference in the Holden-FAC grading was statistically significant(P<0.05).The total effective rate was 95.5% in the treatment group,higher than 72.7% in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion Based on the basic treatment,scalp acupuncture with sustained needle retaining plus staged electroacupuncture is effective in treating stroke;this approach can improve the patient's neurological function,walking ability,and limb m

关 键 词：针刺疗法 头针 电针 留针 中风后遗症 偏瘫 神经功能 肢体运动功能 

分 类 号：R246.6[医药卫生—针灸推拿学]