芒针早期介入治疗中风后足内翻的临床观察  

Clinical Observation of Elongated Needle Early Intervention for Foot Inversion after Stroke

作　　者：王储蓄 周婷[1] 燕炼钢[1] 陈幸生[1] 李静[1] 江娜[1] 杨娅[1] 贾泽坤[1] 殷红彪 王磊[2] 王频[2] Wang Chuxu;Zhou Ting;Yan Liangang;Chen Xingsheng;Li Jing;Jiang Na;Yang Ya;Jia Zekun;Yin Hongbiao;Wang Lei;Wang Pin(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061 [2]安徽中医药大学,安徽合肥230038

出　　处：《中国中医急症》2024年第5期874-877,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：安徽省中医药管理局-广德张氏芒针疗法流派工作室(皖中医药发展秘〔2021〕30号);安徽省名中医及基层名中医工作室建设项目(安徽中医药大学第二附属医院陈幸生名中医工作室)(中发展〔2022〕5号);安徽省第十三批“115”产业创新团队项目(皖人才办〔2020〕4号)。

摘　　要：目的观察芒针早期介入治疗卒中后足内翻的临床疗效。方法将67例中风后足内翻患者随机分为对照组34例与治疗组33例。两组均予常规康复训练,对照组予以传统针刺,治疗组予以芒针透刺阳陵泉透刺悬钟,丘墟透照海。比较两组临床疗效。观察两组治疗前后的Fugl-Meyer运动功能量表(FMA)、改良Barthel指数(MBI)评分、Tinetti平衡与步态量表(POMA)评分、足内翻角度的变化。结果治疗组总有效率高于对照组(P<0.05)。两组治疗后下肢FMA评分、MBI评分均高于治疗前(P<0.05),且治疗组评分高于对照组(P<0.05)。两组治疗后步态、平衡测试评分均高于治疗前(P<0.05),且治疗组评分高于对照组(P<0.05)。两组治疗后足内翻角度均小于同组治疗前(P<0.05),且治疗组足内翻角度小于对照组(P<0.05)。结论芒针早期介入可改善中风后足内翻患者下肢运动功能、日常生活能力、足内翻角度,提高患者运动能力,疗效优于传统针刺。Objective:To observe the clinical efficacy of elongated needle early intervention to treat foot inver⁃sion after stroke.Methods:A total of 67 patients with foot inversion after stroke were randomly divided into the control group(34 cases)and the treatment group(33 cases).Both groups received routine rehabilitation training.The control group was treated with regular acupuncture,while the treatment group was treated with elongated nee⁃dle therapy of Yanglingquan penetrating the Xuanzhong,while Qiuxu penetrating the Zhaohai.The clinical efficacy of the two groups was compared.The changes in Fugl-Meyer Assessment(FMA)scores,modified Barthel Index(MBI)scores,POMA scores(gait and balance tests)and foot inversion angle were observed before and after treat⁃ment in both groups.Results:The overall effective rate of the treatment group was higher than that of the control group(P<0.05).After treatment,both groups showed significantly higher scores in lower limb FMA scores and MBI scores compared with their respective pre-treatment scores(P<0.05),with the treatment group showing high⁃er scores than the control group(P<0.05).After treatment,both groups showed significantly higher scores in gait scores and balance scores compared with their respective pre-treatment scores(P<0.05),with the treatment group showing higher scores than the control group(P<0.05).After treatment,the foot inversion angle decreased in both groups compared with their respective pre-treatment measurements(P<0.05),with the treatment group showing a greater reduction than the control group(P<0.05).Conclusion:Elongated needle early intervention can improve lower limb motor function,daily life ability,and foot inversion angle in patients with foot inversion after stroke.It can also enhance the patients’motor abilities,and its therapeutic efficacy is superior to traditional acupuncture.

关 键 词：足内翻 中风 芒针 透刺 早期介入 

分 类 号：R743.9[医药卫生—神经病学与精神病学]