督脉十三针联合五脏俞加膈俞针刺治疗帕金森病临床研究  

Clinical study on the treatment of Parkinson’s disease by “Thirteen needles of governor vessel” combined with back-shu points of five zang and Geshu(BL17) acupuncture

作　　者：安琪 李彬[2] 陈鹏[2] 王少松[2] 刘璐[2] 安军明 童艳杰 刘慧林[2] AN Qi;LI Bin;CHEN Peng;WANG Shaosong;LIU Lu;AN Junming;TONG Yanjie;LIU Huilin(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学附属北京中医医院针灸科,北京100010 [3]西安市中医医院针灸推拿康复科,陕西西安710021

出　　处：《陕西中医》2024年第6期833-836,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81973925);北京市医院管理中心扬帆计划临床技术创新项目(XMLX201832);西安市领军人才项目(XARC210159);北京中医药大学研究生自主科研课题(ZJKT2023118)。

摘　　要：目的:观察督脉十三针联合五脏俞加膈俞针刺治疗帕金森病患者运动症状的有效性和安全性。方法:将58例帕金森病患者随机分为对照组和治疗组,对照组28例,治疗组30例。治疗组给予督脉十三针联合五脏俞加膈俞针刺治疗,对照组给予常规针刺治疗方案,每周治疗3次,共治疗8周。分别于治疗前后观察两组患者帕金森病综合评价量表(MDS-UPDRS)、10米步行试验(10MWT)、改良Webster症状评分量表、Hoehn-Yahr(H-Y)分级量表的变化情况,并比较临床疗效。结果:治疗后,两组MDS-UPDRS评分、10MWT、改良Webster症状评分均较治疗前下降(P<0.05),且在MDS-UPDRS评分、10MWT的改善方面,治疗组优于对照组(P<0.05),两组改良Webster症状评分变化比较差异无统计学意义(P>0.05),两组治疗前后H-Y分级组内及组间比较差异均无统计学意义(P>0.05)。结论:督脉十三针联合五脏俞加膈俞针刺治疗可改善帕金森病运动症状,提高患者的生活质量。Objective:To observe the effectiveness and safety of the“Thirteen needles of governor vessel”combined with back-shu points of five zang and Geshu(BL17)acupuncture in the treatment of Parkinson’s disease patients motor symptoms.Methods:A total of 58 Parkinson’s disease patients were randomly divided into control group and treatment group,with 28 cases in the control group and 30 cases in the treatment group.The treatment group was treated with“Thirteen needles of governor vessel”combined with back-shu points of five zang and Geshu(BL17)acupuncture,while control group was treated with a conventional acupuncture,three times a week,for a total of 8 weeks.The changes of Parkinson’s Disease Comprehensive Evaluation Scale(MDS-UPDRS),10-meter walking test(10MWT),modified Webster Symptom Score Scale,Hoehn-Yahr(H-Y)rating scale in the two groups were observed before and after treatment,and the clinical efficacy was compared.Results:After treatment,MDS-UPDRS score,10MWT and modified Webster symptom score were reduced in both groups compared with before treatment(P<0.05),and 10MWT and MDS-UPDRS score improvement in treatment group were better than that in control group(P<0.05).There was no significant difference between control group and treatment group with modified Webster symptom score improvement(P>0.05),and there was no significant difference in H-Y classification between the two groups before and after treatment(P>0.05).Conclusion:“Thirteen needles of governor vessel”combined with back-shu points of five zang and Geshu(BL17)acupuncture can improve the motor symptoms of Parkinson’s disease and improve the quality of life of patients.

关 键 词：帕金森病 运动障碍 督脉十三针 10米步行试验 Hoehn-Yahr分级量表 

分 类 号：R749.1[医药卫生—神经病学与精神病学]