针刺足阳明胃经经穴治疗不完全性脊髓损伤功能障碍临床疗效研究  

Clinical curative effect of acupuncture at acupoints along stomach meridian of foot-yangming on incomplete spinal cord injury dysfunction

作　　者：苗乐静 司丽丽 田鸽 Miao Lejing;Si Lili;Tian Ge(Rehabilitation Medicine Department of Xuchang City People′s Hospital,Xuchang Henan 451600)

机构地区：[1]许昌市人民医院康复医学科,河南许昌451600

出　　处：《山西中医药大学学报》2024年第3期319-322,331,共5页Journal of Shanxi University of Chinese Medicine

基　　金：河南省中医药科学研究专项课题(2022ZY1183)。

摘　　要：目的:探究针刺足阳明胃经经穴治疗不完全性脊髓损伤功能障碍的临床疗效。方法:选取2020年4月—2022年4月收治的78例不完全性脊髓损伤功能障碍患者,按照随机数字表法分为对照组和观察组,每组39例。对照组患者采用常规药物治疗和康复训练,观察组在对照组的基础上联合针刺足阳明胃经经穴(天枢、梁丘、丰隆、上巨虚)治疗,比较治疗后两组治疗总有效率、脊髓损伤评定量表(ASIA)神经功能评定(运动、感觉)。脊髓独立性(SCIM-Ⅲ)、膀胱功能(排尿次数、日最大排尿量)、肺功能[用力肺活量(FVC)、第1秒用力呼气量(FEV1)]及生活质量水平[明尼苏达生活质量表(MLHFO)评分]。结果:观察组总有效率明显高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组ASIA运动评估MS、感觉指数SIS评分明显上升(P<0.05),且观察组评分较对照组上升更明显(P<0.05)。治疗后,两组SCIM-Ⅲ评分均明显提高(P<0.05),且观察组SCIM-Ⅲ评分明显高于对照组(P<0.05)。治疗后,两组排尿次数均下降(P<0.05),且观察组明显低于对照组(P<0.05),日最大排尿量明显增多,且观察组改善程度明显优于对照组(P<0.05)。治疗后,两组FVC、FEV1值均明显提高(P<0.05),且观察组FVC、FEV1值明显高于对照组(P<0.01)。治疗后,两组生活质量水平改善明显,且观察组明显优于对照组(P<0.05)。结论:常规治疗联合针刺足阳明胃经经穴能有效治疗不完全性脊髓损伤功能障碍,可明显减轻患者临床症状、缓解患者痛苦。Objective:To explore the clinical curative effect of acupuncture at acupoints along stomach meridian of foot-yangming on incomplete spinal cord injury dysfunction.Methods:A total of 78 patients with incomplete spinal cord injury dysfunction treated from April 2020 to April 2022 were selected and divided into control group and observation group according to random number table method,with 39 cases in each group.Patients in the control group were treated with conventional drug therapy and rehabilitation training,while patients in the observation group were treated with acupuncture at the acupoints along stomach meridian of foot-yangming(Tianshu,Liangqiu,Fenglong and Shangjuxu)on the treatment basis of the control group.The total effective rate of treatment,spinal cord injury rating scale(ASIA)neurological function assessment(motor and sensory)were compared between the two groups after treatment.Spinal cord independence(SCIM-Ⅲ),bladder function(micturition frequency and maximum daily micturition volume),pulmonary function(forced vital capacity(FVC)and forced expiratory volume in 1 second(FEV1))and quality of life(MLHFO score)were compared between the two groups after the treatment.Results:The total effective rate of the observation group was significantly higher than that of the control group,between the two groups after the treatment the difference was statistically significant(P<0.05).After treatment,MS and ASIA scores in both groups were significantly increased(P<0.05),and the scores in the observation group were more significantly increased than those in the control group(P<0.05).After treatment,the SCIM-Ⅲscores of both groups were significantly increased(P<0.05),and the SCIM-Ⅲscore of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the frequency of urination decreased in both groups(P<0.05),and the frequency in the observation group was significantly lower than that of the control group(P<0.05);the daily maximum urination volume increased significantly

关 键 词：针刺足阳明胃经经穴 脊髓损伤 临床疗效 

分 类 号：R246[医药卫生—针灸推拿学]