运动针法治疗缺血性中风后运动功能障碍的临床研究  

Clinical study of exercise-based acupuncture for motor dysfunction after ischemic stroke

作　　者：周亮 马爽 郑佩峰 李毅 东贵荣 鲍春龄 丁邦友 东红升 洪珏(译) ZHOU Liang;MA Shuang;ZHENG Peifeng;LI Yi;DONG Guirong;BAO Chunling;DING Bangyou;DONG Hongsheng;HONG Jue(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;不详)

机构地区：[1]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [2]Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2024年第3期223-231,共9页针灸推拿医学（英文版）

基　　金：东氏针灸阴阳调衡针法及治疗中风功能障碍多流派优化方案验证,No.ZY(2021-2023)-0209-08;上海市针灸临床医学研究中心项目,No.20MC1920500;上海市科学技术委员会科研计划项目,No.16401970400;国家重点研发计划,No.2019YFC1712204;上海市社区中医药适宜技术项目,No.SQ-SYJS-17.

摘　　要：目的:观察运动针法治疗缺血性中风的临床疗效,以及对患者运动功能和日常生活能力的改善作用。方法:将106例脑梗死导致的肢体运动功能障碍患者随机分为试验组和对照组,每组53例。两组患者均给予常规康复治疗,对照组加用头穴透刺治疗,试验组加用运动针法治疗。每周治疗3次,持续治疗4周。于治疗前、治疗2周和4周后,以及随访2个月时,采用Fugl-Meyer评估(FMA)量表、Lovett肌力评定量表、改良Ashworth量表(MAS)、日常生活活动(ADL)量表评分对患者运动功能、肌力、肌张力和日常生活能力进行评定。结果:治疗后两组运动功能和日常生活能力均提高;治疗4周后及随访2个月时试验组FMA及ADL评分高于对照组(P<0.05)。治疗后两组MAS评分均下降;治疗2周和4周后以及随访2个月时,试验组MAS评分低于对照组(P<0.05)。治疗后两组Lovett评分均提高;治疗4周后试验组Lovett评分高于对照组(P<0.05)。结论:在常规康复治疗基础上,运动针法与头穴透刺均能有效改善缺血性中风患者的运动功能,提高其日常生活能力;运动针法作用优于头穴透刺治疗。Objective:To observe the clinical efficacy of exercise-based acupuncture in treating ischemic stroke and its effects in improving the patient’s motor function and daily living ability.Methods:A total of 106 patients with motor dysfunction due to cerebral infarction were randomized into a trial group and a control group,each consisting of 53 cases.Both groups received conventional rehabilitation;in addition,the control group was given point-toward-point acupuncture at scalp points,and the trial group was offered exercise-based acupuncture,3 times weekly for 4 consecutive weeks.Before treatment,after 2 and 4 weeks of treatment,and at the 2-month follow-up,the Fugl-Meyer assessment(FMA)scale,Lovett scale for muscle strength,modified Ashworth scale(MAS),and activities of daily living(ADL)scale were used to assess the patient’s motor function,muscle strength,muscle tension,and daily living ability.Results:After treatment,both groups gained improvements in motor function and daily living ability;after 4-week treatment and at the 2-month follow-up,the trial group had higher FMA and ADL scores than the control group(P<0.05).The MAS score decreased after treatment in both groups;after 2 and 4 weeks of treatment and at the 2-month follow-up,the MAS score was lower in the trial group than in the control group(P<0.05).After the intervention,the Lovett score increased in both groups;after 4 weeks of treatment,the Lovett score was higher in the trial group than in the control group(P<0.05).Conclusion:Based on routine rehabilitation,exercise-based acupuncture and scalp point-toward-point acupuncture both can improve the motor function and daily living ability in ischemic stroke patients;exercise-based acupuncture performs better than scalp point-toward-point acupuncture.

关 键 词：针刺疗法 透针 针刺运动疗法 穴 百会 缺血性中风 中风后遗症 运动活动 日常生活活动 

分 类 号：R246.6[医药卫生—针灸推拿学]