电针刺激阳明经穴治疗脑卒中后偏身感觉障碍的临床观察  

Clinical Observation on the Treatment of Patients with Hemisensory Disorder after Stroke by Electroacupuncture Stimulation of Yangming Meridian Points

作　　者：刘敏 朱新汉 LIU Min;ZHU Xin-han(Anhui University of Traditional Chinese Medicine,Hefei 230038,China;Tongling Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Traditional Chinese Medicine,Tongling 244000,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学附属铜陵市中医医院,安徽铜陵244000

出　　处：《云南中医中药杂志》2024年第7期54-58,共5页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：安徽中医药大学科研基金项目(2024LC031);国家中医重点专科-铜陵市中医医院康复科(国中医药政函[2012])。

摘　　要：目的探究电针刺激阳明经穴治疗脑卒中后偏身感觉障碍的临床疗效。方法选择符合标准的80例患者,随机分为2组,每组各40例患者。对照组给予个体化感觉康复治疗,治疗组则在对照组基础上联合对阳明经穴位的电针疗法。穴位选择:上肢选取患肢手阳明大肠经的曲池、合谷、肩髃、手三里、商阳、臂臑;下肢则选取足阳明胃经的足三里、丰隆、厉兑、解溪、伏兔、髀关。4周后记录2组的感觉功能评分、MBI、NHISS。结果对比2组治疗前数据的感觉功能评分、MBI、NHISS之间的差异均无统计学意义(P>0.05);对比2组治疗后感觉功能评分、MBI、NHISS的差异均存在统计学意义(P<0.05),且治疗组优于对照组(P<0.05);治疗后对照组与治疗组的治疗总有效率分别为67.50%与90.00%,差异具有统计学意义(P<0.05)。结论阳明经穴的电针疗法有效提高脑卒中后偏身感觉障碍患者的恢复。Objective:To study the clinical effect of electroacupuncture stimulation of Yangming meridian points in the treatment of hemisensory disorders after stroke.Methods:80 patients meeting the criteria were randomly divided into two groups,40 cases each group.The control group was given individualized sensory rehabilitation treatment and the treatment group was combined with electroacupuncture treatment at Yangming meridian points on the basis of the control group.The upper limbs were selected as Quchi,Hegu,Jianyu,Shousanli,Shangyang and Binao of Yangming large intestine meridian of affected limb hands.The lower limbs were selected as Zusanli,Fenglong,Lidui,Xiexi,Futu and Biguan of the stomach meridian of foot Yangming.After 4 weeks,the sensory function score,MBI and NHISS of the two groups were recorded.Results:The differences in the sensory function score,MBI and NHISS between the two groups before treatment had no statistical significance(P>0.05)and the differences in the sensory function score,MBI and NHISS between the two groups after treatment had statistical significance(P<0.05),and the treatment group was better than the control group(P<0.05).After treatment,the total effective rate of the control group and the treatment group was 67.50%and 90.00%,respectively,and the difference was statistically significant(P<0.05).Conclusion:The electroacupuncture treattment of Yangming meridian points can effectively improve the recovery of the patients with hemisensory disorder after stroke.

关 键 词：电针 中风 感觉障碍 阳明经络 

分 类 号：R743.9[医药卫生—神经病学与精神病学]