通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫疗效观察  

To observe the clinical efficacy of Tongdu Tiaoshen Acupuncture combined with Yin-yang Balance Penetrating Acupuncture and Opposing Needling in the treatment of hemiplegia after stroke

作　　者：袁勤[1] 王颖[2] 沈志强 江六顺[1] 崔乐乐[1] 柳燕[1] 马月[1] 王振亚[1] YUAN Qin;WANG Ying;SHENZhiqiang(Department of Geriatrics,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230001,China;Department of Encephalopathy 1,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230001,China;Department of Encephalopathy 5,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230001,China)

机构地区：[1]安徽中医药大学第二附属医院老年病二科,安徽合肥230001 [2]安徽中医药大学第二附属医院脑病一科,安徽合肥230001 [3]安徽中医药大学第二附属医院脑病五科,安徽合肥230001

出　　处：《四川中医》2024年第7期179-183,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：2022年安徽省重点研究与开发计划项目(编号:2022e07020026);安徽第十三批“115”产业创新团队计划项目(编号:皖人才办[2020]4号)。

摘　　要：目的:观察通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫的临床疗效。方法:选取60例卒中后偏瘫患者,随机将其分成对照组与治疗组,每组30例。对照组患者根据缺血性和出血性脑卒中相关指南予以基础治疗,结合普通针刺治疗;治疗组患者基础治疗与对照组相同,结合通督调神针刺联合阴阳平衡透穴巨刺法。两组治疗2周后,观察指标为临床疗效有效率、美国国立卫生院卒中量表(NIHSS)评分、改良后日常生活活动能力评分(MBI)表(改良Barthel指数)评分、卒中患者运动功能评估量表(MAS)评分、功能独立性评定(FIM)量表运动功能部分评分。结果:两组方法治疗后治疗组与对照组临床疗效明显,分别对评分表进行比较,显示NIHSS量表分值降低,MBI量表、MAS量表、FIM量表评分的分值都有升高,两组治疗方法均有疗效,两组方法组内比较疗效均优于治疗前(P<0.05);两组间进行比较,经对比两种治疗方法效果差异明显,具有统计学意义(P<0.05)。结论:通督调神针刺联合阴阳平衡透穴巨刺法治疗卒中后偏瘫疗效确切,值得在临床应用。Objective:To observe the clinical efficacy of Tongdu Tiaoshen Acupuncture combined with Yin-yang balance penetrating acupuncture and Opposing Needling in the treatment of hemiplegia after stroke.Methods:Sixty patients with hemiplegia after stroke were randomly divided into control group and treatment group,with 30cases in each group.The control group was treated with basic therapy according to ischemic and hemorrhagic stroke-related guidelines,combined with conventional acupuncture treatment;the treatment group received the same basic therapy as the control group,combined with Tongdu Tiaoshen Acupuncture combined with Yin-yang balance penetrating acupuncture and Opposing Needling treatment.After two weeks of treatment,the observation indicators were the clinical effective rate,National Institutes of Health Stroke Scale(NIHSS)score,modified Barthel Index(MBI)score,Stroke Patient Motor Function Assessment Scale(MAS)score,and Functional Independence Measure(FIM)motor function part score.Results:After treatment,the clinical efficacy of the two groups was significantly improved.The scores of the evaluation scales showed that the NIHSS score decreased,while the MBI score,MAS score,and FIM score increased.Both treatments had therapeutic effects,and the efficacy of both methods was better than before treatment(P<0.05).There was a significant difference in the effectiveness between the two methods(P<0.05).Conclusion:Tongdu Tiaoshen Acupuncture combined with Yin-yang balance penetrating acupuncture and Opposing Needling has definite efficacy in treating hemiplegia after stroke and is worth clinical application.

关 键 词：通督调神针刺 阴阳平衡透穴 巨刺法 卒中偏瘫 

分 类 号：R246.6[医药卫生—针灸推拿学]