通督交泰针法治疗卒中后肢体运动功能障碍的临床观察  

Clinical Observation on the Tongdu Jiaotai Acupuncture Method in Treating Limb Motor Dysfunction after Stroke

作　　者：王俊涛 吕文亮 Wang Juntao;LüWenliang(Jilin Hospital of Integrated Traditional Chinese and Western Medicine,Jilin,Jilin 132000,China)

机构地区：[1]吉林省吉林中西医结合医院,吉林吉林132000

出　　处：《中国中医急症》2024年第10期1777-1780,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：吉林省卫生健康科技能力提升项目(2022LC146);吉林省中医药科技项目(2023214);吉林省中医标准化项目(zybz-2024-017)。

摘　　要：目的 观察通督交泰针法治疗卒中后肢体运动功能障碍的临床疗效。方法 80例患者随机分为观察组与对照组各40例。对照组给予常规药物、针刺及相关康复训练治疗,观察组在其基础上采用通督交泰针法进行针刺治疗。比较两组患者临床疗效以及Fug1-Meyer运动功能评定量表(FMA)、日常生活能力(ADL)评分及中国临床神经功能缺损评分量表(CSS)评分。结果 观察组治疗后临床疗总有效率为86.84%,高于对照组的82.35%(P <0.05),观察组CSS评分低于对照组(P <0.05);两组患者FMA评分、ADL评分均明显升高(P <0.05),且观察组高于对照组(P <0.05)。结论 通督交泰针法对脑卒中恢复期肢体功能障碍患者临床疗效显著,对肢体运动功能具有明显改善作用,同时能提高日常生活能力。Objective:To observe the clinical efficacy of Tongdu Jiaotai acupuncture in treating limb motor dys-function after stroke.Methods:Patients with post-stroke limb motor dysfunction who underwent treatment were randomly divided into an observation group and a control group,with 40 cases in each group.The control group re-ceived routine medication,acupuncture,and related rehabilitation training treatment,while the observation group re-ceived acupuncture treatment using the Tongdu Jiaotai acupuncture method on the basis of the control group.The clinical efficacy of both groups was compared along with the Fugl-Meyer Assessment(FMA)motor function evalua-tion scale scores,Activities of Daily Living(ADL)scores,and Chinese Clinical Neurological Deficit Scale(CSS)scores.Results:The overall effective rate of clinical therapy in the observation group(86.84%)was superior to that of the control group(82.35%)(P<0.05),and the CSS scores in the observation group were lower than those in the control group(P<0.05).The FMA scores and ADL scores in both groups were significantly increased(P<0.05),with the observation group scoring higher than the control group(P<0.05).Conclusion:Tongdu Jiaotai acupuncture method demonstrates significant clinical efficacy in patients with limb dysfunction in the recovery pe-riod of stroke and has a significant improvement effect on limb motor function,while also improves daily living ability.

关 键 词：卒中后肢体障碍 通督交泰针法 八脉交会穴 肢体运动功能 日常生活活动 

分 类 号：R743.9[医药卫生—神经病学与精神病学]