疏经通督推拿结合维筋相交针刺法治疗中风偏瘫临床研究  

Clinical Study on Tuina of Dredging Meridians and Unblocking Governor Vessels Combined with Acupuncture Therapy Based on Link Vessels Interaction for Stroke-Induced Hemiplegia

作　　者：诸方人 何倩雪 ZHU Fangren;HE Qianxue(Anji County Chinese Medicine Hospital,Anji Zhejiang 313300,China;Lanxi Hospital of Traditional Chinese Medicine,Lanxi Zhejiang 321100,China)

机构地区：[1]安吉县中医医院,浙江安吉313300 [2]兰溪市中医院,浙江兰溪321100

出　　处：《新中医》2024年第24期123-128,共6页New Chinese Medicine

摘　　要：目的:观察疏经通督推拿结合维筋相交针刺法治疗中风偏瘫气虚血瘀型患者的临床疗效。方法:选取2020年1月—2023年1月安吉县中医医院收治的82例中风偏瘫气虚血瘀型患者,采用简单随机分组法,分为治疗组和对照组各41例。对照组采取常规康复疗法治疗,治疗组在对照组治疗方案的基础上运用疏经通督推拿结合维筋相交针刺法治疗,2组均治疗4周。评价2组临床疗效,比较2组治疗前后巴氏量表(Barthel)指数、Morse跌倒风险评估量表(MFS)评分、静脉血栓风险Padua评分、Berg平衡量表(BBS)评分、肌张力评定量表(Ashworth)评分、静脉血栓出血风险评分。结果:治疗1周、2周、4周后,2组各期Barthel指数较治疗前升高,2组各期MFS评分、Padua评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗1周、2周、4周后,治疗组各期Barthel指数均高于同期对照组,MFS评分、Padua评分均低于同期对照组,差异均有统计学意义(P<0.05)。治疗4周后,2组BBS评分均较治疗前升高,2组Ashworth评分均较治疗前下降,差异均有统计学意义(P<0.05)。治疗4周后,治疗组BBS评分高于对照组,Ashworth评分低于对照组,差异均有统计学意义(P<0.05)。治疗1周后,2组静脉血栓出血风险评分均较治疗前升高,差异均有统计学意义(P<0.05);治疗2周、4周后,2组各期静脉血栓出血风险评分均较治疗前下降,差异均有统计学意义(P<0.05)。临床疗效总有效率治疗组95.12%,对照组78.05%,2组临床疗效总有效率比较,差异有统计学意义(P<0.05)。结论:疏经通督推拿结合维筋相交针刺法治疗中风偏瘫气虚血瘀型,可增加肢体血流,增强肌力,缓解痉挛,改善患者神经功能、生活质量及肢体平衡功能,促进肢体功能的恢复。Objective:To observe the clinical effect of tuina of dredging meridians and unblocking governor vessels combined with acupuncture therapy based on link vessels interaction on stroke-induced hemiplegia of qi deficiency and blood stasis type.Methods:A total of 82 cases of patients with strokeinduced hemiplegia of qi deficiency and blood stasis type,admitted to Anji County Chinese Medicine Hospital from January 2020 to January 2023,were selected and divided into the treatment group and the control group according to the randomized block method,with 41 cases in each group.The control group was given routine rehabilitation therapy,and the treatment group was additionally treated with tuina of dredging meridians and unblocking governor vessels combined with acupuncture therapy based on link vessels interaction in addition to the control group's treatment regimen.Both groups were treated for four weeks.The clinical effects in the two groups were evaluated;the Barthel Indexes,Morse Fall Scale(MFS)scores,Padua scores for venous thrombosis risk,Berg Balance Scale(BBS)scores,Ashworth Scale scores for muscle tone,and venous thrombosis bleeding risk scores were compared before and after treatment in the two groups.Results:After one,two,and four weeks of treatment,the Barthel Indexes in the two groups were increased when compared with those before treatment,and the MFS scores and Padua scores were decreased,differences being significant(P<0.05).After one,two,and four weeks of treatment,the Barthel Index in the treatment group was higher than that in the control group,and the MFS score and Padua score were lower than those in the control group,differences being significant(P<0.05).After four weeks of treatment,the BBS scores in the two groups were increased,and the Ashworth scores were decreased compared to those before treatment,differences being significant(P<0.05).After four weeks of treatment,the BBS score in the treatment group was higher than that in the control group,and the Ashworth score was lower than that in the cont

关 键 词：中风偏瘫 维筋相交理论 疏经通督 针刺 推拿 Morse跌倒风险评估量表 BERG平衡量表 肌张力评定量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]