“扶阳抑阴”针法结合康复训练治疗卒中后足内翻患者的疗效及步态观察研究  

Clinical Efficacy and Gait Observation of Fuyang Yiyin Acupuncture Combined with Rehabilitation Training in Treatment of Post-Stroke Strephenopodia

作　　者：张晓梅 薛利圆 张春红 王朝辉[1,2] 武明霞 王涛 倪晓诚 贾新燕 ZHANG Xiaomei;XUE Liyuan;ZHANG Chunhong;WANG Zhaohui;WU Mingxia;WANG Tao;NI Xiaocheng;JIA Xinyan(Changchun University of Chinese Medicine,Changchun 130117,China;Baoan Purt TCM Tratment Hospital,Shenzhen 518100,China)

机构地区：[1]长春中医药大学,吉林长春130117 [2]深圳市宝安纯中医治疗医院,广东深圳518100

出　　处：《针灸临床杂志》2025年第1期12-16,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：广东省中医药局科研项目,编号:20221336;深圳市宝安区科技计划基础研究项目,编号:2021JD194。

摘　　要：目的:观察“扶阳抑阴”针法结合康复训练对卒中后下肢运动功能、足内翻角度、患足足底压力比值及步态功能的影响。方法:将符合纳入标准的足内翻患者60例,随机分为治疗组和对照组,各30例。两组患者的针刺治疗基于基础治疗及常规康复训练之上,“扶阳抑阴”针刺法用于治疗组;常规针刺法用于对照组,共治疗6周。对比两组患者治疗前后的疗效差异,通过观察足内翻度数、患足足底压力比值、Fugl-Meyer下肢运动功能量表(FMMS)评分及步态参数值(步幅、步频、步速和COP面积)等指标进行评估。结果:治疗前,足内翻度数、Fugl-Meyer下肢运动功能量表评分、患足足底压力比值及步态参数值比较,差异无统计学意义(P>0.05)。治疗6周后,两组患者的足内翻度数、Fugl-Meyer下肢运动功能量表评分、患足足底压力比值及步态参数的前后差值比较,差异均具有统计学意义(P<0.05)。两组临床疗效比较,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:“扶阳抑阴”针法结合康复训练能够有效改善卒中患者的足内翻角度,增强下肢运动能力,提高患足足底压力,维持肢体平衡,良性改变步态能力。Objective:To investigate the impact of Fuyang Yiyin(supporting Yang and suppressing Yin)acupuncture combined with rehabilitation training on lower limb movement function,varus angle,plantar pressure ratio and gait function after stroke.Methods:60 patients with post-stroke strephenopodia,who met the inclusion criteria,were randomly divided into the treatment group and the control group,with 30 cases in each group.Both groups were given the basic treatment and conventional rehabilitation training;on which basis,the acupuncture group was treated with Fuyang Yiyin acupuncture,whereas the control group was treated with conventional acupuncture.The treatment duration was 6 weeks.The differences in the efficacy of the two groups was evaluated by observing the varus degree,the plantar pressure ratio of the affected foot,the Fugl-Meyer Lower Extremity Motor Function Scale(FMMS)scores,and the values of the gait parameters(stride amplitude,stride frequency,stride speed,and COP area).Results:There were no statistical differences in Varus degree,FMMS score,plantar pressure ratio and gait parameters between the two groups before the treatment(P>0.05).There were statistical differences in Varus degree,FMMS score,plantar pressure ratio and gait parameters between the two groups after the treatment(P<0.05),with the treatment group showed significant therapeutic efficacy(P<0.05).Conclusion:Fuyang Yiyin acupuncture combined with rehabilitation training can effectively improve varus angle,strengthen lower limb mobility,correct plantar pressure,preserve limbs balance,and positively change gait pattern of the patients.

关 键 词：卒中 足内翻 针刺 足内翻角度 足底压力 步态分析 

分 类 号：R246.6[医药卫生—针灸推拿学]