醒神通经导气针法联合艾灸治疗气虚血瘀型卒中后偏瘫临床研究  

Clinical Study on Xingshen Tongjing Daoqi Acupuncture Combined with Moxibustion for Stroke-Induced Hemiplegia of Qi Deficiency and Blood Stasis Type

作　　者：王少儿 王飞 邓艳 陈琼凤 WANG Shao'er;WANG Fei;DENG Yan;CHEN Qiongfeng(Department of Rehabilitation Medicine,Zhoushan Putuo District People's Hospital,Zhoushan Zhejiang 316000,China)

机构地区：[1]舟山市普陀区人民医院康复医学科,浙江舟山316000

出　　处：《新中医》2025年第5期151-156,共6页New Chinese Medicine

摘　　要：目的:观察在阿托伐他汀、阿司匹林治疗和康复训练基础上加用醒神通经导气针法联合艾灸治疗气虚血瘀型卒中后偏瘫的临床疗效。方法:选择2023年10月—2024年3月在舟山市普陀区人民医院康复医学科治疗的100例气虚血瘀型卒中后偏瘫患者,按照随机数字表法分为联合组与对照组各50例。对照组接受阿托伐他汀、阿司匹林常规西药和常规康复训练治疗,联合组在对照组基础上给予醒神通经导气针法联合艾灸治疗,2组均治疗8周。治疗前后,比较中医证候积分、患肢Fugl-Meyer运动功能(FMA)评分、肌张力和改良Barthel指数(MBI)评分。比较2组临床疗效。结果:治疗8周后,联合组总有效率93.75%(45/48),高于对照组79.17%(38/48)(P<0.05)。2组肢体麻木、口歪舌斜、言语謇涩、半身不遂、气短乏力、面色㿠白积分均较治疗前降低,联合组上述6项积分均低于对照组(P<0.05)。2组上肢FMA评分、下肢FMA评分及MBI评分均较治疗前升高,联合组上肢FMA评分、下肢FMA评分及MBI评分均高于对照组(P<0.05)。2组肌张力均较治疗前改善,联合组肌张力分级改善程度优于对照组(P<0.05)。结论:醒神通经导气针法联合艾灸治疗气虚血瘀型卒中后偏瘫效果更好,可更为显著改善临床症状、肢体运动功能和肌张力,提高日常生活活动能力。Objective:To observe the clinical effect of the additional treatment of xingshen tongjing daoqi acupuncture combined with moxibustion based on Atorvastatin,Aspirin,and rehabilitation training on stroke-induced hemiplegia of qi deficiency and blood stasis type.Methods:A total of 100 cases of patients with stroke-induced hemiplegia of qi deficiency and blood stasis type,who were treated at the Department of Rehabilitation Medicine of Zhoushan Putuo District People's Hospital from October 2023 to March 2024,were selected and divided into the combination group and the control group according to the random number table method,with 50 cases in each group.The control group received conventional western medicine treatment with Atorvastatin and Aspirin,along with standard rehabilitation training;the combination group received xingshen tongjing daoqi acupuncture combined with moxibustion in addition to the control group's treatment.Both groups were treated for eight weeks.Traditional Chinese medicine(TCM)syndrome scores,Fugl-Meyer Assessment(FMA)scores for the affected limbs,muscular tone,and Modified Barthel Index(MBI)scores were evaluated before and after treatment.The clinical effects in the two groups were compared.Results:After eight weeks of treatment,the total effective rate was 93.75%(45/48)in the combination group,higher than that of 79.17%(38/48)in the control group(P<0.05).TCM syndrome scores for symptoms such as limb numbness,crooked mouth and tongue,hemiplegia,slurred speech,shortness of breath,and pale complexion in the two groups were decreased when compared with those before treatment,with the combination treatment group showing lower scores than the control group(P<0.05).FMA scores for both upper and lower limbs and MBI scores in the two groups were increased when compared with those before treatment,with the combination group showing higher scores than the control group(P<0.05).Muscular tone in the two groups was improved when compared with that before treatment,with the combination group showing greater

关 键 词：卒中后偏瘫 气虚血瘀 针刺 醒神通经导气针法 艾灸 肢体运动功能 

分 类 号：R246.1[医药卫生—针灸推拿学]