探讨醒脑开窍针刺法联合循经刮痧疗法治疗卒中后偏身感觉障碍的临床效果  

Clinical Effect of Xingnao Kaiqiao Acupuncture Method Combined with Meridian Scraping Therapy on Hemisensory Disorder after Stroke

作　　者：徐圣 汪堃 吴媛媛 XU Sheng;WANG Kun;WU Yuanyuan(Department of Encephalopathy(Neurology),Qianxinan Prefecture Traditional Chinese Medicine Hospital,Xingyi,Guizhou,562400,China;Department of Science and Education,Qianxinan Prefecture Traditional Chinese Medicine Hospital,Xingyi,Guizhou,562400,China)

机构地区：[1]贵州省黔西南州中医医院脑病科(神经内科),贵州兴义562400 [2]贵州省黔西南州中医医院科教科,贵州兴义562400

出　　处：《中外医疗》2025年第6期10-14,共5页China & Foreign Medical Treatment

基　　金：黔西南州科技计划项目(2022-1-11)。

摘　　要：目的探讨醒脑开窍针刺法联合循经刮痧疗法治疗卒中后偏身感觉障碍的临床疗效。方法随机选取2022年12月—2024年2月贵州省黔西南州中医院收治的80例门诊/住院诊断为脑卒中后偏身感觉障碍患者为研究对象,依据不同治疗方法分成两组,对照组(n=40)采用一般常规方案治疗,观察组(n=40)在对照组基础上使用醒脑开窍针刺法配合循经刮痧疗法治疗。比较两组患者治疗前后麻木症状量化计分表、美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)及简易智能状态检查量表(Mini-mental State Examination,MMSE)评分及治疗总有效率。结果治疗前,两组患者麻木症状量化评分及NIHSS评分比较,差异均无统计学意义(P均>0.05)。治疗后,观察组NIHSS评分为(5.44±0.81)分,麻木症状量化评分为(1.58±0.34)分,均低于对照组的(8.93±1.42)分、(2.53±0.62)分,差异均有统计学意义(t=13.502,8.497;P均<0.05)。治疗前,两组患者MMSE量表总评分比较,差异无统计学意义(P>0.05)。治疗后,观察组MMSE总评分为(25.12±3.07)分,高于对照组的(23.35±2.80)分,差异有统计学意义(t=2.694,P<0.05)。观察组治疗总有效率为92.50%(37/40),高于对照组的75.00%(30/40),差异有统计学意义(χ^(2)=4.501,P<0.05)。结论应用醒脑开窍针刺法联合循经刮痧疗法治疗卒中后偏身感觉障碍可有效改善患者的偏身感觉障碍如麻木、疼痛等临床症状,修复受损神经组织改善认知水平,提升临床疗效。Objective To investigate the clinical effect of Xingnao Kaiqiao acupuncture combined with meridian scraping therapy on hemisensory disorder after stroke.Methods A total of 80 patients with hemisensory disorder after stroke diagnosed as outpatients/inpatients admitted to Qianxinan Prefecture Traditional Chinese Medicine Hospital in Guizhou Province from December 2022 to February 2024 were randomly,selected as the study objects.They were divided into two groups according to different treatment methods.The control group(n=40)was treated with general routine regimen.Observation group(n=40)was treated with Xingnao Kaiqiao acupuncture combined with meridian scraping therapy on the basis of control group.The numbness symptom quantitative score,National Institute of Health Stroke Scale and Mini-Mental State Examination scores before and after treatment and the total effective rate of treatment were compared between the two groups.Results Before treatment,there were no significant differences in the quantitative score of numb ness symptoms and NIHSS score between the two groups(both P>0.05).After treatment,the NIHSS score of the observation group was(5.44±0.81)points,and the quantified score of numbness symptom was(1.58±0.34)points,which was lower than that of the control group(8.93±1.42)points and(2.53±0.62)points,and the differences were statistically significant(t=13.502,8.497;both P<0.05).Before treatment,there was no significant difference in the total score of MMSE between the two groups(P>0.05).After treatment,the MMSE score of the observation group was(25.12±3.07)points,which was higher than that of the control group(23.35±2.80)points,and the difference was statistically significant(t=2.694,P<0.05).The total effective rate of observation group was 92.50%(37/40),which was higher than that of control group 75.00%(30/40),and the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusions The application of Xingnao Kaiqiao acupuncture combined with meridian scraping therapy in the treatment of hemi

关 键 词：脑卒中 偏身感觉障碍 醒脑开窍针刺法 循经刮痧疗法 

分 类 号：R743.3[医药卫生—神经病学与精神病学]