摘要
目的探究基于“整体观念”理论头体针结合治疗脑卒中后偏瘫患者肢体功能障碍的短期临床疗效。方法将72例符合纳入标准的卒中后偏瘫患者采用统计产品与服务解决方案(Statistical product and service solutions,SPSS)软件随机分为观察组和对照组,各36例。两组均给予脑卒中常规药物治疗及康复训练,观察组遵循中医整体观念理论采用整体选穴与头针相结合的治疗方案,对照组采取偏瘫侧阳明经取穴为主的常规针刺治疗。1天1次,1周6天连续治疗2周。治疗前后对两组患者进行评估,参照洛维特肌力分级标准(Lovett肌力分级)、肢体运动功能评分量表(Fugl-Meyer,FMA)、日常生活活动能力量表(Barthel指数,BI)及临床疗效观察。结果与治疗前比较,治疗后两组患者肌力评定均有提升(P<0.05),且观察组优于对照组(P<0.05);治疗后,观察组FMA评分和BI指数均有明显提升(P<0.01),且显著高于对照组治疗后(P<0.01);然而,对照组与其治疗前阶段相比,FMA、Bl指数无显著性差异(P>0.05)。观察组总有效率94.4%(34/36),对照组47.2%(17/36),两组之间差异具有统计学意义(P<0.05)。结论遵循中医整体观念原则采用整体选穴与头针相结合的治疗方案对脑卒中后偏瘫患者肢体运动功能的临床疗效确切,在短期内的针刺效应更强、疗效显著。
Objective To explore the short-term clinical efficacy of scalp treatment combined with body acupuncture in the treatment of limb dysfunction in patients with post-stroke hemiplegia based on the"holistic concept"theory.Methods 72 patients with post-stroke hemiplegia who met the inclusion criteria were randomly divided into observation group and control group using Statistical Product and Service Solutions(SPSS)software,with 36 patients in each group.Both groups received routine drug treatment and rehabilitation training for stroke patients.The observation group followed the holistic concept and theory of traditional Chinese medicine and adopted the treatment plan combining holistic acupoint selection and head acupuncture,while the control group received conventional acupuncture treatment based on acupoint selection of Yangming Meridian on hemiplegia side.Once a day,6 days a week,a total of 2 weeks.Before and after treatment,patients in the two groups were evaluated according to Lovett muscle strength rating Scale(Lovett muscle strength Rating Scale),Limb motor function Assessment Scale(Fugl-Meyer,FMA),Barthel index(BI)and clinical efficacy.Results Compared with before treatment,muscle strength assessment of 2 groups improved after treatment(P<0.05),and observation group was better than control group(P<0.05);After treatment,the FMA score and BI index were significantly increased in the observation group(P<0.01)and significantly higher than in the control group(P<0.01).However,there was no significant difference in FMA and Bl indices between the control group and its pre-treatment period(P>0.05).The overall efficacy rate was 94.4%(34/36)in the observation group and 47.2%(17/36)in the control group,with a statistically significant difference between the two groups(P<0.05).Conclusion According to the principle of the holistic concept of traditional Chinese medicine,the treatment plan combining holistic acupoint selection and scalp acupuncture has a definite clinical effect on the limb motor function of patients with hemiplegia after stroke,and the acupuncture effect is stronger and more obvious in the short term.
作者
冯丝丝
黄淦
王菊枚
吕玉兰
顾力华
Feng Sisi;Huang Gan;Wang Jumei;Lyu Yulan;Gu Lihua(Second Clinical School of Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;Kunming Hospital of Traditional Chinese Medicine,Kunming 650500,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第3期1078-1083,共6页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
云南省昆明市科技计划项目一般课题(昆明计字:2019-1-S-25318000001432):基于国医大师疏调理论论治缺血性中风恢复期的临床研究,负责人:顾力华
关键词
脑卒中
肢体功能障碍
整体观念
头针
体针
Stroke
Limb dysfunction
Overall concept
Scalp acupuncture
Body acupuncture
