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[“靳三针疗法”对脑卒中偏瘫患者认知功能及日常生活活动能力的影响:一项多中心随机对照研究]

[Effect of "Jin three-needle therapy" on cognitive function and activity of daily living in patients of hemiplegia after stroke: a multi-central randomized controlled study].

作者信息

Xu Shi-fen, Zhuang Li-xing, Jia Chao, Chen Xing-hua, Wu Si-ping, Jiang Gui-mei, Zhu Bo-chang, Xu Di-jing, Pan Chao-an

机构信息

Acupuncture Department, Shanghai TCM Hospital Affiliated to Shanghai University of TCM, Shanghai 200071, China.

出版信息

Zhongguo Zhen Jiu. 2009 Sep;29(9):689-94.

PMID:19803232
Abstract

OBJECTIVE

To provide reliable evidence of "J in three-needle therapy" for treatment of stroke.

METHODS

Multi-central randomized controlled trials were adopted, 180 hemiplegia patients of ischemic stroke were randomly divided into a fin three-needle group (90 cases) and a routine acupuncture group (90 cases). Two groups were both treated with basic neurology therapies, and J in three-needle group was treated with J in three-needle therapy, three acupoints of tempora, hand and foot etc. were selected; the routine acupuncture group was treated with traditional acupuncture, Quchi (LI 11), Huantiao (GB 30), Futu (ST 32) etc. were selected. Both groups were treated with acupuncture for 5 weeks. The cognitive function score of functional comprehensive assessment scale (FCA), the scores of mini-mental state examination scale (MMSE) and modified Barthel index (BI) were compared before and after treatment between two groups. Results After treatment, the scores of FCA, MMSE and BI in both groups were significantly improved compared to those before treatment (P < 0.01, P < 0.05); the improvement of FCA score, MMSE score and BI score in the J in three-needle group were superior to those of the routine acupuncture group after treatment (P < 0.01, P < 0.05). The total effective rate of 85.4% in the J in three-needle group was superior to tohat of 70.0% in the routine acupuncture group (P < 0.05).

CONCLUSION

J in three-needle acupuncture treatment can obviously improve the cognitive function and activity ability of daily life of hemiplegia patients after stroke, and the therapeutic effect of J in three-needle therapy is superior to that of traditional acupuncture treatment.

摘要

目的

为“靳三针疗法”治疗中风提供可靠依据。

方法

采用多中心随机对照试验,将180例缺血性中风偏瘫患者随机分为靳三针组(90例)和常规针刺组(90例)。两组均采用神经内科基础治疗,靳三针组采用靳三针疗法,选取颞、手足等三个穴位;常规针刺组采用传统针刺,选取曲池(LI 11)、环跳(GB 30)、伏兔(ST 32)等穴位。两组均针刺治疗5周。比较两组治疗前后功能综合评定量表(FCA)的认知功能评分、简易精神状态检查表(MMSE)评分及改良Barthel指数(BI)评分。结果治疗后,两组FCA、MMSE及BI评分均较治疗前显著提高(P<0.01,P<0.05);治疗后靳三针组FCA评分、MMSE评分及BI评分的改善情况优于常规针刺组(P<0.01,P<0.05)。靳三针组总有效率85.4%优于常规针刺组的70.0%(P<0.05)。

结论

靳三针针刺治疗能明显改善中风后偏瘫患者的认知功能及日常生活活动能力,且靳三针疗法的疗效优于传统针刺治疗。

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