[热补针法联合康复训练对缺血性脑卒中患者运动功能的影响]

[Effect of heat-reinforcing needling combined with rehabilitation training on the motor function of ischemic stroke patients].

作者信息

Zhang Ning-xia, Liu Gui-zhen, Huang Tai-quan, Li Wei-jiang, Luo Jia-qi, Liu Wei-wei, Huang Yong, Wang Ai-min

机构信息

Affiliated Putuo Hospital of Shanghai University of Chinese Medicine, Shanghai 20062, China.

出版信息

Zhen Ci Yan Jiu. 2009 Dec;34(6):406-9.

PMID:20209978

Abstract

OBJECTIVE

To observe the therapeutic effect of heat-reinforcing needling combined with modem rehabilitation training on the motor function of ischemic stroke patients.

METHODS

Fifty case of ischemic stroke patients were randomly divided into rehabilitation (Rehab, n=40) and acupuncture (Acup) + Rehab (n=40) groups. Heat-reinforcing needling was applied to Jianyu (LI 15), Quchi (LI 11), Hegu (LI 14), Zusanli (ST 36), Yanglingquan (GB 34), Yinlingquan (SP 9) and Sanyinjiao (SP 6), once daily for 3 weeks. Rehabilitation training including healthy limb and joint movement was conducted, once daily for 3 weeks. The patient's neurological impairment degree and the motor function (Fugl-Meyer index) were evaluated before and after the treatment.

RESULTS

After the treatment, of the each 40 cases in Rehab and Acup + Rehab groups, 10 (25.0%) and 17 (42.5%) experienced marked improvement in their symptoms, 17 (42.5%) and 18 (45.0%) had improvement, 13 (32.5%) and 5 (12.5%) failed, with the effective rates being 67.5% and 87.5% respectively. The therapeutic effect of Acup + Rehab group was markedly superior to that of Rehab group (P<0.05). Comparison between two groups showed no significant differences in the scores of clinical neurological impairment degree and the scores of Fugl-Meyer index before the treatment (P>0.05). After the treatment, the scores of neurological impairment degree of two groups both decreased significantly (P<0.05), and the scores of the Fugl-Meyer index of the upper and lower limbs increased significantly in two groups (P<0.05). The score of neurological impairment degree of Acup + Rehab group was significantly lower than that of Rehab group (P<0.05), while the scores of the Fugl-Meyer index of two limbs of Acup + Rehab group were obviously higher than those of Rehab group (P<0.01).

CONCLUSION

The therapy of heat-reinforcing needling combined with rehabilitation training is significantly superior to that of simple rehabilitation training in improving neurological impairment and motor function of ischemic stroke patients.

摘要

目的

观察温针补法结合现代康复训练对缺血性脑卒中患者运动功能的治疗效果。

方法

将50例缺血性脑卒中患者随机分为康复组（Rehab，n = 40）和针刺（Acup）+康复组（n = 40）。取肩髃（LI 15）、曲池（LI 11）、合谷（LI 14）、足三里（ST 36）、阳陵泉（GB 34）、阴陵泉（SP 9）和三阴交（SP 6）行温针补法，每日1次，共3周。进行包括健侧肢体和关节活动的康复训练，每日1次，共3周。治疗前后评估患者神经功能缺损程度及运动功能（Fugl - Meyer指数）。

结果

治疗后，康复组和针刺+康复组各40例中，症状显著改善者分别为10例（25.0%）和17例（42.5%），改善者分别为17例（42.5%）和18例（45.0%），无效者分别为13例（32.5%）和5例（12.5%），有效率分别为67.5%和87.5%。针刺+康复组的治疗效果明显优于康复组（P<0.05）。两组治疗前临床神经功能缺损程度评分及Fugl - Meyer指数评分比较，差异无统计学意义（P>

0.05）。治疗后，两组神经功能缺损程度评分均显著降低（P<0.05），两组上下肢Fugl - Meyer指数评分均显著升高（P<0.05）。针刺+康复组神经功能缺损程度评分显著低于康复组（P<0.05），针刺+康复组双下肢Fugl - Meyer指数评分明显高于康复组（P<0.01）。