Tian Fu-ling, Li Qi, Liu Guo-rong, Zheng De-song, Chen Jin-ming, Ma Shu-xiang, Cui Jian-mei, Wang Hong-bin, Li Xue-qing
Zhongguo Zhen Jiu. 2014 Nov;34(11):1047-50.
To observe the impact on lower limbs balance function in treatment of yin-yang meridians acupuncture with respiratory reinforcing and reducing manipulation involved in the patients of stroke by applying B-PHY balance function test training system so as to provide the objective evidence in treatment of stroke; with acupuncture.
One hundred patients were randomized into an observation group and a control group, 50 cases in each one. In the control group, the basic treatment was applied, without other relevant rehabilitation therapies associated. In the observation group, with the basic treatment as the control group's, the therapy of the yin-yang meridians acupuncutre with respiratory reinforcing and reducing manipulation was adopted. On the yin meridians, Zuwuli (LR 10), Xuehai (SP 10), Yinlingquan (SP 9), Sanyinjiao (SP 6) and the others were selected and stimulated with reducing manipulation achieved by the coordination of patient's respiration. On the yang meridians, Biguan (ST 31), Liangqiu (ST 34), Yanglingquan (GB 34) and the others were selected and stimulated with reinforcing manipulation achieved by the coordination of patient's respiration. The treatment was given once a day and for 28 days totally. Before treatment and in 28 days of treatment, B-PHY balance function test training system was used to determine the weight shift track parameters (track length, peripheral square, track length of per unit square, left-right offset and rectangle square), the weight shift track distance parameters [mean of X axle weight shift distance (Mean-X), mean of Y axle weight shift distance (Mean-Y), maximum of X axle weight shift distance (Max-X), maximum of Y axle weight shift distance (Max-Y), weight shift distance (LSKG), weight shift square (SSKG), square ratio of weight shift (LFS)], stability coefficient (SI) and weight distribution coefficient (WDI).
After treatment, the differences in the weight shift track parameters, SI and WDI were significant as compared with those before treatment in the patients of the two groups (all P<0.01); while the differences in the weight shift distance parameters in the observation group were improved obviously after treatment as compared with those before treatment (all P<0.01), the differences of Mean-X, Max-Y and LFS in the control group were improved after treatment as compared with those before treatment (all P<0.01). Except SSKG, the improvements after treatment in the rest indices in the observation group were better than those in the control group (all P<0.05).
The yin-yang meridians acupuncture with respiratry reinforcing and re- ducing manipulation effectively improves the lower limbs balance function in the patients of stroke.
应用B-PHY平衡功能测试训练系统观察阴阳经呼吸补泻针法对脑卒中患者下肢平衡功能的影响，为针刺治疗脑卒中提供客观依据。
将100例患者随机分为观察组和对照组，每组50例。对照组采用基础治疗，不进行其他相关康复治疗。观察组在对照组基础治疗的基础上，采用阴阳经呼吸补泻针法。阴经选取足五里（LR 10）、血海（SP 10）、阴陵泉（SP 9）、三阴交（SP 6）等穴位，配合患者呼吸进行泻法刺激；阳经选取髀关（ST 31）、梁丘（ST 34）、阳陵泉（GB 34）等穴位，配合患者呼吸进行补法刺激。每天治疗1次，共治疗28天。在治疗前及治疗28天后，使用B-PHY平衡功能测试训练系统测定体重转移轨迹参数（轨迹长度、外周面积、单位面积轨迹长度、左右偏移及矩形面积）、体重转移轨迹距离参数[X轴体重转移距离均值（Mean-X）、Y轴体重转移距离均值（Mean-Y）、X轴体重转移最大距离（Max-X）、Y轴体重转移最大距离（Max-Y）、体重转移距离（LSKG）、体重转移面积（SSKG）、体重转移面积比（LFS）]、稳定系数（SI）及体重分布系数（WDI）。
治疗后，两组患者的体重转移轨迹参数、SI及WDI与治疗前比较，差异均有统计学意义（均P<0.01）；观察组治疗后体重转移距离参数较治疗前明显改善（均P<0.01），对照组治疗后Mean-X、Max-Y及LFS较治疗前改善（均P<0.01）。观察组除SSKG外，其余各指标治疗后的改善情况均优于对照组（均P<0.05）。
阴阳经呼吸补泻针法能有效改善脑卒中患者的下肢平衡功能。
