Wang Jun, Pei Jian, Cui Xiao, Sun Kexing, Fu Qinhui, Xing Chunyan, Jiang Chao, Zhou Cuixia, Chen Yujie, Yan Minghang
Department of Acupuncture and Moxibustion, Longhua Hospital Affiliated to Shanghai University of TCM, Shanghai 200321, China; Department of Rehabilitation, Tianshan Hospital of TCM in Changning District of Shanghai, Shanghai 20005l.
Department of Acupuncture and Moxibustion, Longhua Hospital Affiliated to Shanghai University of TCM, Shanghai 200321, China.
Zhongguo Zhen Jiu. 2017 Sep 12;37(9):918-24. doi: 10.13703/j.0255-2930.2017.09.002.
To evaluate the effect of individualized scalp acupuncture base on location of brain function for motor dysfunction in stroke patients.
A total of 180 patients were randomly assigned into an individualized scalp acupuncture (ISA) group, a conventional scalp acupuncture (CSA) group and a rehabilitation group, 60 cases in each one. In the ISA group, we stimulated Sishencong (EX-HN 1), motor area and balance area, matched with pre-motor area for higher muscle tension, application area and 's three-needle for involuntary motion, application area for poor motor coordination, forehead five-needle for cognitive disorder, sensory area for sensory disturbance. In the CSA group, the affected Dingnieqianxiexian (MS 6), Dingniehouxiexian (MS 7) and Zhenxiapangxian (MS 14) were selected. Rehabilitation was used during needle retained in the two groups. Simple rehabilitation was used in the rehabilitation group. All the treatment was given from Monday to Friday for 4 weeks, once a day for 20 times. Eight-week follow-up was applied. The Fugl-Meyer assessment (FMA) for motor function, modified Barthel Index (MBI) were used to evaluate clinical effect.
After treatment and at follow-up, FMA and MBI scores increased compared with those before treatment in the three groups（all <0.01）, with significant differences among the three groups (all <0.000 1) and better results in the ISA group compared with those in the other two groups (<0.05, <0.01) at the two time points. The FMA and MBI scores in the CSA group were higher than those in the rehabilitation group after treatment and at follow-up (all <0.05).
The individualized scalp acupuncture can improve motor dysfunction and self-care ability of daily life for stroke patients.
评估基于脑功能定位的个体化头皮针治疗对脑卒中患者运动功能障碍的疗效。
将180例患者随机分为个体化头皮针组、传统头皮针组和康复组，每组60例。个体化头皮针组针刺四神聪（EX-HN 1）、运动区和平衡区，肌张力增高者配以前运动区，不自主运动配用运用区及“三针”，运动协调性差配用运用区，认知障碍配用额五针，感觉障碍配用感觉区。传统头皮针组选取患侧顶颞前斜线（MS 6）、顶颞后斜线（MS 7）及枕下旁线（MS 14）。两组留针期间均配合康复治疗。康复组采用简易康复治疗。所有治疗均于周一至周五进行，共4周，每日1次，共20次。随访8周。采用Fugl-Meyer运动功能评定量表（FMA）、改良Barthel指数（MBI）评估临床疗效。
治疗后及随访时，三组FMA和MBI评分均较治疗前升高（均P<0.01），三组间差异有统计学意义（均P<0.000 1），且个体化头皮针组在两个时间点的结果均优于其他两组（P<0.05，P<0.01）。治疗后及随访时，传统头皮针组FMA和MBI评分均高于康复组（均P<0.05）。
个体化头皮针可改善脑卒中患者的运动功能障碍及日常生活自理能力。
