Yu Xueping, Yan Jiao, Zou Wei
the First Affiliated Hospital of Heilongjiang University of CM, Harbin 150040, China.
Heilongjiang University of CM.
Zhongguo Zhen Jiu. 2018 Oct 12;38(10):1035-8. doi: 10.13703/j.0255-2930.2018.10.002.
To compare the clinical curative effect of muscle tension staged acupuncture and conventional acupuncture in the treatment of stroke hemiplegia.
Sixty-two patients with stroke hemiplegia were randomly divided into an observation group and a control group, 31 cases in each one. In the observation group, the muscle tension staged acupuncture was given, the six stages of Brunnstrom were classified as relaxation period and spasmodic period. The (consciousness-restoring resuscitation) combined with the hand and foot meridian acupuncture were applied at Shuigou (GV 26), Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Hegu (LI 4), Liangqiu (ST 34), Zusanli (ST 36), Shangjuxu (ST 37), Jiexi (ST 41) during relaxation period; mainly by hand and foot meridian and meridian, the acupoints were Jianliao (TE 14), Tianjing (TE 10), Waiguan (TE 5), Yangchi (TE 4), Houxi (SI 3), Huantiao (GB 30), Yanglingquan (GB 34), Chengshan (BL 57), Xuanzhong (GB 39), Shenmai (BL 62), Qiuxu (GB 40) during spasmodic period. In the control group, referring to 's , mainly by hand meridian, the governor vessel and foot meridian, phasing was not considered in the acupuncture treatment plan. Both groups were treated one time a day for 4 weeks. The neurological deficit scores were observed before and after treatment of the two groups and the efficacy was evaluated.
There was one case dropped in each group. After treatment, the neurological deficit scores of the two groups was lower than those before treatment (both <0.05), and the observation group was lower than the control group (<0.05). The cured and markedly effective rate was 66.7% (20/30) in the observation group, which was higher than 36.7% (11/30) in the control group, the difference between the two groups was statistically significant (<0.05).
The muscle tension staged acupuncture is better than the conventional acupuncture for the treatment of stroke hemiplegia.
比较肌张力分期针刺与传统针刺治疗脑卒中偏瘫的临床疗效。
将62例脑卒中偏瘫患者随机分为观察组和对照组，每组31例。观察组采用肌张力分期针刺，将Brunnstrom六阶段分为松弛期和痉挛期。在松弛期，于水沟（GV 26）、肩髃（LI 15）、曲池（LI 11）、手三里（LI 10）、合谷（LI 4）、梁丘（ST 34）、足三里（ST 36）、上巨虚（ST 37）、解溪（ST 41）应用醒脑开窍针法配合手足阳明经针刺；在痉挛期，主要取手足阳明经和少阳经，穴位选用肩髎（TE 14）、天井（TE 10）、外关（TE 5）、阳池（TE 4）、后溪（SI 3）、环跳（GB 30）、阳陵泉（GB 34）、承山（BL 57）、悬钟（GB 39）、申脉（BL 62）、丘墟（GB 40）。对照组参照[某人]的[某方法]，针刺治疗方案不考虑分期，主要取手阳明经、督脉和足阳明经。两组均每日治疗1次，共治疗4周。观察两组治疗前后的神经功能缺损评分并评价疗效。
每组各有1例脱落。治疗后，两组神经功能缺损评分均低于治疗前（均P<0.05），且观察组低于对照组（P<0.05）。观察组痊愈显效率为66.7%（20/30），高于对照组的36.7%（11/30），两组差异有统计学意义（P<0.05）。
肌张力分期针刺治疗脑卒中偏瘫疗效优于传统针刺。
