摘要
目的:观察电鍉丛针治疗脑梗死患者运动功能障碍的临床疗效,并初步探讨电鍉丛针治疗的优越性。方法:164例脑梗死后运动功能障碍患者随机分成电鍉丛针组(84例)与头穴丛刺组(80例),均按照于氏头部腧穴分区法——七区划分法选取穴位(顶区、顶前区)。头穴丛刺组向前或向后透刺,留针6 h;电鍉丛针组用自制的电鍉丛针连接电针仪,每次通电30 min;各组每周均治疗6次休息1 d,连续观察4周。治疗前后进行运动功能评定、生活能力评定、临床神经功能缺损评分,并进行两组的疗效评定。结果:各组脑梗死患者运动功能评分、生活能力评分及神经功能缺损评分治疗后均较治疗前有所改善(P<0.01),3项指标治疗后组间比较差异均无统计学意义(P>0.05)。两组的临床疗效比较,差异也无统计学意义(P>0.05)。结论:电鍉丛针能够改善脑梗死患者的运动功能和日常生活活动能力,且在治疗形式上易于被患者接受,具有一定的优越性。
Objective To observe the therapeutic effect of spoon-needle cluster electrical stimulation of scalp-points for motor dysfunction of cerebral infarction （（31） patients, so as to analyze its superiority in the treatment of Cl. Methods A total of 164 （31 inpatients with motor disturbance were randomly divided into spoon-needle cluster （SN（3） group （n = 84） and filiform-needie cluster （FN（3） group （n = 80）. Multiple filiform needles were inserted into the Yu＇s 7 scalp-points （Parietal region, Antero-parietal region, etc. ）, and manipulated for a while, followed by 6 hours＇ retention of the needles. Multiple spoon needles were fixed to the same scalp-points and then these scalp-points were stimulated with electric pulse for 30 min. The treatment was given once daily, 6 times a week and for 4 weeks. The therapeutic effect was assessed by FugI-Meyer assessment scale, Barthel Index and clinical neural function-defect assessment respectively. Results （3ompared to pre-treatment, the scores of FugI-Meyer assessment scale and daily-life ability assessment of both SN（3 and FN（3 groups increased significantly after the treatment （P〈0.01 ）, and those of clinical neural function-defect assessment of these two groups lowered considerably （P〈0.01 ）. No significant differences were found between two groups in these 3 indexes（P〈0.05）. After the treatment, of the 84 and 80 cases in SNC and FNC groups, 0 and 3 were cured basically, 44 and 45 experienced a marked improvement, 35 and 27 had an improvement, 5 and 5 failed, respectively. Conclusion Spoon-needle cluster electro-stimulation can effectively improve CI patients＇ motor dysfunction and daily-life activity ability, and is comparable to the filiform-needle cluster stimulation in clinical therapeutic effect.
出处
《针刺研究》
CAS
CSCD
北大核心
2009年第3期193-197,共5页
Acupuncture Research
基金
哈尔滨市科技局技术攻关项目(2005AA9CS116-22)
关键词
脑梗死
运动功能障碍
电捉丛针
头穴
丛刺
Cerebral infarction
Movement disturbance
Electro-spoon-needle cluster
Scalp-points
Filiform needle cluster
