摘要
目的探讨董氏奇穴疗法改善中风恢复期患者神经功能缺损的临床效果。方法将60例患者按随机数字表法分为治疗组和对照组,每组各30例。两组患者均接受基础治疗,治疗组配合董氏奇穴疗法,对照组配合常规针刺。3个疗程后,比较两组患者神经功能缺损改善的临床疗效、脑卒中临床神经功能缺损程度评分量表(CSS)总分和因子分、不良反应。结果 (1)60例中风恢复期患者无1例脱落。(2)经治疗后,治疗组和对照组的总有效率分别为90.0%(27/30)和86.7%(26/30),两组疗效比较差异无统计学意义(P>0.05)。(3)两组患者治疗前CSS总分和除意识外的其他因子分间差异均无统计学意义(P>0.05);两组患者治疗后CSS总分和各因子分差异无统计学意义(P>0.05);两组患者面瘫、言语、上肢肌力、手肌力、下肢肌力、步行能力因子分和CSS总分治疗前后组内比较差异均有统计学意义(P<0.05)。(4)两组患者在试验过程中未出现针刺后不良反应。结论董氏奇穴疗法对改善中风恢复期患者神经功能缺损的临床疗效确切。
Objective To explore the clinical effects of Dong′s Extra Acupoint Acupuncture to improvement of the defect of neural function of patients with stroke at the convalescent stage. Methods Totally 60 patients were according to the random number table divided as trial group and control group,with 30 in each.All patients were given basic treatment,those in the trial group with the Dong′s Extra Acupoints Acupuncture and those in the control group with conventional acupuncture therapy.After three courses of treatment,the clinic effect of neurological deficit improvement,total and factorial score of China Stroke Scale（CSS）,and adverse reactions were compared between the two groups. Results（1） All the patients finished the treatment.（2） After treatment,the total effective rate was 90.0%（27/30） in the trial group and 86.7%（26/30） in the control group,with no significant difference between the 2 groups（P 0.05）.（3） There were no statistically significant differences between the 2 groups in total and factorial CSS scores before and after the treatment（P0.05）,with a exception of conscious factor score.However,in each group itself before and after the treatment,the factorial CSS scores of facial paralysis,speech,myodynamia of upper limbs,myodynamia of hands,myodynamia of lower limbs,walking function and the CSS total scores showed a significant difference（P0.05）.（4） No adverse reaction was found in the two groups during the test. Conclusion Dong′s Extra Acupoints Acupuncture had a definite therapeutic effect for improving the defect of neural function of patients with stroke at the convalescent stage.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第1期101-104,共4页
Chinese General Practice
基金
广东省"211工程"三期重点学科建设项目
关键词
董氏奇穴疗法
巨刺
倒马刺法
运动针法
中风
神经功能缺损
Dong′s extra acupoints
Ju acupuncture
Dao ma acupuncture
Motor acupuncture
Stroke
Neurological deficit
