摘要
目的观察国家级名中医张沛霖学术经验升阳通督针法与醒脑开窍针法治疗中风瘫痪肌群的疗效差异。方法选取172例患者随机分为升阳通督针法组及醒脑开窍组各86例。升阳通督针法组以针刺太阳经穴第一侧线及点刺督脉为主;醒脑开窍组以醒脑开窍穴位为主,2组均在治疗18天后观察治疗前后神经功能缺损及生活指数指标。结果 2组组内治疗前后比较,患者的NIHSS得分及BI得分均较治疗前明显改善,P<0.01,升阳通督针法组组内比较治疗后改善程度较醒脑开窍组组内比较明显;2组间比较,2组均在治疗后NIHSS得分及BI得分改善,但2组之间的改善程度基本相等。2组BI得分改善均比NIHSS得分改善程度明显。结论 2种方法均可以改善中风瘫痪肌群的肌力,提高中风患者的生活能力,升阳通督针法在患者的生活指数的改善程度上更具优越性。
Objective： To observe the clinical effect of Yang Elevating and Du Meridian Activating Method （YEDMA） and Brain Re- suscitation Method （BR） created by Zhang Peilin, a national famous TCM doctor, on the treatment of stroke paralyzed muscles. Methods： 172 patients were randomly divided into YEDMA group and BR group, 86 cases per group. YEDMA group was acupunctured at the first side line of Taiyang？ channel points and pricked at Du meridian while BR group was mainly acupunctured at Du meridian points. The neu- rological deficit and living indicators of the two groups were observed before the treatment and after 18 -day treatment. Results： In compar- ison of pre - treatment and post - treatment, NIHSS scores and BI scores of the patients improved significantly than the pre - treatment （ P 〈0. O1 ）. YEDMA group improved more obviously than BR group. The NIHSS score and BI scores of the two groups improved after the treatment, and the degree of improvement of the two groups was substantially equal. The BI scores of the two groups improved more obvi- ously than their NIHSS scores. Conclusion： The methods can improve the muscle strength of stroke paralyzed muscle patients and improve their activities of daily living. YEDMA Method has more advantages in the improvement of patients＇ living indicators.
出处
《云南中医中药杂志》
2015年第6期72-74,共3页
Yunnan Journal of Traditional Chinese Medicine and Materia Medica
基金
云南省教育厅项目(NO:2013Y232)
关键词
升阳通督针法
中风
瘫痪肌群
醒脑开窍针法
Yang Elevating and Du Meridian Activating Method, stroke, paralyzed muscles, Brain Resuscitation Method
