摘要
[目的]观察循阴经取患侧穴位透刺联合康复锻炼治疗急性脑梗死偏瘫疗效。[方法]使用随机平行对照方法,将60例住院患者按病志号抽签简单随机分为两组,均辅以康复锻炼。对照组30例西医神经内科常规治疗。治疗组30例透刺循阴经取患侧,太冲下穴为主,下肢配三阴交、阴陵泉,上肢配鱼际、内关、尺泽（或少海）;太冲下穴位于足厥阴肝经行间至太冲连线中点上,28号2.5~3寸毫针与皮肤成150-300角,斜刺穿过涌泉直达足心;三阴交上透蠡沟,再下透内踝,最后直透悬钟;阴陵泉,边搓摇边直透阳陵泉;鱼际平透劳宫或从合谷上刺入,直透劳宮底再达后溪（意取劳宫但不直刺劳宫以减少疼痛）;内关,边提插边透外关,针尺泽（或少海）,要一针三穴即尺泽、曲泽、海（或少海、曲泽、尺泽）,平补平泻;面瘫以针后听会为主,辅以地仓透颊车,假性球麻痹者针双后听会、双太冲下,留针30min/次;失语配上廉泉,直刺1~1.5寸不提插,不留针,均以隔日1次。连续治疗连续治疗15d为1疗程。观测临床症状、神经功能缺损评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈17例,显效9例,有效2例,无效2例,总有效率93.33%。对照组痊愈11例,显效3例,有效6例,无效10例,总有效率66.67%。治疗组疗效优于对照组（P〈0.05）。神经功能缺损评分两组均有改善（P〈0.01）,治疗组改善优于对照组（P〈0.01）。[结论]循阴经取患侧穴位透刺联合康复锻炼治疗急性脑梗死偏瘫,疗效满意,无严重不良反应,值得推广。
[Objective]To observe the following find Yin meridians thorn joint rehabilitation exercise limb paralysis efficacy in treatment of acute cerebral infarction. [Methods]Using random parallel control method, 60 cases of hospitalized patients pressing pathography, draw simple random divided into two groups, both with rehabilitation exercise. The control group 30 cases of neurology conventional western medicine treatment. Treatment group 30 cases take side follow Yin meridians, lr 3 under the hole. Lower limb with three Yin, Yin ling springs, upper limb with ＂yu ji＂, in clearance, lu 5 （or less） the sea; Lr 3 points on the foot under the liver meridian leading to the lr 3 attachment point, 28, 2.5 to 3 inches filiform needle with a 150-300 skin, oblique thrust through the foot yongquan to heart; Under the three Yin li kou to hand in, again through the medial malleolus, finally straight through hanging bell; Yin ling springs, rub shaking while straight through gb 34; ＂Yu ji＂ fiat through laogong or Pierce from li4, straight through the bottom of the laogong and da si 3 （Italy taking laogong but not stab laogong to reduce the pain）. Closed in, lift plug while outside, the needle foot jersey （or less）, a needle three holes＇ jersey, PC 3, sea sea, PC 3 feet （or less jersey）, flat or flat; Facial paralysis is given priority to with the needle after hearing, supplemented by warehouse through buecal car, pseudo bnlbar paralysis is a double after hearing and double needle lr 3, 30 rain/retaining needle time; aphasia with CV 23, stab 1-1.5 inch not plug, not retaining needle, on day one. On day 1, 15 d continuous treatment for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [Result] The treatment group cure of 17 cases, 9 cases were markedly effective, effective in 2 cases, 2 had no effect, the total effective rate was 93.33%. Control group healed in 11 cases, 3 cases were markedly effective, 6 cases, 10
出处
《实用中医内科杂志》
2015年第9期20-22,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
急性脑梗死
偏瘫
透刺
循阴经取穴
患侧穴位
康复锻炼
神经功能缺损评分
中西医结合治疗
随机平行对照研究
acute cerebral infarction
limb paralysis
through thorns
follow the Yin meridians find
rehabilitation exercise
neural function defect scale
combine traditional Chinese and western medicine treatment
random parallel control study
