摘要
目的观察醒脑开窍针刺法配合烧山火针法治疗中风后肢体麻木的临床疗效。方法将80例中风后肢体麻木患者随机分为治疗组和对照组,每组40例。治疗组采用醒脑开窍针刺法配合烧山火针法治疗,对照组采用单纯醒脑开窍针刺法治疗。观察两组治疗前后感觉功能及运动功能(简式Fugl-Meyer量表)、神经功能缺失情况(NIHSS量表)和日常生活活动能力(Barthel指数)的变化情况。结果两组治疗1、2个疗程后Fugl-Meyer量表各项评分(运动功能、感觉功能、关节活动度及关节疼痛度)、NIHSS评分及BI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。两组治疗2个疗程后Fugl-Meyer量表各项评分、NIHSS评分及BI评分与同组治疗1个疗程后比较,差异均具有统计学意义(P<0.05)。治疗组治疗2个疗程后感觉功能评分和关节疼痛度评分与对照组比较,差异均具有统计学意义(P<0.05)。结论醒脑开窍针刺法配合烧山火是一种治疗中风后肢体麻木的有效方法。
Objective To observe the clinical efficacy of Xing Nao Kai Qiao（brain awakening and orifice opening） Needling plus mountain-burning fire manipulation in treating post-stroke limb numbness. Method Eighty patients with post-stroke limb numbness were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by Xing Nao Kai Qiao needling plus mountain-burning fire manipulation, while the control group was by Xing Nao Kai Qiao needling alone. The sensory function and motor function（Fugl-Meyer Assessment, FMA）, National Institute of Health Stroke Scale（NIHSS）, and Barthel Index（BI） were observed before and after intervention. Result The component scores of FMA（motor function, sensory function, range of motion, and joint pain intensity）, NIHSS scores, and BI scores were significantly changed respectively after 1 and 2 treatment courses in both groups（P〈0.05）. The component scores of FMA, NIHSS scores, and BI scores after 2 treatment course were significantly different from that after 1 treatment course in both groups（P〈0.05）. After 2 treatment courses, the sensory function score, joint pain intensity in the treatment group were significantly different from that in the control group（P0.05）. Conclusion Xing Nao Kai Qiao needling plus mountain-burning fire manipulation is an effective method in treating post-stroke limb numbness.
出处
《上海针灸杂志》
2016年第5期510-512,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家自然科学基金项目(81173337)
天津市应用基础及前沿技术研究计划(12JCZDJC25600)
关键词
针刺疗法
中风
麻木
醒脑开窍
烧山火
中风后遗症
Acupuncture therapy
Stroke
Numbness
Xing Nao Kai Qiao
Mountain-burning fire
Post-stroke sequelae
