摘要
目的观察辨阴阳经证电针治疗社区中风偏瘫患者的临床疗效。方法将120例中风偏瘫患者采用多中心分层区组随机化的方法,分为治疗组和对照组,每组60例。对照组采用常规康复训练,治疗组在对照组治疗措施基础上加用辨阴阳经证电针治疗。两组疗程均为8周。观察比较简化Fugl-Meyer评分(FMA)、改良Barthel指数(modified barthel index,m BI),及修正Rankin量表(modified rankin scale,mRS)的变化情况。结果 1试验期间,两组共脱落8例;最终完成试验者112例,治疗组56例、对照组56例。2组间治疗后比较,FMA水平差异有统计学意义,提示治疗组改善运动功能作用明显优于对照组(P<0.05)。3组间治疗后比较,BI水平差异有统计学意义,提示治疗组改善日常生活能力的作用明显优于对照组(P<0.05)。4组间治疗后比较,mRS水平差异有统计学意义,提示治疗组改善运动功能障碍的作用明显优于对照组(P<0.05)。结论辨阴阳经证电针治疗社区中风偏瘫,疗效满意,值得社区推广应用。
Objective To observe the clinical effect of electro-acupuncture based on syndrome differentiation of Yin and Yang in treating stroke patients with hemiplegia in community. Methods According to the multi-center stratified block randomization, 120 stroke patients with hemiplegia were divided into the treatment and control groups,60 in each group. The control group was treated with routine rehabilitation therapy, the treatment group was treated with electroacupuncture based on syndrome differentiation of Yin and Yang on the basis of treatment for control group, with a course of 8 weeks. The changes of simplified Fugl-Meyer Assessment （FMA）, modified Barthel Index（BI） and modified Rankin Scales （mRS） were observed and compared. Results （1）Finally 112 patients completed the trail with 56 in each group, 8 cases fell off. （2） After treatment, there was statistically significant difference on the level of FMA between the two groups,which suggested that the effect of the treatment group on improving the motor function was obviously better than that of the control group （P 〈 0.05 ）. （3）After treatment, there was statistically significant difference on the level of BI between the two groups, which suggested that the effect of the treatment group on improving the activities of daily living was obviously better than that of the control group （ P 〈 0.05 ）. （4）After treatment, there was statistically significant difference on the level of mRS between the two groups, which suggested that the effect of the treatment group on improving the dysfunction was obviously better than that of the control group （ P 〈 0.05 ）. Conclusion Electro-acupuncture based on syndrome differentiation of Yin and Yang shows good effect in treating stroke patients with hemiplegia in community ,which is worthy of popularization and application in community.
出处
《上海中医药杂志》
2016年第10期45-49,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
国家中医药管理局重点学科建设项目(GJZYJZJ-2010)
上海市卫计委中医药事业发展三年行动计划重点学科建设项目(2012-2014)
上海市卫计委海派中医流派"陆氏针灸"传承研究项目(ZY3-CCCX-1-1007)
上海市科委科研重点项目(16401970300)
上海市教委博士学位点建设科研项目(2015)
关键词
中风
偏瘫
针灸疗法
阴证
阳证
社区康复
stroke
hemiplegia
acupuncture therapy
Yin syndrome
Yang syndrome
community rehabilitation
