摘要
目的:观察督脉灸结合恢刺法对脑卒中痉挛性偏瘫患者的临床疗效。方法:将66例患者随机分为督脉灸结合恢刺法治疗组(简称督恢组)、常规针刺组(简称常针组),每组各33例,均每天治疗1次,6次为1个疗程,疗程间休息1 d,共治疗4个疗程,采用改良Ashworth量表(MAS)、Fugl-Meyer肢体运动功能量表(FMA)、日常生活活动能力量表(BI),对患者进行量表评定及疗效评价。结果:MAS、FMA及BI评定结果显示,督恢组总体评分优于常针组,2组比较有显著差异(P<0.05);疗效评价结果显示,督恢组总有效率90.91%,常针组总有效率81.82%,两组对比有显著差异(P<0.05)。结论:督脉灸结合恢刺法治疗脑卒中痉挛性偏瘫疗效更为理想。
Objective:To observe the clinical efficacy of governor meridian moxibustion combined with lateral puncture in the treatment of spastic paralysis after stroke. Methods:66 patients were randomly divided into governor meridian moxibustion combined with lateral puncture method group(abbreviated as Duhui group),routine acupuncture by randomization group(abbreviated as Changzhen group). There were 33 patients in each group,1 treatment daily,6 times a course of treatment,rested for 1 day in each treatment,and a total of 4 courses of treatment. The main therapeutic effect indices were the modified Ashworth scale(MAS),the Fugl-Meyer Assessment(FMA),the Barthel Index(BI). Results:MAS,FMA and BI assessment results showed that there were significant differences between the two groups(P<0.05);Efficacy evaluation results showed that the total effective rate of 90.91% in Duhui group,the total effective rate of 81.82% in Changzhen group,there were significant differences between the two groups(P<0.05). Conclusion:Moxibustion at the governor meridian plus lateral puncture techniques treatment of stroke spastic hemiplegia is more effective.
引文
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