眼针联合巨刺法治疗脑卒中后痉挛性偏瘫临床疗效观察
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摘要
目的:探讨眼针联合巨刺法治疗脑卒中后痉挛性偏瘫的疗效观察。方法:收集我院收治的脑卒中患者66例,依据随机数字表法随机分为对照组和治疗组,各33例,对照组予以西医常规治疗;治疗组在对照组的基础上采用眼针联合巨刺法治疗,两组患者均治疗4周。比较两组患者临床疗效及两组患者FMA评分、Barthel评分、Ashworth评分。结果:治疗后,治疗组临床总有效率为84.85%,对照组临床总有效率为66.67%,治疗组较对照组改善明显,结果具有显著差异(P<0.05);经治疗,两组患者FMA评分及Barthel评分均有所改善(P<0.05),且与对照组比较,治疗组FMA评分及Barthel评分改善更为显著,结果具有统计学意义(P<0.05);经治疗,两组患者Ashworth评分均有所降低,结果具有统计学意义(P<0.05),与对照组相比,治疗组患者Ashworth评分降低更为显著(P<0.05)。结论:眼针联合巨刺法治疗脑卒中后痉挛性瘫痪取得较为满意的临床治疗效果,可改善患者脑部病灶区域内血液运行,挽救缺血半暗带,协调患侧肢体平衡性,促进病后治愈程度,值得临床推广应用。
Objective:To explore the clinical study of the effect of opposing needling method combined with eye acupuncture on hemiplegia after cerebral apoplexy. Methods:66 patients with cerebral apoplexy in our hospital were collected and randomly divided into control group and treatment group according to random number table method,33 cases in each group,the control group was treated by Western medicine. The treatment group was treated with the opposing needling method combined with eye acupuncture based on the control group,and the two groups were treated for 4 weeks. Compared the clinical efficacy of two groups patients. Compared the FMA scores,Barthel scores and the Ashworth scores between two groups. Results:After treatment,the total clinical efficiency of the treatment group was 84.85%,the total effective rate of the control group was 66.67%,and the treatment group was significantly better than the control group,with significant difference between the two groups(P<0.05);After the treatment,the FMA scores and the Barthel scores of two groups patients were improved(P<0.05),compared with the control group,the FMA scores and the Barthel scores of treatment group improved more significantly than the control group,the difference was statistically significant(P<0.05),after treatment,the Ashworth scores of two groups were decreased,compared with the control group,the Ashworth scores of treatment group decreased significantly than that in the control group(P<0.05). Conclusion:The method of opposing needling method combined with eye acupuncture in the treatment of spastic paralysis after stroke made more satisfactory clinical effect,it can improve the patients' disease brain focal area blood running,save ischemia half dark belt,coordination of body balance,promote the degree of cure after illness. It is worthy of clinical popularization and application.
Objective:To explore the clinical study of the effect of opposing needling method combined with eye acupuncture on hemiplegia after cerebral apoplexy. Methods:66 patients with cerebral apoplexy in our hospital were collected and randomly divided into control group and treatment group according to random number table method,33 cases in each group,the control group was treated by Western medicine. The treatment group was treated with the opposing needling method combined with eye acupuncture based on the control group,and the two groups were treated for 4 weeks. Compared the clinical efficacy of two groups patients. Compared the FMA scores,Barthel scores and the Ashworth scores between two groups. Results:After treatment,the total clinical efficiency of the treatment group was 84.85%,the total effective rate of the control group was 66.67%,and the treatment group was significantly better than the control group,with significant difference between the two groups(P<0.05);After the treatment,the FMA scores and the Barthel scores of two groups patients were improved(P<0.05),compared with the control group,the FMA scores and the Barthel scores of treatment group improved more significantly than the control group,the difference was statistically significant(P<0.05),after treatment,the Ashworth scores of two groups were decreased,compared with the control group,the Ashworth scores of treatment group decreased significantly than that in the control group(P<0.05). Conclusion:The method of opposing needling method combined with eye acupuncture in the treatment of spastic paralysis after stroke made more satisfactory clinical effect,it can improve the patients' disease brain focal area blood running,save ischemia half dark belt,coordination of body balance,promote the degree of cure after illness. It is worthy of clinical popularization and application.
引文
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[13]李作伟,李平,李英艳,等.泻阴补阳合巨刺针刺法治疗脑卒中后肌张力障碍的疗效观察[J].辽宁中医杂志,2015,42(8):1512-1514.
[14]殷玉鹏,黄翠立.针刺(巨刺法)结合康复训练对脑卒中偏瘫患者功能恢复的影响[J].现代中西医结合杂志,2017,26(26):2896-2898.
[15]刘露阳,王鹏琴.眼针治疗中风偏瘫疗效meta分析[J].辽宁中医药大学学报,2017,19(2):102-104.
[16]李翊.针灸治疗中风后痉挛性瘫痪的系统评价与Meta分析[D].长春:黑龙江中医药大学,2017.
[17]贺小卉,张少明.针刺结合推拿治疗中风后痉挛性瘫痪的疗效观察[J].辽宁中医杂志,2017,44(6):1283-1285.
[18]曾访溪,庄礼兴,廖穆熙,等.手足挛三针为主治疗中风后痉挛性瘫痪的临床随机对照研究[J].辽宁中医杂志,2018,45(7):1481-1484.
[19]殷玉鹏,梁静,黄翠立,等.巨刺法结合康复训练治疗脑卒中肢体痉挛状态的临床研究[J].临床医药文献电子杂志,2017,4(4):677-678.
[20]毛亮,张威,张明波.眼针配合芍药甘草汤治疗面肌痉挛的临床观察[J].中华中医药学刊,2014,32(9):2085-2087.
[21]汪伟,柴铁劬,王春,等.针刺治疗脑卒中后痉挛性瘫痪疗效比较的系统评价与Meta分析[J].成都中医药大学学报,2016,39(3):117-122.
[22]周莉,施伟.运动灸配合反射抑制模式治疗脑卒中后痉挛性瘫痪疗效评价[J].上海针灸杂志,2014,33(6):533-535.
[23]马会靖,张春红,张丹,等.综合治疗脑卒中后痉挛性瘫痪的PRO疗效评价及相关性分析[J].长春中医药大学学报,2016,32(1):88-90.
[2]史静卉,蔡忠云,龚利.三位一体疗法对中风痉挛性瘫痪患者运动和神经功能的影响[J].中医学报,2016,31(11):1819-1822.
[3]王锋,佟媛媛,王文熠,等.醒脑开窍针刺法结合筋骨三针疗法治疗中风后上肢痉挛性瘫痪的临床观察[J].天津中医药,2015,32(9):546-548.
[4]佟泰鹏,傅立新.脑卒中后痉挛性瘫痪针灸临床研究[J].辽宁中医药大学学报,2014,16(10):222-224.
[5]饶明俐.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:1.
[6]任占利,王顺道,王永炎,等.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55.
[7]国家中医药管理局.中医病证诊断疗效标准[M].2版.南京:南京大学出版社,1995:31.
[8]章燕.针灸治疗中风后痉挛性瘫痪临床研究进展[J].上海中医药杂志,2012,46(7):82-86.
[9]王茂斌.脑卒中的康复治疗[M].北京:中国科学技术出版社,2006:117-378.
[10]励建安,王彤.康复医学[M].北京:北京科学出版社,2004:2091.
[11]袁勤,张国庆,韩为.针刺治疗中风后痉挛性瘫痪临床与机理研究进展[J].亚太传统医药,2015,11(23):67-69.
[12]黄秀清,周纯,许健,等.化痰通络解痉汤结合泻阴补阳针法对脑卒中后痉挛性瘫痪的临床疗效分析[J].中华中医药学刊,2017,35(12):3201-3203.
[13]李作伟,李平,李英艳,等.泻阴补阳合巨刺针刺法治疗脑卒中后肌张力障碍的疗效观察[J].辽宁中医杂志,2015,42(8):1512-1514.
[14]殷玉鹏,黄翠立.针刺(巨刺法)结合康复训练对脑卒中偏瘫患者功能恢复的影响[J].现代中西医结合杂志,2017,26(26):2896-2898.
[15]刘露阳,王鹏琴.眼针治疗中风偏瘫疗效meta分析[J].辽宁中医药大学学报,2017,19(2):102-104.
[16]李翊.针灸治疗中风后痉挛性瘫痪的系统评价与Meta分析[D].长春:黑龙江中医药大学,2017.
[17]贺小卉,张少明.针刺结合推拿治疗中风后痉挛性瘫痪的疗效观察[J].辽宁中医杂志,2017,44(6):1283-1285.
[18]曾访溪,庄礼兴,廖穆熙,等.手足挛三针为主治疗中风后痉挛性瘫痪的临床随机对照研究[J].辽宁中医杂志,2018,45(7):1481-1484.
[19]殷玉鹏,梁静,黄翠立,等.巨刺法结合康复训练治疗脑卒中肢体痉挛状态的临床研究[J].临床医药文献电子杂志,2017,4(4):677-678.
[20]毛亮,张威,张明波.眼针配合芍药甘草汤治疗面肌痉挛的临床观察[J].中华中医药学刊,2014,32(9):2085-2087.
[21]汪伟,柴铁劬,王春,等.针刺治疗脑卒中后痉挛性瘫痪疗效比较的系统评价与Meta分析[J].成都中医药大学学报,2016,39(3):117-122.
[22]周莉,施伟.运动灸配合反射抑制模式治疗脑卒中后痉挛性瘫痪疗效评价[J].上海针灸杂志,2014,33(6):533-535.
[23]马会靖,张春红,张丹,等.综合治疗脑卒中后痉挛性瘫痪的PRO疗效评价及相关性分析[J].长春中医药大学学报,2016,32(1):88-90.