摘要
目的:
探讨眼针配合自拟扶偏汤治疗缺血性中风偏瘫疗效。
材料与方法:
根据1995年成都第四届全国脑血管病学术会议通过的各类脑血管病诊断要点所拟定的脑梗死诊断标准及1996年国家中医药管理局脑病急症协作组制定的《中风病中医证侯诊断疗效评定标准》,选择60例年龄在45-85岁之间的急性脑梗死患者,采用简单随机法分为两组。对照组:在西医学常规治疗基础上,仅用阿司匹林。治疗组:在对照组基础上,采用眼针配合自拟扶偏汤治疗。治疗三周,观察各组治疗前后神经功能缺损评分、Fugl-Meyer运动功能评分、日常生活活动能力评分(ADL),并评价两组临床疗效。
结果:
1.治疗组和对照组治疗后均能明显降低临床神经功能缺损评分。治疗前组间比较无明显差异(P>0.05)。治疗后,治疗组对神经功能缺损的治疗作用优于对照组,两组间比较具有显著差异(P<0.01)。
2.治疗组和对照组治疗后均能明显提高Fugl-Meyer运动功能评分。治疗前组间比较无明显差异(P>0.05)。治疗后治疗组对运动功能改善作用优于对照组,组间比较具有显著差异(P<0.01)。
3.治疗组与对照组治疗后均能明显提高ADL评分。治疗前组间无明显差异(P>0.05)。治疗后治疗组对改善日常生活活动能力优于对照组,组间比较具有显著差异(P<0.01)。
结论:
眼针配合扶偏汤在中风偏瘫治疗上,更有利于发挥眼针的即刻治疗效应。
Purpose:To observe the effect of ophthalmic acupuncture and moxibustion, and traditional Chinese herbal decoctions on the patients with ischemic apoplexy hemiplegia.
Material and method:60 cases with acute cerebral infraction whose age ranged from 40 to 85, were classified randomly into two group according to the diagnostic criteria of infraction of the brain, which were declared on the Third National Cerebral Vascular Disease Conference held in Chengdu in 1995, and the evaluation criteria of curative effect about apoplexia syndrome in traditional Chinese medical science, which were established by association of encephalopathy acute syndrome of National traditional Chinese medicine. Control group: the patients were treated administrated of Asprin only according to the common cure. Cure group: based on the control group, the patients were treated with ophthalmic acupuncture and moxibustion, and with Chinese traditional herbal decoctions. Three weeks later, the neural function defect grades, Fugl-Meyer motor function grades, the Activity of daily livings grades of the patients in each group were evaluated, and were compared with in control group and cure group in parallel.
Results:
1. The clinical neural function defect grades of the patients in control and cure groups were both decrease after therapy. There was no significantly difference between control group and cure group before therapy (p>0.05). After therapy, the clinical neural function defect grades of the patients in cure group are lower than those in control group, and the differences were significant (P<0.01).
2. The Fugl-Meyer motor function grades in control and cure groups were both increase after therapy. There was no significantly difference between control group and cure group before therapy (p0.0>5). After therapy, the motor function of the patients in cure group recovered better than those in control group, and the differences were marked (P<0.01).
3. The activity of daily livings grades of the patients in control and cure groups were increase both after therapy. There was no significantly difference between control group and cure group before therapy (p>0.05). The activity of daily livings motor function of the patients in cure group was improved much more than those in control group, and the differences were significant after therapy (P<0.01).
Conclusion:
The methods which the patients were treated with ophthalmic acupuncture and moxibustion, and with Chinese traditional herbal decoctions together, were more effective on the patients than those who was treated by common cure.
引文
[1]张茁,张微微.缺血性卒中二级预防循证医学证据.北京;人民卫生出版社,2007, 003-004
[2]贾建平,崔丽英,王伟.神经病学.北京;人民卫生出版社. 2008, 171-173
[3]徐建钟,王伏声.风池透风池对47例缺血性脑病脑血流影响.国际传统医学大会.北京;2000, 457-458
[4]杜广中.头体针对缺血性中风脑血管功能的对比观察.中国针灸.1999, 19(5):265
[5]吴节.头电针治疗中风病的临床观察.成都中医药大学学报. 1998, 21(2):13
[6]张智龙,姚钩荣,吉学群等.血海穴活血化瘀功能的临床研究.中国针灸. 1995,3(19):363-366
[7]陈克彦.头皮针对偏瘫病人四肢肌电影响的初步观察.中国针灸. 1986, (3):19
[8]石学敏.“醒脑开窍”针刺法治疗中风的临床.国际传统医学大会.北京; 2000,453-455
[9]俞国桥.独取太阳经穴治疗中风偏瘫55例疗效观察.上海针灸杂.2000, 04.231-232
[10]胡玲香,赖龙胜,唐勇等.夹脊穴配合辨证取穴治疗中风200例.成都中医药大学报. 2000,3(23):101-103
[11]李秀梅.针刺百会.上星为主治疗中风偏瘫的临床观察.上海针灸杂志. 2009,5(28):135-136
[12]赵鲁琦.醒脑开窍针刺法对缺血性中风偏瘫患者细胞因子的影响的临床研究.中国实用医药. 2008,3(27):19-20
[13]苑庆龄,贺会民.针刺治疗脑卒中偏瘫80例观察.实用中医药杂志. 2005,5(21):5
[14]孔尧其,徐福,林秀蓉.头皮针抽提法提高脑血栓偏瘫患者肌力120例临床研究.中医杂志. 2005,02(13):387-388
[15]刘玉生,尹勇,刘文凤等.头皮针治疗脑卒中偏瘫的疗效观察.中国针灸. 2008,2(23):116-117
[16]陈英.电针治疗中风偏瘫肩—手综合症疗效观察.光明中医. 2009,6(24):6
[17]杨金霞.中药联合电针治疗中风偏瘫50例.陕西中医. 2009,30:106-107
[18]孙毓,李伟,赵素杰.电针配合高压氧治疗中风偏瘫的临床观察.海军医学杂志. 2006,3(27):216-217
[19]曹银香,白炜玮,冯金萍等.眼针治疗脑梗死半身不遂156例观察.河北中医. 2008,03:0286-0288
[20]早延安.眼针为主治疗中风偏瘫156例.针灸临床杂志. 2000,16(12):22-23
[21]李春元.眼针、体针配按摩治疗卒中偏瘫40例疗效观察.现代康复. 2000,4(10):1566-1567
[22]曹辰虹,赵建国.针刺锥体交叉区预防中风偏瘫痉挛状态的临床观察.中国针灸. 2007,11(13):105-107
[23]宋晓辉,针刺为主治疗中风后遗症40例.国医论坛. 2004,19:5
[24]米建平,张洪来,蒙昌荣.透针疗法治疗中风偏瘫痉挛状态临床观察.中国针灸. 2004,1(24):11-13
[25]刘东生,郭元琦,符文彬.井穴刺络对针刺治疗急性缺血中风偏瘫增效作用的研究.中华中医药学刊. 2008,2(26):430-431
[26]刘华,刘仲杰.刺络放血法治疗中风偏瘫麻木症疗效观察.中国针灸. 2006,5(26):337-339
[27]高德忻.灵龟八法加阴经输穴治疗偏瘫54例临床报道.福建中医学报. 2002,5(12):2
[28]廖烁烁.“灵龟八法”针刺治疗中风后遗症的临床观察.四川中医. 2008,26(10):104-106
[29]钟磊,刘维,子午流注合循经取穴治疗中风后遗症偏瘫观察.辽宁中医学院学报. 2009,2(3):211-213
[30]王泉忠.三位针刺治疗脑血管病后遗症74例.福建中医药. 2005,4(36):29-30
[31]余志辉,胡建芳.针药并用调和阴阳对中风后肢体痉挛状态的影响.上海针灸杂志. 2008,27(8):18-19
[32]俞兰英,温凌洁.巨刺结合刺络拔罐法治疗中风偏瘫98例临床观察.江西中医药. 2003,9(34):249-251
[33]魏林林,蔡智刚.头针、体针配合推拿治疗中风偏瘫的疗效观察.按摩与引导. 2008,1(24):1157-1159
[34]张淑兰.头针结合康复技术治疗中风后遗症100例临床观察.中医药学刊. 2006,7(24):0179-0180
[35]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准.北京;北京中医药大学学报. 1996,19(1):55-56
[36]中华医学会神经科学会.各类脑血管疾病诊断要点.中华神经科杂志.北京;1996,29(6):379-380
[37]全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损程度评分标准(1995).中华神经科杂志. 1996:65
[38]卫生部医政司.中国康复医学诊疗规范.北京;华夏出版社, 1999:45
[39]周维金,孙启良.瘫痪康复评定手册.北京;人民卫生出版社, 2006:12