摘要
目的:观察针刺新偏瘫穴及阳明经穴对脑梗死后运动障碍的改善情况,分析治疗机制。方法:采用抽签分组的方法,把183例患者分为治疗组87例,对照组76例,对照组采用中药疗法,治疗组在中药治疗同时,配合针刺疗法,观察两组运动障碍的改善情况。运动功能采用Carr-Shepherd评定标准进行评定,肌力的评定参照Loeffb组分法及Kendall百分法进行评定。结果:治疗组87例患者治疗前重度运动功能障碍44例,中度运动功能障碍30例,轻度运动功能障碍13例,治疗后分别为6,14,67例;对照组76例治疗前重度运动功能障碍42例,中度运动功能障碍22例,轻度运动功能障碍12例,治疗后分别为15,21,40例,两组治疗后对比,差异有显著性意义(χ2=2.601,P<0.05)。治疗组肌力提高较对照组显著(χ2=2.123,P<0.05)。结论:针刺新偏瘫穴和阳明经穴改善脑梗死后运动障碍作用明显。
AIM:To observe the effect of acupuncture at new piantan acupoint and yangming channel in improving motor dysfunction after cerebral infarction. METHODS:A total of 183 patients were randomly divided into treatment group(n= 87) and control group(n=76) by sortition method.Chinese herbs were administrated in the control group,while acupuncture therapy was performed combined with Chin ese herbs in the treatment group.By observation of improvement condition,motor f unction was evaluated with Carr-Shepherd criteria standard,and the assessment of muscle strength was conducted with Loeffb grading and Kendall percentage meth od. RESULTS:Among the 87 patients in the treatment group, severe motor dysfunctio n occurred in 44 cases and 6 cases,moderate in 30 and 14,and mild in 13 and 67 b efore and after treatment,respectively.In the control group, there were 42 and 1 5 cases of severe motor dysfunction,22 and 21 cases of moderate motor dysfunctio n, and 12 and 40 cases of mild motor function,respectively before and after trea tment.A difference was found significantly in motor function and muscle strength between the two groups after treatment(÷ 2=2.601,2.123,P< 0.05) CONCLUSION:Acupuncture at new piantan acupoint and yangming channel has an ob vious effect on motor dysfunction after cerebral infarction.
出处
《中国临床康复》
CSCD
2004年第4期682-683,共2页
Chinese Journal of Clinical Rehabilitation
