头体针与腹针交替应用治疗中风后上肢功能障碍疗效

目的:观察头体针、腹针交替应用对中风后上肢功能障碍的临床疗效。方法:222例中风后上肢功能障碍患者按入院先后随机分为治疗组(133例)与对照组(89例),治疗组使用头针、体针与腹针交替治疗,对照组使用体针治疗,治疗5周后观察疗效,并比较治疗结束后1、3个月后疗效。对治疗前后Fugl-Meyer运动功能评分、Barthel指数评定进行观察。结果:Fugl-Meyer运动功能评分、Barthel指数评定结果显示:治疗组治疗5周,治疗后1、3个月后与治疗前比较,积分明显升高而且差异有统计学意义(P<0.01);与对照组比较,治疗组积分升高,差异有统计学意义(P<0.01)。对照组治疗5周后与治疗前比较差异无统计学意义(P>0.05),治疗后1、3个月与治疗前比较差异有统计学意义(P<0.01)。结论:头针、体针、腹针交替应用治疗中风后上肢功能障碍疗效优于单纯体针治疗。

Effect of Alternative Administration of Scalp-acupuncture, Body-acupuncture and Abdominal acupuncture on the Upper-limb Dyscinesia in Patients with Stroke

Objective To observe the effect of combined treatment of apoplectic upper-limb dyscinesia with scalp-acupuncture, body-acupuncture and abdominal-acupuncture in stroke patients. Methods A total of 222 stroke patients were randomized into treatment group (n = 133) and control group (n = 89) according to the random number table method. For patients of treatment group, scalp-point used was Motor Area (MS 6); body acupoints were Hegu (LI 4), Quchi (LI 11), Shousanli (LI 10), etc; and abdominal acupoints Zhongwan (CV 12), Qihai (CV 6), etc. For patients in control group, only the same body acupoints were used. Acupuncture treatment was given once daily for 5 weeks. The therapeutic effects were evaluated by Fugl-Meyer motor function assessment (FMA) and Barthel-index (BI) scores. Results In comparison with pre-treatment, FMA score and BI score increased significantly 5 weeks, 1 and 3 months in treatment group, 1 and 3 months in control group (P<0. 01). Comparison between two groups showed that both FMA score and BI score of treatment group were markedly higher than those of control group 5 weeks, 1 and 3 months after the treatment (P<0. 01). Conclusion Alternative administration of scalp-acupuncture, body-acupuncture and abdominal acupuncture can effectively improve stroke patients' upper-limb motor function, and its effect is obviously better than that of simple body acupuncture.