轻点刺络法联合常规针刺治疗卒中后偏身感觉障碍疗效观察

目的观察轻点刺络法联合常规针刺治疗卒中后偏身感觉障碍的临床疗效。方法 64例卒中后偏身感觉障碍患者,随机分为对照组32例和治疗组32例。在内科治疗及康复治疗基础上,对照组采用常规针刺治疗,治疗组采用常规针刺治疗联合轻点刺络法。观察两组治疗前后感觉功能评分、改良Barthel指数(MBI)评分和美国国立卫生研究院卒中量表(NIHSS)评分变化,并比较两组临床疗效。结果治疗组的总有效率明显高于对照组,差异有统计学意义(χ~2=3.925,P=0.048)。两组治疗后感觉功能评分和MBI评分与同组治疗前比较,差异有统计学意义(t=72.737,P<0.05;t=59.125,P<0.05;t=140.633,P<0.05;t=-399.437,P<0.05);治疗组治疗后感觉功能评分、MBI评分明显高于对照组,差异有统计学意义(t=6.486,P<0.05;t=2.302,P=0.025)。两组治疗后NIHSS评分与同组治疗前比较,差异有统计学意义(t=5.483,P<0.05);治疗组治疗后NIHSS评分明显低于对照组,差异有统计学意义(t=46.640,P<0.05;t=37.287,P<0.05)。结论轻点刺络法联合常规针刺治疗对患者卒中后以麻木为主的偏身感觉障碍和运动障碍疗效显著,明显优于常规针刺治疗。

Therapeutic Observation of Mild Collateral-puncturing plus Ordinary Acupuncture for Post-stroke Hemianesthesia

Objective To observe the clinical efficacy of mild collateral-puncturing plus ordinary acupuncture in treating post-stroke hemianesthesia.Method Sixty-four patients with post-stroke hemianesthesia were randomized into a control group of 32 cases and a treatment group of 32 cases.In addition to the internal medicine treatment and rehabilitation,the control group was intervened by ordinary acupuncture,and the treatment group was intervened by ordinary acupuncture plus mild collateral-puncturing.The sensory function score,modified Barthel Index(MBI) score and National Institute of Health Stroke Scale(NIHSS) score were observed before and after treatment.The clinical efficacy was also compared between the two groups.Result The total effective rate in the treatment group was markedly higher than that in the control group(χ~2=3.925,P=0.048).The sensory function and MBI scores changed significantly after treatment in the two groups(t=72.737,P<0.05;t=59.125,P<0.05;t=140.633,P<0.05;t=-399.437,P<0.05);the sensory function and MBI scores in the treatment group were significantly higher than those in the control group after treatment(t=6.486,P<0.05;t=2.302,P=0.025).The NIHSS score changed significantly after treatment in both groups(t=5.483,P<0.05);the NIHSS score in the treatment group was significantly lower than that in the control group after treatment(t=46.640,P<0.05;t=37.287,P<0.05).Conclusion Mild collateral-puncturing plus ordinary acupuncture can produce significant efficacy in treating numbness-predominant hemianesthesia and motor dysfunction after stroke,significantly superior to ordinary acupuncture alone.