背俞穴毫火针点刺结合躯干训练对中风偏瘫患者运动功能和神经功能缺损程度的影响

目的:探讨背俞穴毫火针点刺结合躯干训练对中风偏瘫患者运动功能和神经功能缺损程度恢复的影响。方法:选取2015年10月至2017年6月中山市中医院收治的中风偏瘫患者60例,按照随机数字表法随机分为对照组和观察组,每组30例,均行躯干训练,对照组患者联合背俞穴常规针刺治疗,观察组则采用背俞穴毫火针点刺治疗,30 d为1个疗程。比较2组治疗前后血清纤维蛋白原(Fib),D-二聚体(D-D)等凝血功能指标及超敏C反应蛋白(Hs-CRP)、神经元特异性烯醇化酶(NSE)的改善情况;比较2组Fuel-Meyer运动功能评分量表(FMA评分)及神经功能(NIHSS评分)改善情况,比较2组临床疗效差异。结果:治疗后,2组患者D-D、Fib、NSE及Hs-CRP等水平均降低,观察组改善更显著,2组比较差异有统计学意义(P 0. 05);治疗后2组患者NIHSS评分降低,FMA评分升高,观察组改善更显著,差异有统计学意义(P 0. 05);对照组总有效率70. 00%(21/30),观察组93. 33%(28/30),差异有统计学意义(P 0. 05)。结论:背俞穴毫火针点刺结合躯干训练治疗中风偏瘫效果显著,可促进肢体及神经功能恢复,改善炎性反应及高凝状态,值得推广。

Effects of Needle Prick on Beishu Point by Fine-fire Needle Combined Trunk Training on Motor Function and Degree of Nervous Function Defect in Hemiplegic Stroke Patients

To investigate the effects of needle prick on Beishu point by fine-fire needle combined trunk training on motor function and the recovery of nervous function defect in hemiplegic stroke patients.Methods:A total of 60 cases of hemiplegia treated in Zhongshan Hospital of Traditional Chinese Medicine from October 2015 to June 2017 were selected and randomly divided into control group and observation group,with 30 cases in each group.Patients in the control group were treated with routine Beishu needle prick,and the observation group was treated with Beishu needle prick by fine-fire needle for 30 days as a course.The improvement of serum fibrinogen (Fib),two D-dimer (D-D) and other parameters of blood coagulation and high sensitivity C reactive protein (Hs-CRP),neuron specific enolase (NSE) of 2 groups before and after treatment were compared.The improvement of Fuel-Meyer motor function score (FMA score) and nerve function (NIHSS score) in 2 groups and the difference of clinical curative efficacy between the 2 groups were compared.Results:After treatment,the D-D,Fib,NSE and Hs-CRP levels in both groups were decreased,and the observation group decreased more significantly (P<0.05).The NIHSS score of the 2 groups were decreased after treatment,and the FMA score was increased.The observation group improved more significantly (P<0.05).The total efficiency of the control group was 70% (21/30) and of the observation group was 93.33% (28/30),which had significant difference (P<0.05).Conclusion:Needle prick on Beishu point by fine-fire needle combined trunk training in treating hemiplegia has significant clinical efficacy.It can promote the recovery of limb and nerve function,improve the inflammatory reaction and hypercoagulable state,which is worthy of promotion.