针刺对中风偏瘫患者中医证型的影响

目的观察针刺对中风偏瘫患者中医证型的影响。方法将57例中风偏瘫患者根据中医辨证分为气虚血瘀型组35例和痰瘀阻络型组22例,采用头针配合体针方法治疗,对患者治疗前后的神志、语言、肢体运动功能等进行综合评分并比较。结果气虚血瘀型组临床基本痊愈2例、显效17例、有效12例、无效4例,总有效率88.6%;痰瘀阻络型组临床基本痊愈3例、显效14例、有效3例、无效2例,总有效率90.9%。两组比较,临床显效率差异有非常显著性意义(P<0.01);总有效率差异无显著性意义(P>0.05)。结论针刺可明显改善中风偏瘫患者的神志、语言和肢体运动功能,对痰瘀阻络型的临床显效率高于气虚血瘀型。

Effect of Acupuncture on Different Traditional Chinese Medicine Syndrome Types in Patients with Apoplectic Hemiplegia

Objective To observe effects of acupuncture on different traditional Chinese medicine(TCM) syndrome types in patients with apoplectic hemiplegia.Methods 57 cases of apoplectic hemiplegia were divided into the Qi deficiency with blood stagnation group(35 cases) and blockage of the meridians and collaterals by phlegm and blood group(22 cases).All patients were treated by scalp acupuncture combined with body acupuncture.The clinical therapeutic effect was evaluated according to the scores of manner,speech,motor function of limbs,and so on.Results In the Qi deficiency and blood stagnation group,2 cases were basically cured,17 were remarkably effective,12 were effective,with a total effective rate of 88.6%;while,in the blockage of the meridians and collaterals by phlegm and blood group,3 cases were basically cured,14 were remarkably effective,3 were effective,with a total effective rate of 90.9%.There was a significant difference between the two groups in clinical remarkably effective rate(P<0.01),but no difference in total effective rate( P>0.05).Conclusion Acupuncture can obviously improve the consciousness,language and limb function of patients with apoplectic hemiplegia.The effective rate of type of blockage of the meridians and collaterals by phlegm and blood is superior to type of Qi deficiency with blood stagnation.