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四海之腧取穴法结合康复训练治疗中风后足内翻临床观察
作者姓名:王应军  张娟  彭宏  刘海玲  黄启开
作者单位:湖南省宁乡县中医医院针灸科, 湖南 长沙 410600,湖南省宁乡县中医医院针灸科, 湖南 长沙 410600,湖南省宁乡县中医医院针灸科, 湖南 长沙 410600,湖南省宁乡县中医医院针灸科, 湖南 长沙 410600,湖南省宁乡县中医医院针灸科, 湖南 长沙 410600
基金项目:湖南省中医药管理局(2015132)。
摘    要:目的 探讨四海之腧取穴法结合康复训练应用于缺血性中风恢复期患者的临床效果。方法 抽取本院60例缺血性中风恢复期足内翻患者,随机分为治疗组和对照组,每组各30例,对照组进行常规取穴法结合康复训练,治疗组采用四海之腧取穴法结合康复训练,观察两组3个月后患者的Fugl-meyer运动功能评分、足内翻积分和Brunnstrom下肢功能分期的变化。结果 两组患者的Fugl-meyer运动功能评分较治疗前显著增加(P<0.01),且治疗组治疗后较对照组明显升高,差异有统计学意义(P<0.01)。两组患者足内翻积分治疗后均有明显改善(P<0.01),且治疗后治疗组与对照组比较,差异有统计学意义(P<0.01)。两组治疗后Brunnstrom下肢功能分期均较治疗前显著恢复(P<0.05),且治疗组与对照组比较,差异有统计学意义(P<0.05)。结论 两种治疗方法在治疗中风后足内翻方面都有一定的效果,但是四海之腧取穴法结合康复训练治疗的临床疗效更明显,值得临床推广。

关 键 词:缺血性中风  恢复期  足内翻  四海之腧取穴法  康复训练
收稿时间:2017/6/4 0:00:00

Effect of Acupuncturing Sihai Zhishu Acupoint Combined with Rehabilitation Training on Strephenopodia after Stroke
Authors:WANG Yingjun  ZHANG Juan  PENG Hong  LIU Hailing and HUANG Qikai
Institution:Ningxiang County Hospital of Traditional Chinese Medicine, Ningxiang, Hunan 410600, China,Ningxiang County Hospital of Traditional Chinese Medicine, Ningxiang, Hunan 410600, China,Ningxiang County Hospital of Traditional Chinese Medicine, Ningxiang, Hunan 410600, China,Ningxiang County Hospital of Traditional Chinese Medicine, Ningxiang, Hunan 410600, China and Ningxiang County Hospital of Traditional Chinese Medicine, Ningxiang, Hunan 410600, China
Abstract:Objective To investigate the clinical effects of acupuncturing Sihai Zhishu acupoint combined with rehabilitation training on strephenopodia after stroke. Methods sixty selected patients with strephenopodia during cerebral infarction convalescence were randomly divided into the treatment group and control group, 30 cases in each group. The patients in the control group received conventional acupuncture combined with rehabilitation training, and patients in the control group were treated with Sihai Zhishu acupoint combined with rehabilitation training. The changes of Fugl-meyer scores, strephenopodia integral and Brunnstrom stages were tested after three months of treatment. Results The Fugl-meyer scores of two groups significantly increased after treatment (P<0.01), and the treatment group was obviously higher than the control group (P<0.01). The strephenopodia integrals of two groups were improved significantly (P<0.01), and the differences between the two groups were statistically significant (P<0.01). The Brunnstrom stages of two groups significantly recovered (P<0.05), the differences between the two groups were statistically significant (P<0.05). Conclusion Both treatment methods have a certain effect in the treatment of strephenopodia after stroke, but the method of acupuncturing Sihai Zhishu acupoint combined with rehabilitation training is more effective, which is worthy of clinical promotion.
Keywords:ischemic stroke  convalescence  strephenopodia  Sihai Zhishu acupoint selection  rehabilitation training
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