针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2014年
4期
29-31
,共3页
针刺%中风后遗症%醒脑开窍针法%薄氏腹针
針刺%中風後遺癥%醒腦開纖針法%薄氏腹針
침자%중풍후유증%성뇌개규침법%박씨복침
Acupuncture%Stroke sequelae%Activating brain and regaining consciousness needling%Abdomen acupuncture
目的：观察醒脑开窍针法配合腹针疗法对中风后遗症的临床治疗效果。方法：30例中风后遗症患者，运用石学敏醒脑开窍针法配合薄氏腹针疗法治疗，结合中医辨证论治加减穴位，观察治疗4个疗程，在治疗前后分别运用计分法评价治疗效果、Brunnstrom分级量表评定患者运动功能、Barthel氏ADL指数法评定患者日常生活能力。结果：与治疗前比较，治疗后患者运动功能显著改善（上肢：u＝6．24， P＜0.01；下肢：u＝4．75，P＜0．01）；对日常生活能力评价发现，生活指数在治疗后与治疗前比较，有明显提高（ P＜0．05）；治疗后显效14例、有效13例、无效3例，总有效率90％。结论：醒脑开窍配合薄氏腹针疗法能够发挥两种针法的互补作用，对中风后遗症有显著疗效，能够显著改善病人上、下肢的运动功能和日常生活能力。
目的：觀察醒腦開纖針法配閤腹針療法對中風後遺癥的臨床治療效果。方法：30例中風後遺癥患者，運用石學敏醒腦開纖針法配閤薄氏腹針療法治療，結閤中醫辨證論治加減穴位，觀察治療4箇療程，在治療前後分彆運用計分法評價治療效果、Brunnstrom分級量錶評定患者運動功能、Barthel氏ADL指數法評定患者日常生活能力。結果：與治療前比較，治療後患者運動功能顯著改善（上肢：u＝6．24， P＜0.01；下肢：u＝4．75，P＜0．01）；對日常生活能力評價髮現，生活指數在治療後與治療前比較，有明顯提高（ P＜0．05）；治療後顯效14例、有效13例、無效3例，總有效率90％。結論：醒腦開纖配閤薄氏腹針療法能夠髮揮兩種針法的互補作用，對中風後遺癥有顯著療效，能夠顯著改善病人上、下肢的運動功能和日常生活能力。
목적：관찰성뇌개규침법배합복침요법대중풍후유증적림상치료효과。방법：30례중풍후유증환자，운용석학민성뇌개규침법배합박씨복침요법치료，결합중의변증론치가감혈위，관찰치료4개료정，재치료전후분별운용계분법평개치료효과、Brunnstrom분급량표평정환자운동공능、Barthel씨ADL지수법평정환자일상생활능력。결과：여치료전비교，치료후환자운동공능현저개선（상지：u＝6．24， P＜0.01；하지：u＝4．75，P＜0．01）；대일상생활능력평개발현，생활지수재치료후여치료전비교，유명현제고（ P＜0．05）；치료후현효14례、유효13례、무효3례，총유효솔90％。결론：성뇌개규배합박씨복침요법능구발휘량충침법적호보작용，대중풍후유증유현저료효，능구현저개선병인상、하지적운동공능화일상생활능력。
Objective:To observe the clinically therapeutic effect of activating brain and regaining conscious-ness needling combined with abdomen acupuncture on stroke sequela .Methods:30 stroke sequelae sufferers were treated with activating brain and regaining consciousness needling combined with abdomen acupuncture , based on selecting points according to TCM syndrome differentiation once a day ,six days as a course ,four cour-ses in the whole experiment with one -day rest between two courses .Efficacy was evaluated with a certain grade method , motor function with Brunnstrom graded scale , and activity of daily living with Barthel's ADL in-dex, three of which were obtained pre -treatment and post-treatment.Results:Motor function was significantly improved after the treatment (upper limb, u=6.24,P<0.01;lower limb,u=4.75,P<0.01).Ability of dai-ly living was obviously improved with higher ADL index post -treatment compared with pre -treatment ( P<0.05 ) .The total efficiency of treatment was 90%, with 14 cases markedly effective , 13 cases effective and 3 cases ineffective .Conclusion:Activating brain and regaining consciousness needling combined with abdomen acupuncture was effective for stroke sequelae ,significantly improving motor function of upper and lower extremi-ties and activities of daily living ability through their complementary roles .
