针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2015年
6期
1-3
,共3页
留针时间%缺血性脑卒中%疲劳
留針時間%缺血性腦卒中%疲勞
류침시간%결혈성뇌졸중%피로
Needle retention time%Ischemic stroke%Fatigue
目的：观察不同留针时间对缺血性脑卒中后疲劳患者生活质量的影响。方法：将80例缺血性脑卒中疲劳患者按计算机软件所获取的随机号，随机分为30 min组和60 min 组，每组各40例，留针60 min组脱落1例。两组在一般治疗的基础上，给予针刺治疗，取穴：1组：王乐亭手足十二针—曲池、合谷、内关、足三里、阳陵泉、三阴交；2组：王乐亭治背俞穴—五脏俞加膈俞。两组穴位隔日交替选用，每穴均行平补平泻的提插捻转手法，以得气为度。留针30 min组，针刺得气后留针30 min；留针60 min组，针刺得气后留针60 min。两组患者均每日针刺1次，每周治疗5次，4周为一疗程。分别在治疗前、治疗1个疗程后，采用美国国立卫生研究院卒中量表（ NIHSS）、疲劳评定量表（ FAI）、脑卒中专用生活质量量表（ SS－QOL）对患者进行评定。结果：两组治疗后NIHSS 、FAI、SS－QOL评分值较同组治疗前均有明显改善（P＜0．01）；两组治疗后组间比较具有显著性差异（P＜0．05）。结论：留针30 min较留针60 min能更有效改善脑卒中后患者疲劳症状、神经功能缺损缺症状，提高患者的生活质量。
目的：觀察不同留針時間對缺血性腦卒中後疲勞患者生活質量的影響。方法：將80例缺血性腦卒中疲勞患者按計算機軟件所穫取的隨機號，隨機分為30 min組和60 min 組，每組各40例，留針60 min組脫落1例。兩組在一般治療的基礎上，給予針刺治療，取穴：1組：王樂亭手足十二針—麯池、閤穀、內關、足三裏、暘陵泉、三陰交；2組：王樂亭治揹俞穴—五髒俞加膈俞。兩組穴位隔日交替選用，每穴均行平補平瀉的提插撚轉手法，以得氣為度。留針30 min組，針刺得氣後留針30 min；留針60 min組，針刺得氣後留針60 min。兩組患者均每日針刺1次，每週治療5次，4週為一療程。分彆在治療前、治療1箇療程後，採用美國國立衛生研究院卒中量錶（ NIHSS）、疲勞評定量錶（ FAI）、腦卒中專用生活質量量錶（ SS－QOL）對患者進行評定。結果：兩組治療後NIHSS 、FAI、SS－QOL評分值較同組治療前均有明顯改善（P＜0．01）；兩組治療後組間比較具有顯著性差異（P＜0．05）。結論：留針30 min較留針60 min能更有效改善腦卒中後患者疲勞癥狀、神經功能缺損缺癥狀，提高患者的生活質量。
목적：관찰불동류침시간대결혈성뇌졸중후피로환자생활질량적영향。방법：장80례결혈성뇌졸중피로환자안계산궤연건소획취적수궤호，수궤분위30 min조화60 min 조，매조각40례，류침60 min조탈락1례。량조재일반치료적기출상，급여침자치료，취혈：1조：왕악정수족십이침—곡지、합곡、내관、족삼리、양릉천、삼음교；2조：왕악정치배유혈—오장유가격유。량조혈위격일교체선용，매혈균행평보평사적제삽념전수법，이득기위도。류침30 min조，침자득기후류침30 min；류침60 min조，침자득기후류침60 min。량조환자균매일침자1차，매주치료5차，4주위일료정。분별재치료전、치료1개료정후，채용미국국립위생연구원졸중량표（ NIHSS）、피로평정량표（ FAI）、뇌졸중전용생활질량량표（ SS－QOL）대환자진행평정。결과：량조치료후NIHSS 、FAI、SS－QOL평분치교동조치료전균유명현개선（P＜0．01）；량조치료후조간비교구유현저성차이（P＜0．05）。결론：류침30 min교류침60 min능경유효개선뇌졸중후환자피로증상、신경공능결손결증상，제고환자적생활질량。
Objective:To observe the effect of needle retention time on fatigue of post ischemic stroke in pa-tients.Methods:The patients ( n =80 ) were randomly divided into a 30 -min group and a 60 -min group ( each n=40) by using computer software to get the random numbers.One case was shedded in the 60-min group.Two groups were both given the same acupuncture point selection once a day, acupoints group one:WANG Le-ting hand-foot -12 -needle, acupoints group two: WANG Le-ting curing Back -shu.Two groups were used interchangeably,five times a week, one course for 4 weeks.The needle retention times were 30 minutes in 30-min group and 60 minutes in 60-min group.The scores were recorded by applying the US National Institutes of Health Stroke Scale(NIHSS),Fatigue Assessment index (FAI),Stroke-specific quality of life scale( SS-QOL) respectively before treatment and after treatment for one course.Results:After treatment for one course, the total scores of NIHSS, FAI and SS-QOL had a significant difference in each group before treatment and after treatment (P <0.01).The total scores of NIHSS,FAI and SS -QOL had a significant difference between two groups after treatment ( P<0.05 ) .Conclusion:The 30 minutes needle retention time can achieve a satisfactory result for improving the symptoms of fatigue and neurological deficit, thus improving the quality of life in patients.
