世界中医药

目的:分析陆氏针灸治疗缺血性中风运动功能障碍的临床疗效与安全性,探讨该方案的应用价值。方法:选取上海中医药大学附属龙华医院神经内科(脑病科)2014—2015年收治的发病后2周到6个月内的84例缺血性中风病恢复期患者,按照随机数字表法分为陆氏针灸组、康复对照组,每组42例,均实施基础康复治疗,陆氏针灸组加用陆氏针灸,疗程持续4周。评价2组患者治疗后临床疗效,并观察其治疗期间不良反应发生情况。结果:2组患者治疗后Fugl-Meyer量表上下肢运动功能总评分、平衡评分、感觉评分,Barthel量表评分、肌张力均显著升高,中风中医症候积分、NIHSS量表评分均显著降低,陆氏针灸组变化更为明显,差异有统计学意义(P<0.05)。2组患者治疗期间未发生各脏器功能不全以及危及性命的严重不良事件,陆氏针灸组治疗期间亦未发生晕针、断针等与针刺有关的不良事件。结论:在常规综合治疗的基础上联合陆氏针灸能够在保证安全性的前提下,更为有效地促进中风运动功能障碍患者临床症状及生活质量的改善,值得广泛推广。

English Summary:

To observe the clinical efficacy and safety of Lushi acupuncture in improving the motor dysfunction of patients with ischemic stroke. Methods:A total of 84 ischemic stroke patients with limb dyskinesia in our hospital from 2014 to 2015 were selected and randomly divided into acupuncture treatment group and routine rehabilitation group, with 42 cases in each. All of the patients were treated with routine rehabilitation, while the patients in the acupuncture treatment group were additionally treated with Lushi acupuncture. The treatment course is 4 weeks. Clinical efficacy and safety of the two treatment were recorded and compared. Results:After treatment, the Fugl-Meyer Assess, Fugl-Meyer Balance, Fugl-Meyer Sense, Barthel Index and Ashworth scores of the two groups were higher, while TCMSS and NIHSS scores of the two groups were lower. Besides, changes in Lushi acupuncture treatment group were more obvious, and the difference was statistically significant (P<0.05). No vital adverse reactions or organ damage were found in the two groups. Also, no needle fainting, needle blocking or needle bending cases were found in the acupuncture group. Conclusion:Routine rehabilitation training combined with Lushi acupuncture can effectively promote the recovery of motor dysfunction of ischemic stroke patients with limb dyskinesia. It is safe and worthy of further promotion.

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