头穴丛刺配合手部透刺促进中风后手功能恢复的临床观察

摘要

Objective:To observe the clinically curative effect of cluster needling of scalp acupuncture com-bined with hand penetration acupuncture on hand functional impairment after stroke.Methods:40 patients in-cluded in the study were randomly divided into two groups:a treatment group and a control group,with 20 cases in each group.All the cases received the cluster needling of scalp acupuncture therapy.Then cases in the con-trol group were treated with conventional acupuncture,and cases in the treatment group were treated with hand penetration acupuncture.All the cases received the treatment once a day,six times a week and successive four weeks.To evaluate the therapeutic effects, some rehabilitation observation scales were needed.They were Sim-plified Fugl-meyer ( FMA) scale and Barthel ADL index.According to the neurological function deficit scale ( CSS) ,calculate the total effective rate as an index to evaluate efficacy for the comparison.Results:After treat-ment,Simplified Fugl-meyer ( FMA) scale and Barthel ADL index were improved in the treatment group and the control group (P<0.05).The treatment group was better than the control group.The total effective rate of the treatment group was 85%,while in the control group it was 75%, and the former was better than the latter (P<0.05).Conclusion:The cluster needling of scalp acupuncture combined with hand penetration acupunc-ture is better than the conventional acupuncture for treating patients’ hand functional impairment after stroke.%目的：观察头穴丛刺配合手部透刺对中风后手功能障碍的患者进行治疗的临床疗效。方法：将纳入研究的40例患者随机分成两组：治疗组（透刺组）和对照组（传统组），每组20例。所有患者行头穴丛刺治疗，此外对照组行传统针刺，治疗组行手部透刺，日1次，每周6次，连续4周。治疗后采用改良的Barthel指数和简化Fugl－Meyer运动功能评分（手运动功能）对治疗前后的情况进行评定，并根据中国神经功能缺损评分（ CSS）计算不同治疗方法的总有效率，进行疗效比较。结果：治疗后两组患者改良的Barthel指数和简化Fugl－Meyer运动功能评分（手运动功能）与治疗前比较，均有显著性差异（ P＜0．05），且治疗组优于对照组。治疗后治疗组总有效率为85％，对照组总有效率为75％，治疗组优于对照组（P＜0．05）。结论：头穴丛刺配合手部透刺疗法对中风后手功能障碍的治疗临床疗效更佳，能更好地提高患者的日常生活活动能力。