热敏灸配合穴位透刺治疗卒中后足内翻疗效观察

摘要

Objective To observe the clinical efficacy of heat-sensitive moxibustion plus point-toward-point needling in treating poststroke strephenopodia.Method Eighty patients with poststroke strephenopodia were randomized into a treatment group intervened by heat-sensitive moxibustion plus point-toward-point needling and a control group intervened by rehabilitation, 40 cases in each group. In addition to the basic treatment, the treatment group was given heat-sensitive moxibustion plus point-toward-point needling, and the control group was given rehabilitation treatment. Holden's Functional Ambulation Classification (FAC), Fugl-Meyer Assessment (FMA) of the lower-limb motor function, and Tinetti Gait Assessment (TGA) were adopted for evaluation of the two groups, and the clinical efficacies were compared.ResultThe effective rate was 90.0% in the treatment group versus 77.5% in the control group, and the difference was statistically significant (P<0.05); after the treatment,there was a significant difference in comparing the Holden's FAC between the two groups (P<0.05); the FMA score changed significantly after the treatment in both groups (P<0.05), and there was a significant difference in comparing the FMA score between thetwo groups after the treatment (P<0.05); the TGA score changed significantly after the intervention in both groups (P<0.05), and there was a significant difference in comparing the TGA score between the two groups after the intervention (P<0.05).ConclusionHeat-sensitive moxibustion plus point-toward-point needling can produce a significant efficacy in treating poststroke strephenopodia, as it can enhance the effective rate and improve the lower-limb motor function.%目的 观察热敏灸配合穴位透刺治疗卒中后足内翻的临床疗效.方法 将80例卒中后足内翻患者,随机分为热敏灸配合穴位透刺治疗组和康复治疗对照组,每组40例.在常规治疗的基础上,治疗组予以热敏灸配合透刺治疗,对照组予以康复治疗.两组均采用Holden步行能力分级、Fugl-Meyer下肢运动功能评分、Tinetti步态分析量表评分进行评价,并比较疗效差异.结果 治疗组总有效率为90.0%,对照组总有效率为77.5%,两组疗效比较差异有统计学意义(P<0.05);两组治疗后Holden步行能力分级比较差异有统计学意义(P<0.05);两组治疗前后Fugl-Meyer下肢运动功能评分比较差异有统计学意义(P<0.05),两组治疗后Fugl-Meyer下肢运动功能评分比较差异有统计学意义(P<0.05);两组治疗前后Tinetti步态分析量表评分比较差异有统计学意义(P<0.05),两组治疗后Tinetti步态分析量表评分比较差异有统计学意义(P<0.05).结论 热敏灸配合透刺治疗卒中后足内翻疗效明显,能提高治疗有效率,改善患者下肢运动功能.