针刺申脉、照海为主治疗中风后足内翻的临床视察.pdfVIP

提 要 目的：观察针刺申脉、照海为主对中风后足内翻的临床疗效的影响，探索阴阳 跷脉理论指导治疗中风后足内翻的切实性，为提高此类患者的临床疗效及改善其生 活能力提供依据。 方法：将符合纳入标准的 60 例中风后患者随机分为治疗组和对照组。治疗组采 用针刺申脉、照海加常规穴治疗；对照组采用阳交、筑宾加常规穴治疗，疗程均为 4 周。观察治疗前后两组患者足内翻程度、下肢 Brunnstrom 分级、步行能力和日常生 活能力Barthel指数的改善情况。 结果：经统计学分析，治疗组的总有效率为76.67%，对照组的总有效率为56.67%。 两组总疗效经秩和检验无显著性差异（P＞0.05）。治疗前后，两组患者的足内翻分 级、日常生活能力 Barthel 指数、下肢 Brunnstrom 分期、步行能力组内比较均有非 常显著性差异（P＜0.01）；治疗后两组患者的足内翻分级、日常生活能力 Barthel 指数经秩和检验有显著性差异（P＜0.05）；下肢 Brunnstrom 分期，步行能力经秩和 检验无显著性差异（P＞0.05），说明这两种方法对治疗中风后足内翻均有效，但是 治疗组效果更明显。两组患者总体疗效比较无显著性差异，但治疗组的治愈率、好 转率及总有效率均高于对照组，即治疗组优于对照组。 结论：针刺申脉、照海为主治疗中风后足内翻，可以改善患者的足内翻的程度， 提高患者的步行能力和日常生活能力。虽然两组的疗效相当，但治疗组有优于对照 组的趋势。 关键词：足内翻；中风；针刺；申脉；照海； The Clinical Observation of Needling mainly Shenmai,Zhaohai in Treating Strephenopodia after Apoplexy Speciality: Acupuncture and moxibustion of TCM Author:Mou xiaoying Tutor: Hou shuwei Abstract Conclusion: To acupuncture mainly Shen mai, Zhao hai to treat strephenopodia after apoplexy, we can improve the degree of strephenopodia, the patients walking ability and daily living skills. The efficacy of the two groups have the same efficacy, while the treatment group are superior to the control group in tendency. Methods: 60 cases of stroke who met the inclusion criteria were randomly divided into treatment and control groups. The treatment group were treated with acupuncturing Shen mai, Zhao hai and conventional acupoints; control group, Yang jiao, Zhu bin and conventional acupoints for four weeks. To observe the clinical symptoms improved conditions of the two groups pre-after treatment in strephenopodia grading, Barthel index of activities of daily living, walking ability and lower extremities Bunnstrom classification . Results: By stat