不同取穴方法治疗缺血性中风临床观察.pdfVIP

上海针灸杂志2008年6月第27卷第6期 · 9· 文章编号：1005-0957(2008)06-0009-02 · 临床研究· 不同取穴方法治疗缺血性中风临床观察 李汶阳， 刘智艳 (新疆医科大学研究生学院，乌鲁木齐830054) 【摘要】一目的 观察益肾调督、健脾化瘀针刺法治疗缺血性中风中经络气虚痰瘀阻络型患者治疗前后各项观测指标的变化， 据此探讨此法在缺血性中风治疗中的疗效及临床应用价值。方法 63例缺血性中风患者随机分为治疗组(32例)和对照组 (3l例)，治疗组采用益肾调督、健脾化瘀针刺法；对照组采用以阳明经取穴为主的头体针配合的针刺法，lO天为1疗程，3个 疗程后观察疗效。结果 治疗组愈显率56．3％，对照组29．O％，两组愈显率比较差异有统计学意义(P0．05)；两组治疗前 后神经功能缺损程度评分减少和日常生活活动能力评分(ADL)增高有统计学意义(PO．01)；两组治疗后神经功能缺损程度 比较，差异有统计学意义(PO．05)；两组治疗后日常生活活动能力评分比较差异无统计学意义(P0．05)。结论 益肾调 督、健脾化瘀针刺法治疗缺血性中风气虚痰瘀阻络型疗效优于对照组，治疗组在改善神经功能缺损程度方面优于对照组。 【关键词】 中风；针灸疗法；取穴；头针 【中图分类号】 R246．6 【文献标识码】A Clinical Observations on Treatment of Ischemic Stroke by Different Methods of Selecting Points Ll Wen一，nng， LIU Zhi— yan． Xinfiang Medwal University Postgraduate School，Urumchi 830054，China 【Abstract】 Objective To observe changes in indices in ischemic stroke patients with meridian attack，qi deficiency and stagnation of phlegm in meridian after treatment with kidney—reinforcing，Du meridian—regulating，spleen—strengthening and stagnancy—removing acupuncture and thereby explore its efficacy and clinical application value in treating ischemic stroke．Methods Sixty—three ischemic stroke patients were randomly allocated to a treatment group(32 cases)and a control group(3 1 cases)．The treatment group was trea— ted with kidney—reinforcing，Du meridian—regulating，spleen—strengthening and stagnancy—removing acupuncture and the control group， with combined scalp and body acupuncture based on main selection of the points of the Yangming meridian．Ten days composed one course of treatment．The therapeutic effect was evaluated after 3 courses of treatment．Results The cure and marked efficacy rate Was 56．3％ in the treatment group and 29．O％ in the control group．There was a statistically si~ificant difference in cure and marked effi— cacy rate between the