头针交叉刺久留针法治疗中风后偏瘫疗效观察.docVIP

头针交叉刺久留针法治疗中风后偏瘫疗效观察［摘要］目的：观察头针交叉刺久留针治疗中风偏瘫的临床疗效。方法：将124例中风偏瘫患者随机分为头针交叉刺久留针治疗组和传统头针对照组，观察两种头针法的即刻效应和续效作用。结果：两组头针法的即刻效应是一致的，但治疗组的续效作用好于对照组，尤其是治疗组的愈显率71.3%明显优于对照组的45.5%(P0.05)。结论：头针交叉刺久留针是治疗中风偏瘫的有效方法，健、患侧头部穴线交替使用可以减少患者痛苦。 ［主题词］偏瘫/针灸疗法；头针；留针；刺法 Observation on Therapeutic Effect of Crisscross Scalp Acupuncture with Long Needle-Retaining Time on Hemiplegia due to Apoplexy Qin Lihong (First Affiliated Hospital of Anhui College of TCM, Hefei 230031, China) ［Abstract］Purpose To observe the clinical therapeutic effect of hemiplegia due to apoplexy treated by crisscross scalp acupuncture with long needle-retaining time. Methods 124 cases were randomly divided into the treatment group who were treated by crisscross scalp acupuncture with long needle-retaining time and the control group who were treated with traditional scalp acupuncture to observe the transient and long-term therapeutic effects. Results The transient therapeutic effect in the treatment group was as good as that of the control group. But, its long-term therapeutic effect was superior to that of the control group (P＜0.05), and the markedly effective rate in the treatment group was 71.3% which was significantly superior to 45.5% in the control group (P＜0.05). Conclusion The crisscross scalp acupuncture with long needle-retaining time is an effective method for hemiplegia due to apoplexy. ［Key words］Hemiplegia/acup ther; Scalp Acupuncture; Needle Retaining; Needling Methods 头针疗法治疗中风后偏瘫已获得肯定的疗效，尤其是头针产生的即刻效应，更加直观地反映了该疗法的确切作用。但是，传统的头针方法是每天在患侧头部穴区针刺1次或更多次，并在短时间内行快速捻转的手法。结果是许多人感到难以忍受这种强痛，尤其是对病程较长、年老、体质较差的患者来说，更不适宜。另外，按传统的头针后留针30分钟的方法，疗效仅维持2～4小时，以后瘫肢沉重感又复出现。为了进一步增加针刺效应的连续性，减少针刺过程中过强的刺激，笔者经过反复的临床摸索，多方面比较，总结出头针交叉刺久留针的针刺方法，治疗中风后偏瘫患者80例，并与以往的头针治瘫法进行比较，结果令人满意，现报道如下。 1临床资料 观察124例均为我院住院及门诊病例，随机分成治疗组80例，对照组44例。治疗组80例中，男51例，女29例；年龄最小35岁，最大86岁；病程最短3天，最长3年。病种分类中，脑出血者22例，脑梗塞者55例，混合性中风3例；伴语言障碍者13例；属急性期者30例，恢复期者31例，后遗症者19例。对照组44例，其中男31例，女13例；年龄最小38岁，最大83岁；病程最短7天，最长2.5年；病种分类中，脑出血者9例，脑梗塞者34例，混合性中风1例；伴语言障碍者5例；属急性