《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

大接经从阳引阴针刺法对脑梗死肌张力的影响①

秦彦强1,2，孙迎春1,2，张亚娟3，肖凌勇4，史术峰4   

  1. 1.中国康复研究中心北京博爱医院，北京市100068；2.首都医科大学康复医学院，北京市100068；3.哈尔滨市第二医院，黑龙江哈尔滨市150056；4.北京中医药大学，北京市100029。
  • 出版日期:2016-02-25 发布日期:2016-06-01

Effect of Acupuncture of Connecting Meridians on Muscle-tension after Cerebral Infarction

QIN Yan-qiang1,2, SUN Ying-chun1,2, ZHANG Ya-juan3, XIAO Ling-yong4, SHI Shu-feng4   

  1. 1. Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation, Beijing 100068, China; 3. Second Hospital of Harbin, Harbin, Heilongjiang 150056, China; 4.Beijing University of Chinese Medicine, Beijing 100029, China
  • Published:2016-02-25 Online:2016-06-01

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摘要： 目的观察大接经从阳引阴针刺法对脑梗死偏瘫痉挛肌张力的影响。方法2010 年~2014 年哈尔滨市第二医院康复科住院的脑梗死患者82 例按入院顺序分为对照组和观察组，各41 例。对照组采用传统针刺方法，观察组采用大接经从阳引阴针刺方法。连续治疗2 周。分别采用改良Ashworth 量表(MAS)、临床痉挛指数(CSI)、Fugl-Meyer评定法(FMA)和Barthel 指数(BI)评价痉挛疗效、肢体运动功能和日常生活活动能力。结果治疗后观察组MAS评分低于对照组(t=2.212, P=0.030)，CSI 评分低于对照组(t=2.514, P=0.014)，FMA评分显著高于对照组(t=4.288, P<0.001)，BI 评分明显高于对照组(t=2.970, P=0.004)。结论大接经从阳引阴针刺法可以降低偏瘫肢体肌张力，改善肢体运动功能，提高日常生活活动能力。

关键词: 脑梗死, 痉挛, 大接经, 从阳引阴, 针刺

Abstract: Objective To observe the effect of connect meridians inducing Yin from Yang on muscle-tension after cerebral infarction. Methods 82 patients with cerebral infarction in Second Hospital of Harbin from 2010 to 2014 were divided into observation group (n=41) and control group (n=41) according to hospitalization order. The observation group accepted acupuncture of connecting meridians inducing Yin from Yang, and the control group accepted the traditional acupuncture method for 2 weeks. The situation of spasticity, the motor limb function of limbs, and activities of daily living were evaluated with modified Ashworth Scale (MAS), Clinic Spasticity Index (CSI), Fugl-Meyer Assessment (FMA) and Barthel index (BI), respectively. Results Compared with the control group, the score of MAS decreased (t=2.212, P=0.030), the score of CSI decreased (t=2.514, P=0.014), the score of FMA increased (t=4.288, P<0.001), and the score of BI increased (t=2.970, P=0.004) in the observation group after treatment. Conclusion The acupuncture of connecting meridians inducing Yin from Yang can reduce the muscle-tension of limbs, improve the motor function and increase the activities of daily living.

Key words: cerebral infarction, spasticity, connecting meridians, inducing Yin from Yang, acupuncture