【摘要】 目的:探讨井穴刺络法能否加强醒脑开窍针刺法对中风后偏瘫病人的康复效果。方法:将急性缺血中风患者60例为研究对象,随机分为井穴刺络加醒脑开窍针刺组(治疗组)和醒脑开窍针刺组(对照组),各30例,比较两组治疗前后评分的变化。结果:①Fugl-M eyer(FMA)运动功能评分比较:治疗组和对照组手臂、腕部、手、脚4部分FMA总分治疗前后组间比较差异无显著性意义(P(0.05);手臂、腕部、脚3部位积分组间比较治疗前后差异无显著意义(P(0.05);而手指运动功能评分中,治疗前两组比较差异无显著意义(P(0.05),治疗后两组比较差异有显著性意义(P<0.05)。②神经功能缺损积分(NIHSS)积分评价:治疗前两组患者神经功能缺损评分比较差异无显著意义(P(0.05),治疗后两组比较差异亦无显著意义(P(0.05);而缺损积分减少值(治疗前积分-治疗后积分)的组间比较差异有显著意义(P<0.05)。③日常生活能力Barthel指数评分及SS-QOL评分:治疗前及治疗后评分比较中组间无明显差别。结论:井穴刺络对针刺治疗急性缺血中风偏瘫有一定的增效作用,主要在改善手指运动功能方面及降低神经功能缺损方面优于对照组。更多还原

【Abstract】 Objective: To investigate whether the additional use of ’Jing-acupoint method’ would improve the prognosis of cerebral infarct patients suffering hemiplagia.Methods: 60 patients suffering cerebral infarction were randomly divided into treatment group(30 cases receiving acupuncture treatment of Jing-acuponit method’ addition to the conventional Xing Nao Kai Qiao method’) and control group(30 cases receiving acupuncture treatment of Xing Nao Kai Qiao method’ only).The value of Fugl-Meyer function on movement,NIHSS,BI indicator,and the value of SS-QOL were observed.Results: ①Comparison of the Fugl-Meyer function Index(FMA) on Movement:The total value of FMA on upper and lower limbs joints between two groups were measured before and after treatment.There was no significant difference(P〉0.05) in corresponding measure before and after the treatment.However there was obviously significant difference(P<0.05) when comparing the value of FMA on hands after the treatment.The result showed that there was much better therapeutic effect on improving movement function of fingers in the treatment group comparing with control group.②NIHSS and Therapeutic Effects:There was no significant difference(P〉0.05) in NIHSS between two groups before and after treatment.But there was significant difference(P<0.05) between two groups in the delta change of value of NIHSS(the value before treatment subtract the value after treatment).3.Value of Daily Living Activities Barthel Indicator(BI) and the Stroke Specific Quality of Life(SS-QOL) Measure: There was no significant difference in the value of SS-QOL and ADL-BI between two groups(P〉0.05).Conclusion: The additional use of ’Jing-acuponit method’ in acute cerebral infarct patients could strengthen the therapeutic effect of conventional acupuncture treatment,especially in improving the movement of upper limbs digits and in decreasing the level of neurological function impairment.更多还原