上海针灸杂志2017，Vol.36Issue(3)：256-260,5.DOI:10.13460/j.issn.1005-0957.2017.03.0256
子午流注纳甲法针刺治疗脑卒中后痉挛性偏瘫临床研究
Clinical Study on Zi Wu Liu Zhu Na Jia Needling for Spastic Hemiplegia after Cerebral Stroke
摘要
Abstract
Objective To evaluate the clinical efficacy ofZi Wu Liu Zhu Na Jia needling (acupuncture based on midnight-noon ebb-flow theory) in treating spastic hemiplegia after cerebral stroke by using surface electromyography (sEMG).Method Fifty-two patients with spastic hemiplegia due to cerebral stroke were randomized into a treatment group and a control group, 26 cases each. The two groups were both intervened by conventional rehabilitation training. In addition, the treatment group was givenZi Wu Liu Zhu Na Jia needling and the control group was given ordinary acupuncture. The two groups were treated once a day, 15 sessions as a course. The ambulation ability, muscle tension, neurological deficit score (NDS), Fugl-Meyer Assessment Scale (FMA), and Berg Balance Scale (BBS) were evaluated before the intervention and after 2 treatment courses, and the sEMG signals were also collected and analyzed.Result The Holden's Functional Ambulation Classification (FAC) and Modified Ashworth Scale scores were significantly changed in the two groups after the intervention (P<0.01). After the intervention, the FAC and MAS scores in the treatment group were significantly different from those in the control group (P<0.05). The NDS, FMA and BBS scores were significantly changed in the two groups after the treatment (P<0.05). The NDS, FMA and BBS scores in the treatment group were significantly different from those in the control group after the treatment (P<0.05). Of the sEMG signals, H/M max in the treatment group was significantly different from that in the control group after the intervention (P<0.01).Zi Wu Liu Zhu Na Jia needling with rehabilitation training can significantly mitigate the muscle tension and promote the activities of daily living in patients with spastic hemiplegia after cerebral stroke.关键词
针刺疗法/时间针灸学/子午流注/纳甲法/中风后遗症/偏瘫/肌痉挛/康复训练Key words
Acupuncture therapy/Chrono-acupuncture/Zi Wu Liu Zhu/Na Jia method/Poststroke syndrome/Hemiplegia/Spasm/Rehabilitation分类
医药卫生引用本文复制引用
樊留博,江毅卿,王灵芝,刘莹莹,刘宝华..子午流注纳甲法针刺治疗脑卒中后痉挛性偏瘫临床研究[J].上海针灸杂志,2017,36(3):256-260,5.基金项目
浙江省医药卫生科技计划项目(2014KYA224) （2014KYA224）
浙江省台州市科技计划项目(14SF03) （14SF03）
浙江省中医药科技计划项目(2011ZB158) （2011ZB158）
