上海针灸杂志2017，Vol.36Issue(9)：1053-1057,5.DOI:10.13460/j.issn.1005-0957.2017.09.1053
纳甲法选穴针刺治疗脑卒中下肢痉挛偏瘫的临床观察
Clinical Observation of Acupuncture at Acupoints Selected byNa Jia Method for Lower-limb Spastic Hemiplegia after Cerebral Stroke
摘要
Abstract
Objective To observe the effect of acupuncture at acupoints selected byZi Wu Liu Zhu Na Jia point-selection card invented by professor ZHOU Ming-xin method (midnight-noon ebb-flow) in improving lower-limb spastic hemiplegia after cerebral stroke.Method Eighty-four patients with lower-limb spastic hemiplegia after cerebral stroke were randomized into a treatment group, a control group, and a blank group by using random number table method, 28 cases in each group. The blank group was only given rehabilitation; the control group was treated with ordinary acupuncture in addition to rehabilitation; the treatment group was intervened by acupuncture at acupoints selected byZi Wu Liu Zhu Na Jia method in addition to the intervention given to the control group. The Ashworth Scale, Activities of Daily Living (ADL) in Barthel Index (BI) and simplified Fugl-Meyer Assessment (FMA) of lower-limb function were observed before and after the intervention. Result After the treatment, the simplified FMA scores were changed significantly in the three groups (P<0.01). After the treatment, the between-group differences in comparing the simplified FMA score were statistically significant (P<0.01), and the treatment group was superior to both the control group and blank group (P<0.01), while the difference between the control group and blank group was statistically insignificant (P>0.05). The ADL from BI and Ashworth scores were significantly changed after the treatment in the three groups (P<0.01,P<0.05). After the treatment, the between-group differences in comparing the ADL score and Ashworth grading were statistically significant (P<0.01), and the therapeutic efficacy was the best in the treatment group (P<0.01,P<0.05).Conclusion Acupuncture at acupoints selected byZi Wu Liu Zhu Na Jia method plus ordinary acupuncture and rehabilitation is effective in improving muscular tension, enhancing lower-limb motor function and the quality of life; theZi Wu Liu Zhu point-selection card is easy-to-operate and has a high accuracy, thus suitable for application and promotion in clinic.关键词
针刺疗法/头针/子午流注纳甲法/偏瘫/肌痉挛/脑卒中/中风后遗症Key words
Acupuncture therapy/Scalp acupuncture/Zi Wu Liu Zhu Na Jia method/Hemiplegia/Muscle spasm/Cerebral stroke/Post-stroke syndrome分类
医药卫生引用本文复制引用
方丽娜,任钰,刘欢,那尔布力·巴合提别克,周钰..纳甲法选穴针刺治疗脑卒中下肢痉挛偏瘫的临床观察[J].上海针灸杂志,2017,36(9):1053-1057,5.基金项目
新疆医科大学第一附属医院自然科学基金项目(2014ZRQN04) （2014ZRQN04）
新疆维吾尔自治区自然科学基金医学联合基金项目(2015211C082) （2015211C082）
