中医药学报2025，Vol.53Issue(5)：40-46,7.DOI:10.19664/j.cnki.1002-2392.250094
不同针刺刺激量治疗中风软瘫期肢体功能障碍的临床研究
Clinical Study on the Treatment of Limb Dysfunction in the Flaccid Paralysis Stage after Stroke with Different Acupuncture Stimulation Doses
摘要
Abstract
Objective:To compare the clinical efficacy of different levels of acupuncture stimulation in treating limb dysfunction during the flaccid paralysis stage after stroke.Methods:A total of 80 patients in the flaccid paralysis stage post-stroke from February 2022 to March 2024 were selected at the Second Affiliated Hospital of Anhui University of Chinese Medicine and randomly divided into four groups:control,low-stimulation,moderate-stimulation,and high-stimulation groups,with 20 patients in each group.All patients received basic internal medicine treatment.The control group underwent usual acupuncture treatment at the following points:Jianyu(LI15),Quchi(LI11),Shousanli(LI10),Hegu(LI4),Waiguan(SJ5),and Jiquan(HT1)on the upper limbs;Weizhong(L40),Zusanli(ST36),Yanglingquan(GB34),Yinlingquan(SP9),Sanyinjiao(SP6),Taixi(KI3)on the lower limbs.Usual acupuncture treatment had no manual manipulation after"Deqi"sensation.The low,moderate,and high-stimulation groups received manual manipulation,with low,moderate,and high levels of stimulation for 20 seconds after achieving"Deqi,"and this procedure was repeated after 15 minutes needle retention.Then,the needles were retained for 30 minutes.The acupuncture was performed once daily,with a rest day after every six sessions.Each treatment course lasted two weeks,with a total of two courses.The TCM syndrome scores,Fugl-Meyer motor function scores,and Activities of daily living(ADL)scores of patients in each group before treatment,after one course of treatment,and after two courses of treatment were compared to evaluate the clinical efficacy and safety of each group.Results:TCM syndrome scores,Fugl-Meyer,and ADL scores showed significant improvement over time(P<0.05)across all groups after one and two treatment courses.Following the first treatment course,significant differences were observed between groups in TCM syndrome scores,Fugl-Meyer,and ADL scores(P<0.05),with notable differences between the high-stimulation group and other groups(P<0.05),while no differences were observed between the other groups(P>0.05).After two courses,TCM syndrome scores,Fugl-Meyer,and ADL scores exhibited similar group differences,with the high-stimulation group showing significantly better outcomes(P<0.05),and no differences observed between the other groups(P>0.05).Overall,the high-stimulation group demonstrated significantly better efficacy(P<0.05),with no significant differences among the other groups(P>0.05).Conclusion:High-stimulation acupuncture treatment for limb dysfunction in the flaccid paralysis stage after stroke is more effective,significantly improving neurological deficit symptoms.关键词
中风软瘫期/肢体功能障碍/不同刺激量/针刺Key words
Flaccid paralysis stage after stroke/Limb dysfunction/Different stimulation levels/Acupuncture分类
医药卫生引用本文复制引用
郑之俊,梁发俊,章显宝,张静波,浦延鹏,王震..不同针刺刺激量治疗中风软瘫期肢体功能障碍的临床研究[J].中医药学报,2025,53(5):40-46,7.基金项目
安徽省自然科学基金项目(RZ2300001602) （RZ2300001602）
安徽省高校自然科学研究重点项目(2023AH050769) （2023AH050769）
安徽中医药大学临床科研项目(2021efylc16) （2021efylc16）
安徽中医药大学第二附属医院人才支持项目 （）
