常规针刺治疗联合井穴刺血治疗脑卒中后肢体麻木
Conventional Acupuncture Therapy Combined with Pricking Blood Therapy of Jing Acupoints to Treat Limb Numbness after Stroke
摘要: 目的:比较常规针刺治疗联合井穴刺血治疗脑卒中后肢体麻木临床疗效。方法:将46例脑卒中后肢体麻木患者随机分为2组,观察组23例,对照组23例。观察组予常规针刺治疗联合井穴刺血治疗;对照组予常规针刺法治疗,均每次留针30 min,连续治疗6天,休息1天,连续治疗2周。于治疗前、治疗后比较感觉障碍评定积分表、脑卒中专用生活质量量表。结果:治疗后,两组患者感觉障碍评定积分表、脑卒中专用生活质量量表评分均高于治疗前(
P < 0.05),且观察组优于对照组(
P < 0.05)。结论:常规针刺、井穴刺血均可使患者的麻木症状改善,并提高患者日常生活能力,且常规针刺治疗联合井穴刺血优于常规针刺法。
Abstract: Objective: To compare the clinical efficacy of conventional acupuncture combined with pricking blood therapy of Jing acupoints in the treatment of limb numbness after stroke. Methods: A total of 46 patients with limb numbness after stroke were randomly divided into two groups, 23 in the observation group and 23 in the control group. The observation group was treated with conventional acupuncture combined with pricking blood therapy of Jing acupoints. The control group was treated with conventional acupuncture, and all of them were treated with needles for 30 minutes each time, 6 days of continuous treatment, 1 day of rest, and 2 weeks of continuous treatment. Before and after treatment, the sensory impairment rating scale and the stroke-specific quality of life scale were compared. Results: After treatment, the scores of sensory impairment rating scale and stroke-specific quality of life scale in the two groups were higher than those before treatment (P < 0.05), and the observation group was better than that in the control group (P < 0.05). Conclusion: Conventional acupuncture and pricking blood therapy of Jing acupoints can improve the numbness symptoms and improve the daily living ability of patients, and conventional acupuncture treatment combined with pricking blood therapy of Jing acupoints is better than conventional acupuncture.
参考文献
|
[1]
|
王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144.
|
|
[2]
|
邱文然, 徐榛敏, 申伟, 等. 中医药治疗缺血性脑卒中优势定位评价情况概述[J]. 中国实验方剂学杂志, 2022, 28(12): 225-232.
|
|
[3]
|
各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996(6): 60-61.
|
|
[4]
|
梁繁荣, 王华, 主编. 针灸学(新世纪第四版)/全国中医药行业高等教育“十三五”规划教材[M]. 北京: 中国中医药出版社, 2016.
|
|
[5]
|
周智梁, 杨家荣. 刺血疗法治疗脑血管疾病偏身感觉障碍疗效观察[J]. 上海针灸杂志, 2004(5): 6-7.
|
|
[6]
|
刘卿卿, 李国忠. 丘脑梗死临床症状及其相关机制[J]. 医学综述, 2013, 19(11): 1947-1950.
|
|
[7]
|
刘毅, 孙邈, 吉训明, 等. 丘脑供血及丘脑缺血性卒中临床表现[J]. 中国现代神经疾病杂志, 2018, 18(12): 902-905.
|
|
[8]
|
王秀云, 李积胜, 刘公望, 等. 井穴放血法对急性脑缺血大鼠缺血区脑组织凋亡相关蛋白的影响[J]. 天津中医药, 2004(2): 123-125.
|
|
[9]
|
陈小凯, 吴虹, 李旅萍, 等. 刺络放血法治疗颈椎病对ICAM-1影响的临床观察[J]. 亚太传统医药, 2008(3): 60-63.
|
|
[10]
|
周杰芳, 靳瑞. 针刺对中风患者微循环与血液流变学作用的观察[J]. 广州中医学院学报, 1991(Z1): 196-200.
|
|
[11]
|
高亭, 高慧. 针灸联合通心活血解毒汤对缺血性脑卒中纤维细胞生长因子和血管内皮生长因子及细胞凋亡相关指标的影响[J]. 中国中医急症, 2018, 27(6): 1048-1050.
|