文献类型：期刊文献

中文题名：头穴捻转补泻手法针刺对急性缺血性中风偏瘫患者肢体肌力的即刻影响:随机对照研究

英文题名：Immediate effects of twirling reinforcing-reducing manipulation at head acupoints on muscle force in patients with acute ischemic stroke:a randomized controlled trial

作者：杜小正[1];王金海[2];鲍春龄[3];焦志华[3];东贵荣[3]

第一作者：杜小正

机构：[1]甘肃中医药大学,兰州730000;[2]兰州大学第二医院;[3]上海中医药大学附属岳阳中西医结合医院,上海200437

第一机构：甘肃中医药大学

年份：2016

卷号：36

期号：1

起止页码：43

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：MEDLINE(收录号：26946734);CSTPCD;;Scopus;北大核心:【北大核心2014】；CSCD:【CSCD2015_2016】；PubMed;

语种：中文

中文关键词：捻转补泻手法;急性缺血性中风;肌力;随机对照研究

外文关键词：twirling reinforcing-reducing manipulation;acute ischemic stroke;muscle force;ramdomized controlled trial（RCT）

摘要：目的:观察头穴捻转补、泻手法针刺对急性缺血性中风偏瘫患者肢体肌力即刻影响的差异性。方法:将符合纳入标准的126例患者随机分为捻转补法组、平补平泻组和捻转泻法组,每组42例。选取百会与双侧太阳穴的连线为施术部位,于双侧连线上接力式刺入3针。捻转补法组施以捻转补法,捻转泻法组施以捻转泻法,平补平泻组施以平补平泻法,每针操作1 min,间隔10min以相应手法行针1次,留针30min。针刺结束后即刻评定偏瘫肢体肌力。结果:1上肢肌力:针刺后3组患者上肢近端肌力、远端肌力均较治疗前显著改善(均P<0.05),针刺后3组患者上肢近端肌力的改善均显著优于上肢远端肌力的改善(均P<0.05),上肢近端肌力的改善捻转补法组优于平补平泻组和捻转泻法组(均P<0.05),上肢远端肌力3组间差异无统计学意义(均P>0.05)。2下肢肌力:针刺后3组患者下肢近端肌力、远端肌力均较治疗前显著改善(均P<0.05);捻转补法组和平补平泻组下肢近端肌力改善优于下肢远端肌力(均P<0.05)。结论:头穴捻转补法针刺对急性缺血性中风偏瘫患者肢体肌力的改善优于平补平泻法和捻转泻法,且肢体近端肌力改善优于远端肌力改善。
Objective To observe differences of immediate effect of twirling reinforcing-reducing manipulation at head acupoints on muscle force in patients with acute ischemic stroke.Methods A total of 126 patients who met the inclusive criteria were randomly divided into a twirling reinforcing group,a mild reinforcing-reducing group and a twirling reducing group,42 cases in each one.The lines between Baihui（GV 20）and bilateral Taiyang（EX-HN 5）were selected and treated with successive insertion of three needles.The twirling reinforcing method was used in the twirling reinforcing group,and mild reinforcing-reducing method was used in the mild reinforcingreducing group,and twirling reducing method was used in the twirling reducing group.Each needle was manipulated for 1min,which was repeated once every 10 min.The needles were retained for 30 min.Muscle force was evaluated immediately after treatment.Results 1 Muscle force of upper limb：after acupuncture,the muscle force of proximal and remote ends were all improved significantly in three groups（all P〈0.05）,which was more obvious in proximal end（all P〈0.05）.The improvement of the muscle force of proximal end in the twirling reinforcing group was superior to those in the mild reinforcing-reducing group and twirling reducing group（both P〈0.05）;the differences of the muscle force of remote end were not significant among three groups（all P〉0.05）.2 Muscle force of lower limb：after acupuncture,the muscle force of proximal and remote ends was all improved significantly in the three groups（all P〈0.05）.The improvement of the muscle force of proximal end was superior to that of remote end in the twirling reinforcing group and mild reinforcing-reducing group（both P〈0.05）.Conclusion The twirling reinforcing manipulation at head acupoints is superior to mild reinforcing-reducing and twirling reducing manipulation for muscle force in patients with acute ischemic stroke,which is more significant in proximal end of limbs.