文献类型：期刊文献

中文题名：捻转补泻手法对头针治疗急性缺血性中风患者肢体运动功能即刻效应的影响

英文题名：Comparative Study on Immediate Effect of Twirling Reinforcing-reducing Manipulation on Acute Ischemic Stroke

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,甘肃兰州730000;[2]兰州大学第二医院,甘肃兰州730030;[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：2015

卷号：22

期号：7

起止页码：17

中文期刊名：中国中医药信息杂志

外文期刊名：Chinese Journal of Information on Traditional Chinese Medicine

收录：CSTPCD;;CSCD:【CSCD_E2015_2016】；

基金：国家科技支撑计划(2006BAI12B02);甘肃中医学院引进人才科研启动金项目(2012-11)

语种：中文

中文关键词：捻转补泻手法;急性缺血性中风;肢体运动功能;即刻效应;简化Fugl-Meyer评分;神经功能缺损程度评分

外文关键词：twirling reinforcing-reducing manipulation;acute ischemic stroke;motor functions;immediate effect;FMA;NDS

摘要：目的观察捻转补泻手法对头针治疗急性缺血性中风患者肢体运动功能的即刻效应的差异性。方法将116例患者随机分为捻转补法组(39例)、平补平泻组(37例)和捻转泻法组(40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,分别施以捻转补法、平补平泻法、捻转泻法,每针操作1 min,间隔10 min以相应手法行针1次,留针30 min。针刺结束后即刻和1、2、3 h以四肢简化Fugl-Meyer评分(FMA)和肢体部分神经功能缺损程度评分(NDS)量表评价患侧肢体运动功能。结果针刺后即刻、1 h和2 h,捻转补法组FMA明显高于平补平泻组和捻转泻法组(P<0.05),而针刺后3 h组间比较差异无统计学意义(P>0.05)。针刺后即刻和1、2、3 h,捻转补法组NDS均低于平补平泻组和捻转泻法组(P<0.05)。平补平泻组与捻转泻法组各时点FMA和NDS差异均无统计学意义(P>0.05)。结论捻转补法对头针治疗急性缺血性中风患者肢体运动功能的即刻效应优于平补平泻法和捻转泻法。
Objective To investigate the immediate effect of twirling reinforcing manipulation, twirling reducing manipulation and mild reinforcing-reducing manipulation on motor functions for patients with acute ischemic stroke. Methods Totally 116 patients with ischemic stroke were randomly divided into twirling reinforcing manipulation group （TRFM, n=39）, mild reinforcing-reducing manipulation group （TRRM, n=37）, and twirling reducing manipulation group （TRDM, n=40） by stratified blocked randomization. Each group was treated in Baihui-Taiyang acupoint area accordingly with twirling reinforcing manipulation, mild reinforcing-reducing manipulation and twirling reducing manipulation once. The operation time for each needle was 1 minute. Interval time between every 2 needles was 10 minutes, and each needle was retained for 30 minutes. Neurological deficit score （NDS） and simplified Fugl-Meyer assessment （FMA） were evaluated before and immediate time, 1 h, 2 h and 3 h after treatment. Results FMA in TRFM was higher than that of TRDM and TRRM at immediate time, 1 h and 2 h after treatment （P〈0.05）, but there was no difference at 3 h after treatment （P〉0.05）. DNS in TRFM decreased sharply at immediate time, 1 h, 2 h and 3 h compared with TRDM and TRRM （P〈0.05）. The statistical analysis showed no significant difference between TRDM and TRRM at all time points （P〉0.05）. Conclusion TRFM has an advantage over TRDM and TRRM in immediate effect of motor functions for patients with acute ischemic stroke.