针刺申脉、照海为主治疗中风后足内翻的临床观察

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1、提要目的：观察针刺申脉、照海为主对中风后足内翻的临床疗效的影响，探索阴阳跷脉理论指导治疗中风后足内翻的切实性，为提高此类患者的临床疗效及改善其生活能力提供依据。方法：将符合纳入标准的60例中风后患者随机分为治疗组和对照组。治疗组采用针刺申脉、照海加常规穴治疗；对照组采用阳交、筑宾加常规穴治疗，疗程均为4周。观察治疗前后两组患者足内翻程度、下肢Brunnstrom分级、步行能力和日常生活能力Barthel指数的改善情况。结果：经统计学分析，治疗组的总有效率为76.67%，对照组的总有效率为56.67%。两组总

2、疗效经秩和检验无显著性差异（P＞0.05）。治疗前后，两组患者的足内翻分级、日常生活能力Barthel指数、下肢Brunnstrom分期、步行能力组内比较均有非常显著性差异（P＜0.01）；治疗后两组患者的足内翻分级、日常生活能力Barthel指数经秩和检验有显著性差异（P＜0.05）；下肢Brunnstrom分期，步行能力经秩和检验无显著性差异（P＞0.05），说明这两种方法对治疗中风后足内翻均有效，但是治疗组效果更明显。两组患者总体疗效比较无显著性差异，但治疗组的治愈率、好转率及总有效率均高于对照组，即

3、治疗组优于对照组。结论：针刺申脉、照海为主治疗中风后足内翻，可以改善患者的足内翻的程度，提高患者的步行能力和日常生活能力。虽然两组的疗效相当，但治疗组有优于对照组的趋势。关键词：足内翻；中风；针刺；申脉；照海；TheClinicalObservationofNeedlingmainlyShenmai,ZhaohaiinTreatingStrephenopodiaafterApoplexySpeciality:AcupunctureandmoxibustionofTCMAuthor:MouxiaoyingTu

4、tor:HoushuweiAbstractConclusion:ToacupuncturemainlyShenmai,Zhaohaitotreatstrephenopodiaafterapoplexy,wecanimprovethedegreeofstrephenopodia,thepatient'swalkingabilityanddailylivingskills.Theefficacyofthetwogroupshavethesameefficacy,whilethetreatmentgroupare

5、superiortothecontrolgroupintendency.Methods:60casesofstrokewhomettheinclusioncriteriawererandomlydividedintotreatmentandcontrolgroups.ThetreatmentgroupweretreatedwithacupuncturingShenmai,Zhaohaiandconventionalacupoints;controlgroup,Yangjiao,Zhubinandconven

6、tionalacupointsforfourweeks.Toobservetheclinicalsymptomsimprovedconditionsofthetwogroupspre-aftertreatmentinstrephenopodiagrading,Barthelindexofactivitiesofdailyliving,walkingabilityandlowerextremitiesBunnstromclassification.Results:Bystatisticalanalysis,t

7、hetotalsignificantefficiencyintreatmentgroupandcontrolgroupare76.67％and56.67％respectively.TheresultthroughWilcoxonsigned-ranktestindicatesthattotalcurativeeffectsofthetwogroupshavenosignificantdifference(P＞0.05).Thestrephenopodiagrading,Barthelindexofactiv

8、itiesofdailyliving,walkingabilityandlowerextremitiesBunnstromclassificationofthetwogroupsofpatients’pre-aftertreatmentshowsignificantdifference(P＜0.01);Aftertreatment,thepatient'sstrephenopodiaclassificationa