阴阳调衡运动针法治疗脑卒中后上肢运动功能障碍即刻效应的效果

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摘要目的观察阴阳调衡运动针法治疗脑卒中后上肢运动功能障碍的即刻疗效。方法收集2017年12月至2018年12月上海中医药大学附属岳阳中西医结合医院针灸科门诊收治的66例脑卒中上肢运动功能障碍患者为研究对象，依据随机数字表随机分为实验组（33例）和对照组（33例）。实验组采用阴阳调衡针法，对照组的治疗方案同试验组，但不进行生物力学反馈手法操作。比较治疗前、治疗后10、20、30 min上肢简化Fugl-Meyer运动功能评分法（FMA）评分。结果两组治疗后10、20、30 min FMA评分高于治疗前；实验组治疗后20、30 min FMA评分低于治疗后10 min，差异有统计学意义（P < 0.05）。治疗前，两组FMA评分比较，差异无统计学意义（P ＞ 0.05）；治疗后10、20、30 min实验组FMA评分高于对照组，差异有统计学意义（P < 0.05）。结论阴阳调衡运动针法能有效改善上肢瘫痪患者上肢运动功能，在治疗后10分钟即刻效应效果最佳。

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	周亮1 鲍春龄1 石程2 周丽芳1 焦志华1 马爽1 东红升3 东贵荣1

关键词 ：脑卒中, 阴阳调衡针法, 运动针法, 即刻效应

Abstract：Objective To observe the immediate effect of yin yang balance acupuncture therapy on upper limb motor dysfunction after stroke. Methods A total of 66 stroke patients with upper limb motor dysfunction admitted to the Department of Acupuncture, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine from December 2017 to December 2018 were enrolled as the research subjects. They were divided into the experimental group (33 cases) and the control group (33 cases) according to the random number table method. The experimental group was used the yin yang balance acupuncture therapy, and the treatment plan of the control group was the same as that of the experimental group, but the biomechanical feedback manipulation was not performed. The upper limb simplified Fugl-Meyer assessment scale (FMA) scores were compared before treatment, 10, 20 and 30 min after treatment. Results FMA scores in two groups at 10, 20 and 30 min after treatment were higher than those before treatment; FMA scores in the experimental group at 20 and 30 min after treatment were lower than those at 10 min after treatment, and the differences were statistically significant (P < 0.05). Before treatment, there was no significant difference in FMA score between the two groups (P > 0.05). FMA scores in the experimental group were higher than those in control group at 10, 20 and 30 min after treatment, and the differences were statistically significant (P < 0.05). Conclusion Yin yang balance acupuncture therapy can effectively improve the upper limb motor dysfunction of patients with upper limb paralysis, and the immediate effect is the best 10 min after treatment.

Key words： Stroke Yin yang balance acupuncture therapy Exercise acupuncture therapy Immediate effect

基金资助:上海市科学技术委员会科研计划项目（1640197 0400）。

通讯作者: 东贵荣（1950.11-），男，博士，主任医师，二级教授；研究方向：中风病的针灸治疗及机制研究。

作者简介: 周亮（1990.1-），男，硕士；研究方向：中风病的针灸治疗。

引用本文:

周亮1 鲍春龄1 石程2 周丽芳1 焦志华1 马爽1 东红升3 东贵荣1. 阴阳调衡运动针法治疗脑卒中后上肢运动功能障碍即刻效应的效果[J]. 中国医药导报, 2021, 18(20): 78-81,95.
ZHOU Liang1 BAO Chunling1 SHI Cheng2 ZHOU Lifang1 JIAO Zhihua1 MA Shuang1 DONG Hongsheng3 DONG Guirong1. Effect of immediate effect of yin yang balance acupuncture therapy on upper limb motor dysfunction after stroke. 中国医药导报, 2021, 18(20): 78-81,95.

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