Objective To observe the difference in efficacy between governor vessel- regulating needling and conventional acupuncture, and to summarize the clinical efficacy and application rules of governor vessel-regulating needling. Methods Ninety patients with cerebral infarction were randomly divided into 2 groups with 45 cases in each group. Governor vessel-regulating needling combined with rehabilitation training were applied in governor vessel- regulating needling group （observation group）, and conventional acupuncture combined with rehabilitation training were applied in conventional acupuncture group （control group）. Modified Barthel index （MBI）, FugI-Meyer assessment （FMA） and neurological deficit scale （NDS） were adopted to assess the treatment efficacy in the two groups before treatment, after treatment for 2 weeks, and after treatment for 4 weeks, respectively. Results After treatment for 2 weeks, MBI and FMA increased significantly in both groups when compared with the results before treatment （all P〈0.01）, NDS reduced significantly in both groups when compared with the results before treatment （both P〈0.01）, and there was no significant difference in MBI, FMA and NDS between two groups （all P〉0.05）; after treatment for 4 weeks, MBI and FMA in observation group were significantly higher than those in control group （both P〈0.05）, and NDS was significantly lower than that in control group （P〈0.05）. Conclusion Compared with conventional acupuncture, governor vessel- regulating needling can significantly improve the activities of daily living of patients with cerebral infarction.
目的通过观察调督针法与普通针法对脑梗死后上肢运动障碍的疗效差异,总结调督针法的临床疗效和治疗规律,形成标准规范的特色针刺方法,指导针灸优势病种的规范研究。方法将76例脑梗死患者随机分为2组,每组38例,调督针法组采用调督针法与康复训练联合应用,普通针刺组采用普通针刺与康复训练相结合。均每日治疗1次,每周连续治疗5次,疗程4周。2组分别在治疗前、治疗4周后采用Fugl-Meyer运动功能评分法(Fugl-Meyer Assesment,FMA)、躯干控制能力测试(Trunk Control Test,TCT)及改良的Barthel Index(MBI)进行疗效评定。结果治疗4周后,2组FMA、MBI及TCT均优于治疗前(P均<0.05),各项指标调督组均优于普通针刺组(P均<0.05)。结论调督针法较之普通针刺法,能更好地改善脑梗死患者上肢的运动功能,脑梗死后运动功能障碍是调督针法的优势病种之一。
