Multi-center clinical research of transformation and application on the effect of electro-acupuncture in treating stroke patients with hemiplegia in community based on syndrome differentiation of Yin and Yang

FU Qin-hui; PEI Jian; YOU Xiao-xin; GU Yue-hua; CHEN Yu-jie; SONG Yi; HUI Jian-rong; ZHOU Tong; CHENG Xiao-lei; WANG Yan-ling; Wang Jun

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Multi-center clinical research of transformation and application on the effect of electro-acupuncture in treating stroke patients with hemiplegia in community based on syndrome differentiation of Yin and Yang

更新时间：2022-08-31

- Multi-center clinical research of transformation and application on the effect of electro-acupuncture in treating stroke patients with hemiplegia in community based on syndrome differentiation of Yin and Yang
- Shanghai Journal of Traditional Chinese Medicine Vol. 50, Issue 10, Pages: 45-49(2016)
- 作者机构：
  
  1. 上海中医药大学附属龙华医院针灸科,上海,200032
  2. 陕西中医药大学针灸推拿系,陕西,西安,712046
  3. 上海市徐汇区凌云街道社区卫生服务中心,上海,200231
  4. 上海市徐汇区斜土街道社区卫生服务中心,上海,200032
  5. 上海市徐汇区天平街道社区卫生服务中心,上海,200031
- 作者简介：
- 基金信息：
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FU Qin-hui, PEI Jian, YOU Xiao-xin, et al. Multi-center clinical research of transformation and application on the effect of electro-acupuncture in treating stroke patients with hemiplegia in community based on syndrome differentiation of Yin and Yang. [J]. Shanghai Journal of Traditional Chinese Medicine 50(10):45-49(2016)
DOI：

FU Qin-hui, PEI Jian, YOU Xiao-xin, et al. Multi-center clinical research of transformation and application on the effect of electro-acupuncture in treating stroke patients with hemiplegia in community based on syndrome differentiation of Yin and Yang. [J]. Shanghai Journal of Traditional Chinese Medicine 50(10):45-49(2016) DOI：

摘要

目的：观察辨阴阳经证电针治疗社区中风偏瘫患者的临床疗效。方法：将120例中风偏瘫患者采用多中心分层区组随机化的方法,分为治疗组和对照组,每组60例。对照组采用常规康复训练,治疗组在对照组治疗措施基础上加用辨阴阳经证电针治疗。两组疗程均为8周。观察比较简化Fugl-Meyer评分(FMA)、改良Barthel指数(modified barthel index, mBI),及修正Rankin量表(modified rankin scale,mRS)的变化情况。结果： ①试验期间,两组共脱落8例；最终完成试验者112例,治疗组56例、对照组56例。②组间治疗后比较,FMA水平差异有统计学意义,提示治疗组改善运动功能作用明显优于对照组(P<0.05)。③组间治疗后比较,BI水平差异有统计学意义,提示治疗组改善日常生活能力的作用明显优于对照组(P<0.05)。④组间治疗后比较,mRS水平差异有统计学意义,提示治疗组改善运动功能障碍的作用明显优于对照组(P<0.05)。结论：辨阴阳经证电针治疗社区中风偏瘫,疗效满意,值得社区推广应用。

Abstract

Objective:To observe the clinical effect of electro-acupuncture based on syndrome differentiation of Yin and Yang in treating stroke patients with hemiplegia in community. MethodsAccording to the multi-center stratified block randomization,120 stroke patients with hemiplegia were divided into the treatment and control groups,60 in each group. The control group was treated with routine rehabilitation therapy,the treatment group was treated with electro-acupuncture based on syndrome differentiation of Yin and Yang on the basis of treatment for control group, with a course of 8 weeks. The changes of simplified Fugl-Meyer Assessment (FMA), modified Barthel Index(BI) and modified Rankin Scales (mRS) were observed and compared. Results:①Finally 112 patients completed the trail with 56 in each group, 8 cases fell off. ② After treatment, there was statistically significant difference on the level of FMA between the two groups,which suggested that the effect of the treatment group on improving the motor function was obviously better than that of the control group(P<0.05).③After treatment, there was statistically significant difference on the level of BI between the two groups,which suggested that the effect of the treatment group on improving the activities of daily living was obviously better than that of the control group(P<0.05). ④After treatment, there was statistically significant difference on the level of mRS between the two groups,which suggested that the effect of the treatment group on improving the dysfunction was obviously better than that of the control group(P<0.05). Conclusion:Electro-acupuncture based on syndrome differentiation of Yin and Yang shows good effect in treating stroke patients with hemiplegia in community,which is worthy of popularization and application in community.

关键词

中风偏瘫针灸疗法阴证阳证社区康复

Keywords

strokehemiplegiaacupuncture therapyYin syndromeYang syndromecommunity rehabilitation

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