目的 :观察前后交替针刺加手法治疗中风急性期后下肢偏瘫的效果。方法 :临床将中风急性期后偏瘫下肢功能障碍患者 5 8例随机分为针刺治疗组和对照组各 2 9例

针刺组采用交替针刺下肢之梁丘、足三里、丰隆、委中、承山、太溪加手法的方法治疗

对照组施以一般内科治疗。结果 :两组治疗前后Barthel指数及Fugl Meyer下肢运动功能评分均有差异 (P <0 0 1)

同时

治疗后针刺组Barthel指数及Fugl Meyer下肢运动功能评分明显高于对照组 (P <0 0 1)。结论 :前后交替针刺加手法是治疗中风急性期后偏瘫下肢功能障碍的有效方法Objective: To observe the effects of acupuncture and massage i n treating low-limb dysfunction of hemiplegia patients at the sub-acute stage. Methods: 58 Cases of apoplectic hemiplegia patients were randomly and e venly divided into treatment group and control group. Patients of treatment grou p were treated with acupuncture of alternate acupoint group 1) Liangqiu(ST 34)

Zusanli (ST 36) and Fenglong (ST 40); and 2)Wizhong (BL 40)

Chengshan (BL 57) a nd Taixi (KI 3). In treatment group

the acupoints of group 1 were stimulated wi th uniform reinforcing-reducing needling method

combined with mild massage of t he lower limbs along the running course of the Large Intestine Meridian of Foot - Yangming

and those of group 2 were stimulated with the same manipulation combin ed with mild massage along the course of the Kidney Meridian of Foot-Shaoyin. T h e treatment was conducted once daily

5 times every week

and with 10 times bein g a therapeutic course. In addition

routine pharmacotherapy including anticoag ulants

hemostats

medicines for improving microcirculation

and for nourishing nerves

etc. was also used. Patients of control group only accepted routine phar macotherapy. Results: Following two courses of treatment

the scor es of Barthel Index and Fugl-Meyer (for assessing the motor functions of the li mbs) were given. The scores of Barthel Index of pre-treatment vs post-treatmen t in control group were 23.3±11.7 vs 37.5±18.6 and those of treatment group w ere 25.1±12.3 vs 53.4±16.7 respectively; the scores of Fugl-Meyer motor func tion of pre- vs post-treatment of control group were 5.67±2.34 vs 11.48±6.92

and those of treatment group were 5.59±3.26 vs 20.41±8.29 separately. Self -comparison between pre- and post-treatment in each group

the scores of both Bart hel Index and Fugl-Meyer were raised evidently following treatment ( P <0.0 1) . After treatment

the scores of these two indexes of treatment group were all strikingly higher than those of control group ( P <0.01)

suggesting that the therapeutic effect of treatment group was significantly superior to that of medi cation. Conclusion: Acupuncture combined with massage is effective in bettering the movement function of the low extremities of stroke patients.