恢刺法治疗腓总神经损伤踝背屈功能疗效观察

摘要/Abstract

摘要： 目的比较恢刺法与常规针刺法对腓总神经损伤的疗效差异。方法采用回顾性队列研究方法，收集2018年3月至2022年10月河南省儿童医院康复科住院和门诊收治的腓总神经损伤患儿的临床资料，根据治疗方案不同分为恢刺组和常规针刺组，每组各收集20例，共40例。两组均选择患侧下肢阳陵泉、足三里、三阴交、解溪、太冲等穴位，恢刺组在常规取穴基础上予以行针，常规针刺组在针刺得气后予以平补平泻，每次留针30 min。两组均每日1次，每周5次，4周(20次)为1个疗程，共治疗8周(2个疗程)后评定疗效。观察两组治疗效果及下肢运动功能评估、足背屈角度变化。结果治疗后恢刺组总有效率为90.0%(18/20),显著高于常规针刺组60.0%(12/20),差异有统计学意义(P<0.05)。治疗后，恢刺组Fugl-Meyer运动功能评分及踝关节背屈活动度改善程度明显高于常规针刺组，差异有统计学意义(P<0.05)。结论恢刺法在改善下肢运动功能和踝关节活动度方面治疗效果优于常规针刺法，值得临床推广应用。

关键词: 腓总神经损伤, 针刺, 恢刺, 踝背屈

Abstract: 】ObjectiveTo compare the efficacy of multi-directional stimulation acupuncture and conventional acupuncture on common peroneal nerve injury.MethodsA retrospective cohort study was conducted to collect the clinical data of 40 children with common peroneal nerve injury admitted to the Rehabilitation Department of Henan Children′s Hospital from March 2018 to October 2022,and they were divided into a multi-directional stimulation acupuncture group and a conventional acupuncture group according to different treatment plans,with 20 cases in each group.Acupuncture points such as Yanglingquan,Zusanli,Sanyinjiao,Jiexi and Taichong were selected in both groups on the affected lower limbs.The multi-directional stimulation group was given multi-directional stimulation based on routine point selection,while the conventional acupuncture group was given the even needling.Both groups were treated once daily,5 days a week,4 weeks (20 times) for one course,and the therapeutic effect was evaluated after a total of 8 weeks(2 courses).The changes in dorsiflexion angle,the treatment effect and lower limb motor function were evaluated in the two groups.ResultsAfter treatment,the total effective rate of multi-directional stimulation acupuncture group was 90.0% (18/20),significantly higher than that of conventional acupuncture group(60.0%，12/20),and the difference was statistically significant (P<0.05).After treatment,the Fugl-Meyer motor function score and improvement degree of ankle dorsiflexion motion in the multi-directional stimulation acupuncture group were significantly higher than those in the conventional acupuncture group,and the difference was statistically significant(P<0.05).ConclusionThe treatment effect of multi-directional stimulation acupuncture is better than that of conventional acupuncture in improving lower limb motor function and ankle joint motion,which is worthy of clinical application.

Key words:

Common peroneal nerve injury, Acupuncture, Multi-directional stimulation acupuncture, Ankle dorsiflexion

韩美美, 段丽阳, 吕楠, 尚清, 石立业, . 恢刺法治疗腓总神经损伤踝背屈功能疗效观察[J]. 中国中西医结合儿科学, 2024, 16(1): 62-65.

HAN Meimei, DUAN Liyang, LYU Nan, SHANG Qing, SHI Liye.. Observation on multi-directional stimulation acupuncture on ankle dorsiflexion function in patients with common peroneal nerve injury[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2024, 16(1): 62-65.

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恢刺法治疗腓总神经损伤踝背屈功能疗效观察

Observation on multi-directional stimulation acupuncture on ankle dorsiflexion function in patients with common peroneal nerve injury

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