俞募配穴巨刺法改善中风后肢体功能障碍的真实世界研究OA

Objective:To investigate the clinical efficacy of Shu-Mu point combination with contralateral needling in treating limb dysfunction after stroke.Methods:A prospective,non-randomized,concurrent controlled real-world study was conducted.A total of 120 patients with post-stroke limb dysfunction treated at Binzhou Hospital of Traditional Chinese Medicine from July 2023 to June 2024 were enrolled.After being informed of the treatment protocols,patients voluntarily chose to be assigned to the standard group,the control group,or the experimental group,with 40 cases in each.The standard group received conventional medication and rehabilitation training;the control group received routine Yangming meridian acupuncture on the affected side in addition to the standard treatment;the experimental group received Shu-Mu point combination with contralateral needling in addition to the standard treatment.All groups were treated for 4 weeks.The Fugl-Meyer Assessment(FMA),Modified Barthel Index(MBI),and Modified Ashworth Scale(MAS)were compared among the three groups before and after treatment.Results:After treatment,the FMA and MBI scores in all three groups increased compared to those before treatment(P<0.05),with the experimental group showing significantly higher scores than both the control and standard groups(P<0.05).Regarding MAS scores,the improvement in upper limb muscle tone was comparable between the experimental and control groups(P>0.05),but both were superior to that in the standard group(P<0.05).Notably,the improvement in lower limb muscle tone in the experimental group was significantly better than that in the control and standard groups(P<0.05).Conclusion:Shu-Mu point combination with contralateral needling effectively improves motor function and activities of daily living in patients with post-stroke limb dysfunction.Its efficacy in alleviating lower limb spasticity is superior to routine Yangming meridian acupuncture,while its effect on upper limb spasticity is comparable to conventional needling.The therapy may exert its effects by regulating qi and blood of the zang-fu organs and remodeling central neural networks,demonstrating unique advantages in restoring lower limb gross motor function.