关键词: 阳明经穴针刺法, 治痿独取阳明, 针推, 吉兰-巴雷综合征, 临床疗效

Abstract:

Objective To observe the clinical effect of Yangming meridian acupuncture combined with acupuncture push based on the theory of "treating flaccence and taking Yangming" in the treatment of Guillain-Barre syndrome. Methods 52 cases of patients with conventional rehabilitation combined with Yangming meridian acupuncture combined with acupuncture based on the theory of "treating potence and taking Yangming alone" were taken as the study group and 52 cases of patients with conventional rehabilitation alone as the control group. Limb muscle strength score， clinical efficacy， limb sensory function， limb motor function， upper limb median nerve electrophysiology and daily living ability were compared between the two groups. Results After treatment， muscle strength scores of proximal lower extremity， distal lower extremity， proximal upper extremity， distal upper extremity， median sensory nerve action potential （SNAP）， motor conduction velocity （MCV）， sensory conduction velocity （SCV） and modified Barthel index （MBI） were increased in 2 groups （P < 0.05）. The study group was more obvious （P < 0.05）. The total effective rate of the study group （86.54%） was higher than control group （69.23%） （P < 0.05）. After treatment， the sensory function and motor function of limbs in 2 groups were better than before treatment （P < 0.05）， especially in the study group （P < 0.05）. After treatment， the distal motor latency （DML） of upper limb median nerve was decreased in 2 groups （P < 0.05）， and more significantly in the study group （P < 0.05）. Conclusion Yangming meridian acupuncture combined with acupuncture pushing based on the theory of "treating impotence and taking Yangming" is effective in the treatment of Guillain-Barre syndrome， which can improve the muscle strength， sensation and motor function of limbs， and regulate nerve electrophysiology.

Key words: Yangming meridian acupuncture method, cure flaccidity alone take Yangming, needle push, guillain-barre syndrome, clinical effect