目的

探讨针刺丘墟透照海不同针刺参数治疗中风后足内翻的临床疗效差异。

方法

选择2012 年6 月至2015 年12 月新疆昌吉州中医医院针灸科收治的79 例中风患者，按照随机数字表法分为治疗组40 例和对照组39 例，针刺1 次/d，每周针刺6 d，休息1 d，共治疗28 d。 采用配对t检验比较两组患者治疗前后量角器角度和步行能力分级差异，组间比较采用两独立样本t检验。

结果

治疗后，治疗组患者的足内翻角度较本组治疗前有所减小，且差异有统计学意义（t=3.902，P＜0.05）；对照组患者的足内翻角度较本组治疗前有所减小，且差异有统计学意义（t=2.232，P＜0.05）；对照组的足内翻角度小于治疗组，且差异有统计学意义（t=3.622，P＜0.05）。 治疗组的步行能力优于对照组（t=2.253，P＜0.05）。

结论

在以中风“醒脑开窍”针刺法治疗为基础的条件下，通过不同透刺参数的临床观察，证实丘墟透到照海穴比丘墟透向照海穴可以更好、有效地改善中风患者的足内翻。

Objective

To explore the clinical effect of acupuncture at different acupuncture parameters in acupoint point GB40（Qiuxu）through to point KI16（Zhaohai）on strephenopodia after stroke.

Methods

Seventy-nine patients with stroke treated by acupuncture and moxibustion at Changji Hospital of Traditional Chinese Medicine from June，2012 to December，2015 were included in this study.According to the method of random number table，40 patients were divided into treatment group and 39 cases were in control group.Acupuncture was given to patients1 per day，6 times for one week，and totally for 28 days.The angle of protractor and the walking ability were compared before and after the treatment between two groups by the paired t test.The two independent sample t test was used to compare between groups.

Results

After treatment，the angle of strephenopodia was significantly decreased in treatment group （t=3.902，P＜0.05）.The angle of strephenopodia was also significantly decreased after treatment in control group（t=2.232，P＜0.05）.The angle of strephenopodia was changed less in control group compared with that of treatment group （t=3.622，P＜0.05）.The walking ability was much better in patients of treatment group than that of control group （t=2.253，P＜0.05）.

Conclusion

Under the condition of acupuncture treatment＂consciousness-restoring resuscitation acupuncture＂for stroke，it is found that the clinical efficacy of＂qiuxu through to zhaohai＂is better，improving strephenopodia in patients after stroke.