【目的】 观察通督调神针刺结合康复训练治疗脑梗死（CI）恢复期肢体功能障碍的临床疗效。【方法】 将 2022年 2月至 2024年2月安徽中医药大学第二附属医院康复科病房及门诊收治的110例CI恢复期肢体功能障碍患者按随机数字表法随机分 为观察组和对照组，每组各55例，对照组给予常规康复训练，观察组在对照组康复训练的基础上，联合通督调神针刺治疗， 连续治疗 2周。治疗 2周后，评价 2组临床疗效，观察 2组患者治疗前后中医证候积分的变化情况，以及 Fugl-Meyer运动量 表（FMA）评分、平衡评分量表（BBS）和改良Barthel指数（MBI）评分的情况。比较2组患者治疗前后肌电信号的变化情况。并 评价2组的安全性及不良反应的发生情况。【结果】（1）观察组总有效率为98.18%（54/55），对照组为87.27%（48/55）。观察组 疗效优于对照组，差异有统计学意义（P < 0.05）。（2）治疗后，2组患者的中医证候积分均明显改善（P < 0.05），且观察组在改 善中医证候积分方面明显优于对照组，差异有统计学意义（P < 0.05）。（3）治疗后，2组患者的FMA评分明显改善（P < 0.05）， 且观察组在改善FMA评分方面明显优于对照组，差异有统计学意义（P < 0.05）。（4）治疗后，2组患者的BBS评分与MBI评分 明显改善（P < 0.05），且观察组在改善 BBS 评分与 MBI 评分方面明显优于对照组，差异有统计学意义（P < 0.05）。（5）治疗 后，2组患者的肱二头肌屈肘RMS、肱三头肌伸肘RMS明显改善（P < 0.05），且观察组在改善肱二头肌屈肘RMS、肱三头肌 伸肘RMS 方面明显优于对照组，差异有统计学意义（P < 0.05）。（6）治疗过程中，2 组患者均未见明显的不良反应情况发 生。【结论】 通督调神针刺结合康复训练治疗脑梗死恢复期肢体功能障碍，可明显改善 CI恢复期肢体功能障碍患者运动能 力，改善患肢肌电信号，疗效显著，且安全性高。

Objective To observe the clinical efficacy of mind-regulating and meridians-dredging acupuncture combined with rehabilitation training in treating limb dysfunction in recovery period of cerebral infarction（CI）. Methods A total of 110 cases of patients with limb dysfunction in recovery period of CI were randomly divided into observation group and control group，55 cases in each group，the control group was given routine rehabilitation training，and the observation group was treated with mind-regulating and meridians-dredging acupuncture on the basis of intervention of the control group，the course of treatment covered two consecutive weeks. After two weeks of treatment，the clinical efficacy of the two groups was evaluated，and the changes of scores of traditional Chinese medicine（TCM）syndrome，Fugl-Meyer Assessment（FMA），Berg Balance Scale（BBS）and Modified Barthel Index （MBI） before and after treatment of patients in the two groups were observed. The changes of electromyographic signal before and after treatment were compared between the two groups. And the safety and the occurrence of adverse reactions in the two groups were evaluated. Results（1）The total effective rate was 98.18% （54/55）in the observation group and 87.27%（48/55）in the control group. The efficacy of the observation group was superior to that of the control group， the difference being statistically significant（P < 0.05）.（2）After treatment，the TCM syndrome scores of patients in the two groups were significantly improved（P < 0.05），and the improvement in the observation group was significantly superior to that in the control group，with a statistically significant difference（P < 0.05）.（3）After treatment， the FMA scores of patients in the two groups improved significantly（P < 0.05），and the improvement in the observation group was significantly superior to that in the control group，the difference being statistically significant（P < 0.05）.（4）After treatment，the BBS scores and MBI scores of the patients in the two groups improved significantly（P < 0.05）， and the improvement in the observation group was significantly superior to that in the control group，the difference being statistically significant （P < 0.05）.（5）After treatment，the root mean square value（RMS）of biceps brachii muscle elbow flexion and triceps brachii muscle elbow extention of the two groups of patients improved significantly（P < 0.05），and the improvement in the observation group was significantly superior to that in the control group，the difference being statistically significant（P < 0.05）.（6）During the treatment，there were no obvious adverse reactions occurred in both groups. Conclusion Mind-regulating and meridians-dredging acupuncture combined with rehabilitation training in treating limb dysfunction in recovery period of CI can significantly improve the motor ability of patients， and adjust the electromyographic signals of the affected limbs，with high safety.

R246.9

安徽省高校科研计划项目（编号：2022AH050439）；安徽省名中医孙善斌工作室资助项目（编号：皖中医药发展秘〔2023〕23 号）