医学临床研究
  2025年7月25日 星期五           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2024, Vol. 41 Issue (1): 58-61    DOI: 10.3969/j.issn.1671-7171.2024.01.016
  论著 本期目录 | 过刊浏览 | 高级检索 |
中医醒脑开窍针灸法对脑卒中偏瘫患者康复期肢体功能恢复进程的影响*
郭宝, 苏醒, 任雪芝, 袁晓东, 王茹**
渭南市中心医院神经内科,陕西 渭南 714000
The Influence of Traditional Chinese Medicine Brain-awakening Acupuncture on the Recovery of Limb Function during the Rehabilitation Phase in Patients with Post-stroke Hemiplegia
GUO Bao, SU Xing, REN Xuezhi, et al
Department of Neurology, Weinan Central Hospital,Weinan Shaanxi 714000
全文: PDF (1178 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】 探讨中医醒脑开窍针灸法对脑卒中偏瘫患者康复期肢体功能恢复进程的影响。【方法】 102例脑卒中后偏瘫患者,随机分为两组,每组51例。对照组患者行常规康复训练,观察组在此基础上另行中医醒脑开窍针灸治疗,治疗4周后,比较两组患者的临床疗效、中医证候积分、Brunnstrom分期、运动功能[Fugl-Meyer运动功能(FMA)评定量表、Berg平衡量表(BBS)]、神经功能和日常生活活动能力[美国国立卫生研究院卒中量表(NIHSS)、改良Rankin量表(mRS)]。【结果】 观察组总有效率高于对照组(P<0.05)。治疗后,两组患者的舌质暗红、爪甲紫暗、面色晦暗、偏身麻木、手足肿胀、口唇及齿龈暗等证候评分较治疗前均下降(P<0.05),且观察组各项评分低于对照组(P<0.05)。观察组治疗后上肢、下肢、手Brunnstrom分期Ⅲ期占比高于对照组(P<0.05)。两组治疗后上肢、下肢FMA评分及BBS评分高于治疗前(P<0.05),且观察组治疗后上肢、下肢FMA评分及BBS评分高于对照组(P<0.05)。两组治疗后NIHSS评分、mRS评分较治疗前均下降(P<0.05),且观察组治疗后NIHSS评分、mRS评分低于对照组(P<0.05)。【结论】 醒脑开窍针灸法能有效改善脑卒中后康复期偏瘫患者的中医证候评分,提高肢体Brunnstrom分期和肢体运动能力,改善神经功能,综合疗效较好,建议推广应用。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
关键词 卒中/并发症偏瘫/并发症卒中/针灸疗法偏瘫/针灸疗法运动障碍/康复    
Abstract:【Objective】 To explore the effect of brain-awakening acupuncture and moxibustion on the recovery process of limb function of stroke patients with hemiplegia during rehabilitation. 【Methods】 A total of 102 patients with post-stroke hemiplegia were randomly divided into two groups, with 51 cases in each group. The patients in the control group received routine rehabilitation training, and the patients in the observation group were treated with traditional Chinese medicine (TCM) acupuncture and moxibustion on this basis; After treatment for 4 weeks, the clinical efficacy, traditional Chinese medicine symptom scores, Brunnstrom staging, motor function [fugl meyer motor function (FMA) assessment scale, berg balance scale (BBS)], neurological function, and daily living activities [national institutes of health stroke scale (NIHSS), modified Rankin Scale (mRS)] were compared between two groups of patients【Results】 The total effective rate of the observation group was higher than that of the control group (P<0.05). After treatment, the scores of symptoms such as dark red tongue, dark purple claws, dull complexion, numbness, swelling of hands and feet, and dark lips and gums in both groups of patients decreased compared to before treatment (P<0.05), and the observation group had lower scores than the control group (P<0.05). After treatment, the proportion of Brunnstrom stage Ⅲ in the upper limbs, lower limbs, and hands in the observation group was higher than that in the control group (P<0.05). After treatment, the FMA upper and lower limb scores and BBS scores in both groups increased compared to before treatment (P<0.05), and the FMA upper and lower limb scores and BBS scores in the observation group were higher than those in the control group after treatment (P<0.05). After treatment, the NIHSS score and mRS score of both groups decreased compared to before treatment (P<0.05), and the observation group had lower NIHSS score and mRS score than the control group after treatment (P<0.05).【Conclusion】 Brain-awakening acupuncture and moxibustion can effectively improve the TCM syndromes of hemiplegia patients in the rehabilitation period after stroke, improve the Brunstrom stage and motor ability of limbs, and improve neural function defects. The comprehensive effect is good, and it is recommended to promote its application.
Key wordsStroke/CO    Hemiplegia/CO    Stroke/ZL    Hemiplegia/ZL    Motor Disorders/RH
收稿日期: 2023-02-12     
中图分类号:  R743.3  
基金资助:*渭南市“特支计划”青年人才项目(编号:20211209)
通讯作者: **E-mail:guobao007@163.com   
引用本文:   
郭宝, 苏醒, 任雪芝, 袁晓东, 王茹. 中医醒脑开窍针灸法对脑卒中偏瘫患者康复期肢体功能恢复进程的影响*[J]. 医学临床研究, 2024, 41(1): 58-61.
GUO Bao, SU Xing, REN Xuezhi, et al. The Influence of Traditional Chinese Medicine Brain-awakening Acupuncture on the Recovery of Limb Function during the Rehabilitation Phase in Patients with Post-stroke Hemiplegia. JOURNAL OF CLINICAL RESEARCH, 2024, 41(1): 58-61.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.01.016     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I1/58
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn