摘要
目的探讨基于大脑半球间相互抑制理论的针刺法对治疗脑梗死患者运动功能恢复的影响。方法选择90例脑梗死恢复期患者,随机分为传统针刺组、传统巨刺组、试验针刺组,每组30例,分别针刺患侧穴位、健侧穴位、患侧和健侧穴位,每日1次,每周5次,治疗4周共20次。比较3组患者治疗前后的FuglMeyer评定量表(FMA)评分、改良Barthel指数(MBI)评分、中枢运动传导时间(CMCT)及运动诱发电位(MEP)潜伏期。结果治疗前3组患者FMA评分、MBI评分、MEP潜伏期及CMCT比较,差异均无统计学意义(P>0.05)。治疗后3组患者FMA、MBI评分显著高于治疗前(P<0.05),MEP潜伏期及CMCT显著短于治疗前(P<0.05)。治疗后试验针刺组患者FMA及MBI评分均显著高于传统针刺组、传统巨刺组(P<0.05),MEP潜伏期和CMCT均显著短于传统针刺组和传统巨刺组(P<0.05)。传统针刺组和传统巨刺组之间比较,差异均无统计学意义(P>0.05)。结论与传统针刺法、传统巨刺法比较,基于半球间相互抑制理论的针刺法,可以更好地调节脑梗死偏瘫患者大脑皮层的兴奋性,显著提高其运动功能评分。
Objective To observe the effect of acupuncture on motor function recovery in cerebral infarction（ CI） patients based on reciprocal inter hemispheric inhibition（ r IHI） theory. Methods Ninety CI patients in recovery period were randomly assigned to the traditional acupuncture group,the opposing needling group,the experimental acupuncture group,30 cases in each group. Acupoints at affected side,healthy side,bilateral side（ both affected side and healthy side） were respectively needled,once per day,5 times per week for a total of 4 weeks. Scores for Fugl-Meyer assessment（ FMA） and modified Barthel index（ MBI）,central motion conduction time（ CMCT） and motor evoked potentials（ MEP） incubation period were compared among the three groups before and after treatment. Results No statistical difference in FMA score,MBI score,MEP incubation period,and CMCT among three groups before treatment（P〉0. 05）. Scores for FMA and MBI were significantly higher in the three groups after treatment than before treatment（P〈0. 05）. MEP incubation period and CMCT were significantly shorter after treatment than before treatment（P〈0. 05）. Post-treatment scores for FMA and MBI were significantly higher in the experimental acupuncture group than in the other two groups（P〈0. 05）. Post-treatment MEP incubation period and CMCT were significantly shorter in the experimental acupuncture group than in the other two groups（P〈0. 05）. But there was no statistical significance in FMA,MBI,MEP incubation period,or CMCT between latter two groups（P〉0. 05）. Conclusion Compared with the traditional acupuncture group and the opposing needling group,acupuncture based on r IHI theory couldregulate the excitement of cerebral cortex in CI patients better,and significantly improve scores for motor functions.
作者
庄卫生
钱宝延
张杰文
曹留拴
蔡西国
杨阳
ZHUANG Wei-sheng;QIAN Bao-yan;ZHANG Jie-wen;CAO Liu- shuan;CAI Xi-guo;YANG Yang(Department of Rehabilitation Medicine,Henan Provincial People＇s Hospital, Zhengzhou 45000)
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2018年第7期805-808,共4页
Chinese Journal of Integrated Traditional and Western Medicine
基金
河南省科技厅科技攻关项目(No.162102310277)
河南省医学科技发展项目(No.201702176)
关键词
半球间抑制理论
针刺法
脑梗死
运动功能
运动诱发电位
reciprocal interhemispheric inhibition theory
acupuncture
cerebral infarction
motor function
motor evoked potentials
